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The anatomical relationship between the axillary artery and vein investigated by radial coronary angiography
Author(s) -
Sert Sena,
Kepez Alper,
Atas Halil,
Mutlu Bulent,
Erdogan Okan
Publication year - 2018
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.13398
Subject(s) - medicine , axillary vein , axillary artery , vein , radial artery , artery , angiography , radiology , lower limbs venous ultrasonography , cephalic vein , surgery , thrombosis
Aims To reduce the risk of inadvertent arterial puncture and bleeding, we aimed to define a safe puncture site by demonstrating the relation of the axillary artery and vein. Methods The anatomical course and relation as well as crossover sites of the axillary artery and vein, the presence of small arterial bridges over the axillary vein, and validation of commonly preferred axillary venous puncture sites were determined by simultaneous ipsilateral venography in patients (n = 111; 80 men, age 60 ± 10 years) who underwent coronary angiography by radial artery access. Results The axillary vein was detected at the first costa‐clavicular intersection in 62% and at the second anterior and third posterior costal intersection in 60% of the patients. Small arterial bridges over the axillary vein were observed in 77% of the patients and more frequently in females and body mass index ≥25 kg/m 2 (P = 0.034 and P = 0.03, respectively). The axillary artery crossed the vein in 24% of the patients and almost always within the region close to the first costa‐clavicular intersection site. Conclusion Our study demonstrated a high crossover rate (24%) of axillary artery and vein and a high degree of variation in the course of axillary vein. Small arterial bridges over the axillary vein were observed in 77% of the patients.