Anatomical study about the variations in renal vasculature
Abstract
Background: Renal vascularization is classically described as a renal artery and vein. However, this vascular pattern presents numerous anatomical variations in terms of their number, origin and course due to ontogenetic alterations. The aim was to carry out a descriptive study of the renal vascular pattern observed during the dissection of cadavers intended for teaching purposes.
Materials and methods: A descriptive and observational study of renal vascular anatomy was carried out by dissecting 16 renal blocks from 8 cadavers donated to science and used for teaching at the Faculty of Medicine of the University of
Zaragoza.
Results: The prevalence of arterial variations was 75% (56.3% for polar renal arteries, 12.5% for pre-hilar branching and 6.25% for double communicating arterial arch) and venous was 62.5% (12.5% for polar renal veins, 25% for late venous confluence, 6.25% for triple renal vein and 18.75% for double circumaortic renal vein).
Conclusions: We conclude that the renal vascular anomalies occur with high frequency; for this reason, knowledge of these anomalies is extremely important for the correct planning of numerous medical-surgical activities.
Keywords: renal arteryrenal veinvascular variationanatomical variantspolar arterycircumaortic renal veinrenal vascular archrenal surgery
References
- Aristotle S, Felicia C. Anatomical study of variations in the blood supply of kidneys. J Clin Diagn Res. 2013; 7(8): 1555–1557.
- Beckmann CF, Abrams HL. Circumaortic venous ring: incidence and significance. AJR Am J Roentgenol. 1979; 132(4): 561–565.
- Budhiraja V, Rastoi R, et al. Anatomical variations of renal artery and its clinical correlations: a cadaveric study from central India. J Morphol Sci. 1979; 30: 228–233.
- Cho Y, Yoon SP. Bilateral inferior renal polar arteries with a high origin from the abdominal aorta. Folia Morphol. 2021; 80(1): 215–218.
- Çınar C, Türkvatan A. Prevalence of renal vascular variations: evaluation with MDCT angiography. Diagn Interv Imaging. 2016; 97(9): 891–897.
- Covanțev S, Mazuruc N, Belic O. Renal veins: developmental variations and clinical significance. Online J Health Allied Scs. 2017; 16(4): 12.
- Cruzat C, Olave E. Irrigación renal: multiplicidad de arterias. Int J Morphol. 2013; 31(3): 911–914.
- Dorland NW. Dorland’s Illustrated medical dictionary. 30th ed. Saunders, Philadelphia 2003.
- Arquez HF. Bilateral anatomical variations of renal and testicular vessels. CES Med. 2014; 28(2): 273–281.
- Gebremickael A, Afework M, Wondmagegn H, et al. Renal vascular variations among kidney donors presented at the national kidney transplantation center, Addis Ababa, Ethiopia. Transl Res Anat. 2021; 25: 100145.
- Gulas E, Wysiadecki G, Cecot T, et al. Accessory (multiple) renal arteries — differences in frequency according to population, visualizing techniques and stage of morphological development. Vascular. 2016; 24(5): 531–537.
- Gulas E, Wysiadecki G, Szymański J, et al. Morphological and clinical aspects of the occurrence of accessory (multiple) renal arteries. Arch Med Sci. 2018; 14(2): 442–453.
- Haładaj R, Polguj M, Wysiadecki G, et al. Circumaortic left renal vein (circumaortic renal collar) associated with the presence of vascular anomalies: a case series and review of literature. Folia Morphol. 2019; 78(2): 437–443.
- Holden A, Smith A, Dukes P, et al. Assessment of 100 live potential renal donors for laparoscopic nephrectomy with multi-detector row helical CT. Radiology. 2005; 237(3): 973–980.
- Hostiuc S, Rusu MC, Negoi I, et al. Anatomical variants of renal veins: a meta-analysis of prevalence. Sci Rep. 2019; 9(1): 10802.
- H OI, A MI, A GS. Vena renal izquierda recurrente retroaórtica: reporte de una rara variación. Int J Morphol. 2011; 29(2): 339–343.
