AIMS Contrast-guided axillary vein puncture is commonly used for pacemaker or defibrillator lead implantation. Venous spasm during contrast-guided axillary vein puncture has been reported rarely. We investigated the incidence of venous spasm during contrast-guided axillary vein puncture and the impact of venous spasm on axillary vein puncture. METHODS AND RESULTS Seventy-four consecutive pati...

Objective. The use of the axillary artery as an access site has lost favor in percutaneous intervention due to the success of these procedures from a radial or brachial alternative. However, these distal access points are unable to safely accommodate anything larger than a 7-French sheath. To date no studies exist describing the size of the axillary artery in relation to the common femoral arte...

The aim of this study was to investigate the trends of axillary lymph node evaluation in ductal carcinoma in situ (DCIS) patients treated with breast-conserving therapy (BCT) and to identify the clinicopathological predictors of axillary evaluation. DCIS patients treated with BCT in 2006-2015 at our institute were retrospectively included in the analysis. Patients were categorized into three gr...

We read with great interest the report by Urbanski et al. [1] on their approach to mild hypothermic aortic arch surgery and the associated editorial [2]. We congratulate the authors for their impressive series, thoughtful approach and excellent results. We would like to discuss the previously published alternative strategies for mild and normothermic total arch replacement. They demonstrate tha...

intra-oral appliances such as transpalatal arch and nance appliance fail to resist against forces that tend to loosen the anchorage. the infirmity arises due to the long lever arm and the mesial force that is perpendicular to the long axis of the appliance. the butterfly arch is presented here as an intra-oral appliance that withstands the mesially directed forces with a mechanism that puts str...

Proximal humerus fractures are rarely associated with axillary artery injury. We present a case of a 59-year-old female who had fracture neck humerus along with absent pulsations in the left upper limb after blunt trauma. Computed tomographic angiogram revealed complete occlusion of the left axillary artery. Urgent surgical intervention was done in the form of fixation of fracture followed by e...

background: in an attempt to reduce the risk of developing lymphedema following breast cancer surgery, some researchers suggested that by identifying and preserving the lymphatic plexus which drains ipsilateral arm we can minimize the risk of lymphedema. the procedure is known as axillary reverse mapping (arm). in the current study, we investigated the oncological safety of this technique. meth...

background : seroma formation is a common problem following axillary dissection. it is probably caused by a local inflammatory response. local steroids may prevent this problem by inhibiting inflammatory response at the wound site. methods : this randomized prospective study was undertaken to evaluate the effect of local triamcinolone injection on seroma formation following axillary dissection....

Variations of the brachial plexus occurs in the formation of trunks, divisions, and cords; in the origin and/or combination of branches; and in the relationship to the axillary artery and scalene muscles, however the make up of the terminal branches (components of the nerves) is unchanged [1]. The three cords of brachial plexus enter the axilla and are arranged according to their names around t...

Objective: To provide information needed by patients with breast cancer (stages I and II) and their physicians when deciding whether axillary dissection should be carried out. Options: No axillary surgery; removal of all axillary lymph nodes; removal of level 1 and 2 nodes; axillary “sampling.” Outcomes: Accurate determination of stage of cancer, resulting in better-informed therapeutic decisio...