Comparing the Results of Dopplerography of the Arteries of the Upper Extremities in a Rare Variant of Vascular Development
https://doi.org/10.24884/1682-6655-2025-24-2-64-68
Abstract
Introduction. A significant number of publications devoted to anatomical variation of the main arteries of the shoulder use the results of pathoanatomical observations or retrospective analysis data. The description of rare variants of the development of the main arteries is an urgent task that allows to develop and improve surgical treatment methods taking into account the individual characteristics of patients. Aim. to provide a detailed description of the identified variant of the development of the arteries of the right upper limb. To compare the hemodynamic features with the patient’s second limb and the results obtained during the examination of the control group. Materials and methods. A clinical case of an unusual variant of the development of the arteries of the upper limb is described. The Dopplerography data were compared with the results of an examination of 50 relatively healthy patients of both sexes aged 32 to 85 years. Statistical analysis was performed using IBM SPSS Statistics 20. Results. A 46-year-old woman was diagnosed with a split of the axillary artery in the upper third of the shoulder into two arterial trunks. Their diameter was 2.3 mm, they passed through the medial intermuscular groove of the shoulder and then continued independently into the radial and ulnar arteries. When assessing the blood supply to the palmar arches, signs of arterial blood flow are determined. During the Allen test, the dominant role of the ulnar artery in the blood supply to the hand was noted. Discussion. The results obtained in the female patient with an unusual variant of the development of the arteries of the upper extremity suggest a tendency to increase the resistance indices and peak blood flow velocity in comparison with the data of the control group. In general, the study revealed no signs of significant hemodynamic changes. Conclusions. The results obtained suggest a tendency towards an increase in resistance indices and peak blood flow velocity. The presented case indicates that timely detection of hemodynamic disorders allows to actively use bypass surgery methods to restore or improve the developed changes in blood supply, and to choose the optimal level for reconstructive intervention.
About the Authors
A. S. Moshkin
Oryol State University named after I. S. Turgenev
Russian Federation
Russian Federation
Moshkin Andrey S. – Candidate (PhD) of Medical Sciences, Associate Professor of the Department of Anatomy, Operative Surgery and Disaster Medicine
95, Komsomolskaya str., Orel, 302026
L. N. Moshkina
Oryol State University named after I. S. Turgenev
Russian Federation
Russian Federation
Moshkina Lyubov V. – Assistant, Department of Anatomy, Operative Surgery and Disaster Medicine
95, Komsomolskaya str., Orel, 302026
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Review
For citations:
Moshkin A.S., Moshkina L.N. Comparing the Results of Dopplerography of the Arteries of the Upper Extremities in a Rare Variant of Vascular Development. Regional blood circulation and microcirculation. 2025;24(2):64-68. (In Russ.) https://doi.org/10.24884/1682-6655-2025-24-2-64-68
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