- Khamanarong K, Prachaney P, Utraravichien A, et al. Anatomy of renal arterial supply. Clin Anat. 2004; 17(4): 334–336.
- Koc Z, Ulusan S, Oguzkurt L, et al. Venous variants and anomalies on routine abdominal multi-detector row CT. Eur J Radiol. 2007; 61(2): 267–278.
- Méndez López V, Casado Méndez PR, Labrada RL, et al. Anatomic variants of the polar arteries of the kidney. Rev Med Electron. 2014; 36(suppl. 1): 720–728.
- Méndez Lopez V, Casado P, Méndez H, et al. Anatomical variants of the renal veins. Rev Méd Electrón. 2016; 38(6): 817–825.
- Moore K, Dailey A, Agur A. Anatomía con orientación clínica. 5th ed. Wolters Kluwer, Barcelona 2015.
- Moore KL, Persaud TVN, Torchia MG. Embriología Clínica. 8th ed. Elsevier Sauders, Barcelona 2009.
- Nathan H. Observations on aberrant renal arteries curving around and compressing the renal vein. Circ J. 1958; 18(6): 1131–1134.
- Netter FH. Atlas de Anatomía Humana. 4th ed. Masson, Barcelona 2007.
- Ozkan U, Oğuzkurt L, Tercan F, et al. Renal artery origins and variations: angiographic evaluation of 855 consecutive patients. Diagn Interv Radiol. 2006; 12(4): 183–186.
- Raman SS, Pojchamarnwiputh S, Muangsomboon K, et al. Surgically relevant normal and variant renal parenchymal and vascular anatomy in preoperative 16-MDCT evaluation of potential laparoscopic renal donors. AJR Am J Roentgenol. 2007; 188(1): 105–114.
- Rao M, Bhat S, Venkataramana V, et al. Bilateral prehilar multiple branching of renal arteries: a case report and literature review. Kathmandu Univ Med J. 2006; 4(3): 345–348.
- Rodríguez-Blas AI, Díaz-García JD, Salinas-Ramos CR, et al. Vena renal izquierda retroaórtica. Rev Hosp Jua Mex. 2016; 83(3): 109–112.
- Saldarriaga B, Pinto S, Ballesteros L. Morphological expression of the renal artery: a direct anatomical study in a colombian half-caste population. Int J Morphol. 2008; 26(1): 31–38.
- Satyapal KS, Haffejee AA, Singh B, et al. Additional renal arteries: incidence and morphometry. Surg Radiol Anat. 2001; 23(1): 33–38.
- Schünke M, Schulte E, Voll M. Prometheus. Texto y Atlas de Anatomía. Editorial Médica Panamericana, Barcelona 2007.
- Rodrigues CFS, Alcântara FS, Rocha AC, et al. Persistencia del collar venoso renal. Int J Morphol. 2013; 31(2): 500–504.
- Sumalatha T, Pushpamala N. Accessory renal arteries: a cadaveric study. Indian J Anat. 2018; 7(5): 528–532.
- Talović E, Kulenović A, Voljevica A, et al. Review of the supernumerary renal arteries by dissection method. Acta Med Acad. 2007; 36(2): 59–69.
- Ugurel MS, Battal B, Bozlar U, et al. Anatomical variations of hepatic arterial system, coeliac trunk and renal arteries: an analysis with multidetector CT angiography. Br J Radiol. 2010; 83(992): 661–667.
- Urban BA, Ratner LE, Fishman EK. Three-dimensional volume-rendered CT angiography of the renal arteries and veins: normal anatomy, variants, and clinical applications. Radiographics. 2001; 21(2): 373–86; questionnaire 549.
- Young AH, Thompson P. Abnormalities of the renal arteries, with remarks on their development and morphology. J Anat Physiol. 1903; 38(Pt 1): 1–14.1.
![](https://journals.viamedica.pl/plugins/generic/popups/images/icons/close.png)