IJAR.2017.116
Type of Article: Original Research
Volume 5; Issue 1 (March 2017)
Page No.: 3599-3606
DOI: https://dx.doi.org/10.16965/ijar.2017.116
ANATOMICAL STUDY ON THE INTERNAL ILIAC ARTERY IN FETUS AND ITS IMPLICATIONS IN UMBILICAL ARTERY CATHETERIZATION
Chongtham Rajlakshmi *1, Thounaojam Oken 2, Lemtur Martula 3, Chongtham Shyamsunder 4.
* 1Associate Professor, Department Of Anatomy, Regional Institute of Medical Sciences (RIMS), Imphal, India.
2, 3 Postgraduate Trainee, Department Of Anatomy, Regional Institute of Medical Sciences (RIMS), Imphal, India.
4 Associate Professor & HOD, Department Of Pediatrics, Regional Institute of Medical Sciences (RIMS), Imphal, India.
Corresponding Author Address: Dr. Chongtham Rajlakshmi MS (Anatomy), PhD(Anatomy), Associate Professor, Department Of Anatomy, Regional Institute of Medical Sciences (RIMS), Imphal, India. E-Mail: chongthamrajlakshmi@yahoo.in
ABSTRACT
Introduction: Umbilical artery catheterization (UAC) is a procedure for investigation and treatment purpose. The catheter negotiates the umbilical artery, internal iliac artery, common iliac artery to reach aorta of desired level. Studies so far have not correlated the type of internal iliac artery associated with the complications encountered during or after the procedure.
Materials and Methods: Forty four pelvic halves, from ten males and twelve female full term fetus of Manipuri population were used to determine the incidence of type of branching pattern of internal iliac artery. The length of the portion of the artery from the umbilical ring upto the bifurcation of aorta was measured.
Results: Only Type I-IV were observed. Type I was observed more in males (40.9%) and Type IV was more in females (36.4%). The total length of the artery from umbilical ring to aortic bifurcation was 7.3± 0.35 and 7.4± 0.29 on right and left side respectively. Discussion: The study emphasise the importance of the ‘bend’, the branches issued from the bend present in the internal iliac artery from perspective of UAC.
Conclusion: The study presents a baseline data of length of the artery negotiated by the catheter. The study hypothesises the possible association of a type II & IV of internal iliac artery with complications associated with the UAC. Detail knowledge of anatomy of arteries traversed by the catheter would be of paramount significance for the clinicians, radiologists and academicians alike.
Key words: Umbilical artery, internal iliac artery, variation, umbilical artery catheterization.
REFERENCES
- Sadler TW. Langman’s Medical Embryology, 9th Lippincott Williams & Wilkins Co, Maryland, USA. 223-274, 2004.
- Romanes GJ. The blood vascular ad lymphatic systems. In: Cunningham’s Textbook of Anatomy, 11th Edn Oxford University Press, 837-940, 1972.
- Sinnatamby CS. Abdomen. In: Last’s Anatomy 11th Elsevier Churchill Livingstone Edinburgh, London, 229-339, 2006.
- Fleisher GR, Ludwig S, Henretig FM. Procedures. Textbook of Pediatric Emergency Medicine. Lippincott Williams & Wilkins, 5th 1861-1955, 2006.
- Hollinshead WH. General features of the pelvis. Anatomy for surgeons 2nd Edn, vol 2. Harper and Row. New York, London, 630-675, 1971.
- Adachi B. Das arteriensystem der Japaner Bd II. Supp ad Acta Scholae medicinalis Universitatis imperialis Kyoto 1927;9:95-125.
- Furdon SA, Horgan Mj, Bradshaw Wt, Clarke DA. Nurses guide to early detection of umbilical artery catheter complications in infants. Advanced Neonatal Care2006;6(5):242-256.
- Lin SJ, Koltz PF, Davis W, Vicari F. Lower extremity ischemia following umbilical artery catheterization: A case study and clinical update. Int J Surg 2009;7:182-186.
- Wigger JH, BB, Blanc WA. Thrombosis due to catheterization in infants and children. J Pediatr 1970;76:1-11.
- Ozguner G, Sulak O: Development of the abdominal aorta and iliac arteries during the fetal period : a morphometric study. Surg Radiol Anat 2011;33:35-43.
- Goscicka D, Szpinda M, Stankiewicz W: Skelotopy of the common iliac arteries in human fetus. Folia Morphol 1995;54:129-136.
- Tyson JE, de SA DJ, Moore S. Thromboatheromatous complications of umbilical arterial catheterization in the newborn period. Archives of Disease in childhood 1976;51:744-754.
- Cumming WA, Burchfield DJ. Accidental catheterization of internal iliac artery branches: a serious complication of umbilical artery catheterization. J Perinatol. 1994;14(4):304-309.
- Green C, Yohannan MD. Umbilical arterial and venous catheters: placement, use, and complications. Neonatal Netw 1998;17(6):23-28.
- Giannakopoulou C, Korakaki E, Hatzidaki E, Manoura A, Aligizakis A, Velivasakis E. Peroneal nerve palsy: a complication of umbilical artery catheterization in the full term newborn of a mother with diabetes. Pediatrics 2002;109(4):e66.
- Roberts WH, Krishingner GL. Comparative study of human internal iliac artery based on Adachi classification. Anat Rec 1969;158:191-196.
- Iwasaki Y, Shoumura S, Ishizachi N, Emura S, Yamahira T, Ito M, Isono H. The anatomical study on the branches of the internal iliac artery- comparison of the findings with Adachi’s classification. Kaibogaku Zasshi 1987;62:640-645.
- Yamaki K, Saga T, Doi Y, Aida K, Yoshizuka M. A statistical study of the branching of the human internal iliac artery. Kurume Med J 1998;45:333-340.
- Fatu C, Puisoru M, Fatu IC. Morphometry of the internal iliac artery in different ethnic groups. Ann Anat 2006;188:541-546.
- Tsukamoto N. Studies on the arterial system in pelvic cavity of Japanese. Acta Mat Nippon 1929;2:830-852.
- Hoshai H. Anatomical study on the pelvic arteries in Japanese fetus. Acta Mat Nippon 1938;11:61-72.
- Braithwaite JL. Variations in origin of parietal branches of internal iliac artery. J Anat 1952;86:423-430.
- Morita S, Kato S, Sugawara E. Corrosions anatomical studies on the arterial system of the Japanese fetus.VIII. The common iliac arteries and the branches of the internal iliac artery. Acta Mat Nippon 1974;49:79-83.
- Talalwah WA, Soames R. Internal iliac artery classification and its clinical significance. Rev Arg de Anat Clin: 2014;6(2):63-71.
- Jastschinski S. Die Typischen Verzweigsform der Arteria hypogastrica. Int. Mschr Anat. Physiol.1891a; 8:111-127.
- Ramakrishnan PK, Selvarasu CD, Elezy MA. A descriptive anatomical study of the branching pattern of internal iliac artery in humans. NJCA 2012;1:7-13.
- Naveen NS, Murlimanju BV, Kumar V, Jayanthi KS, Rao K, Pulakunta T. Morphological analysis of the human internal iliac artery in south Indian population. Online J health Allied Sc 2011;10:11.