Literature Reviews

doi: 10.25005/2074-0581-2017-19-1-113-119
ANATOMICAL VARIATIONS IN UPPER LIMB ARTERIES

R.Е. Каlinin1, I.А. Suchkov1, N.D. Мjavanadze1, R.М. Мustafaeva1

1Federal State Budget Educational Institution of Higher Professional Education «Ryazan State Medical University named after academician I.P. Pavlov» of the Ministry of Health of the Russian Federation, Ryazan, Russian Federation

Upper extremity arterial disorders are less common than lower extremity disorders. Occlusion and critical stenoses of the arteries lead to the development of ischemia, during which anatomical features of the upper limbs structure play an important role. A large number of anastomoses and a well developed collateral circulation often lead to compensation of blood circulation. During the conducting an open treatment the vascular surgeons meet a non-standard anatomy that presents technical obstacles to the performance. The current article reviews the anatomical variations in upper limbs and formed among them anastomoses which any surgeon may encounter. Having analysed the experiences of colleagues led to the conclusion that the non-classical origin and location of upper limb arteries are a frequent phenomenon that can significantly affect to the medical strategy and change the condition of ischemia of the upper extremities. These data must be taken into consideration in angiographic studies, selection of access during surgical interventions and medical manipulations. Therefore, it is important to conduct a careful examination of each patient to the surgical treatment in order to identify individual characteristics and avoid mistakes.

Keywords: Atherosclerosis, arteries of the upper limbs, variant anatomy, anastomoses, collateral circulation.

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Authors informations:

Kalinin Roman Evgenyevich, Doctor of Medical Sciences, Full Professor, Head at the Department of Cardiovascular Surgery, Vascular and Interventional Radiology, Operative Surgery and Topographic Anatomy at Ryazan State Medical University named after academician I.P. Pavlov

Suchkov Igor Aleksandrovich, Doctor of Medical Sciences, Associate Professor, Professor at the Department of Cardiovascular Surgery, Vascular and Interventional Radiology, Operative Surgery and Topographic Anatomy at Ryazan State Medical University named after academician I.P. Pavlov

Mjavanadze Nina Djansugovna, Candidate of Medical Sciences, Assistant in the Department of Cardiovascular Surgery, Vascular and Interventional Radiology, Operative Surgery and Topographic Anatomy at Ryazan State Medical University named after academician I.P. Pavlov

Mustafaeva Rugiya Mahir kizi, clinical resident doctor at the Department of Cardiovascular Surgery, Vascular and Interventional Radiology, Operative Surgery and Topographic Anatomy at Ryazan State Medical University named after academician I.P. Pavlov

Address for correspondence:

Suchkov Igor Aleksandrovich

Doctor of Medical Sciences, Associate Professor, Professor at the Department of Cardiovascular Surgery, Vascular and Interventional Radiology, Operative Surgery and Topographic Anatomy at Ryazan State Medical University named after academician I.P. Pavlov

390026, Russian Federation, Ryazan, Vysokovoltnaya Street, 9

Tel: (+7) 903 8362417

E-mail: suchkov_med@mail.ru