Brachiomedian artery (arteria brachiomediana) revisited: a comprehensive review

David Kachlik; Marek Konarik; Jitka Riedlova; Vaclav Baca

doi:10.17305/bjbms.2016.801

Authors

David Kachlik Department of Anatomy, Second Faculty of Medicine, Charles University in Prague
Marek Konarik Department of Anatomy, Second Faculty of Medicine, Charles University in Prague
Jitka Riedlova Department of Anatomy, Third Faculty of Medicine, Charles University in Prague
Vaclav Baca Department of Health Care Studies, College of Polytechnics Jihlava

DOI:

https://doi.org/10.17305/bjbms.2016.801

Keywords:

Arteria brachiomediana, arteria brachiomediana superficialis, arterial variation, brachiomedian artery, superficial brachiomedian artery

Abstract

This article reviews in detail the superficial brachiomedian artery (arteria brachiomediana superficialis), a very rare variant of the main arterial trunks of the upper limb. It branches either from the axillary artery or the brachial artery, descends superficially in the arm (similar to the course of the superficial brachial artery) and continues across the cubital fossa, runs superficially in the forearm, approaches the median nerve and enters the carpal canal to reach the hand. It usually terminates in the superficial palmar arch. The first drawing was published, in 1830, and the first description was published, in 1844. Altogether, to our knowledge, only 31 cases of a true, superficial brachiomedian artery have been reported (Some cases are incorrectly reported as superficial brachioradiomedian artery or superficial brachioulnomedian artery). Based on a meta-analysis of known, available studies, the incidence is 0.23% in Caucasians and 1.48% in Mongolians. Knowing whether or not this arterial variant is present is important in clinical medicine and relevant for: The catheterization via the radial or ulnar artery; harvesting the vascular pedicle for a forearm flap based on the radial, ulnar or superficial brachiomedian arteries; the possible collateral circulation in cases of the arterial closure; and the surgical management of carpal tunnel syndrome. Its presence can elevate the danger of an injury to the superficially located variant artery or of an accidental injection.

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