BACKGROUND The aim of this explorative morphologic study was to determine the position and frequency of the valves in the axillary and subclavian veins. METHODS The position and frequency of the valves in the subclavian and axillary veins were studied macroscopically in 59 limbs from 30 cadavers. We measured in situ with a measuring tape, starting from the venous angle toward the initiation o...

BACKGROUND Ultrasound guidance for central and peripheral venous access has been proven to improve success rates and reduce complications of venous cannulation. Appropriately trained and experienced operators add significantly to diminished patient morbidity related to venous access procedures. We discuss a patient who required an arterial stent-graft to prevent arterial hemorrhage following in...

PURPOSE Although the usual site of nonthrombotic venous obstruction of the upper extremity is the subclavian vein, other sites may be the cause of such obstruction. This study describes the diagnosis and treatment of six patients with partial axillary vein obstruction by the pectoralis minor muscle, a condition that can mimic subclavian vein obstruction. METHODS A chart review of patients und...

T he subclavian approach to central venous cannulation provides rapid access for fluid and blood administration, hemodynamic monitoring, pacemaker insertion, and placement of catheters for parenteral nutrition. This approach is also useful when peripheral intravenous sites are not available due to extensive burns or trauma, or simply are not present because of obesity or vein depletion from pri...

Objective We assessed the clinical presentation, operative findings, and surgical treatment outcomes for axillary-subclavian vein (AxSCV) thrombosis due to venous thoracic outlet syndrome (VTOS).

Effort-induced axillary and/or subclavian vein thrombosis occurring in otherwise normal individuals is referred to as Paget-von Schroetter Syndrome (PVSS) or primary, effort-induced, upper extremity deep vein thrombosis (UEDVT). A 42-year old right-handed male presented with complaints of swelling over the left shoulder and arm and dull aching pain in the left arm for two days following regular...

conclusions the cannulation of the central vein in neonates and children in a skilled hand would be performed with great success rate and low complications. results there were 1340 newborn patients (first 28 days of life) in our study population. in these newborns, only 55 cannulations failed; one patient was complicated with pneumothorax; guide wires malfunctioned in 21 cases; and first- attem...

Isolated subclavian vein injuries are rarely seen without concomitant arterial injury, bone fracture, damage to brachial plexus, and thoracal traumas. Our case was brought to the emergency service 6 hours after he had been shot at the shoulder with a firearm. After detection of extravasation from the left axillary and subclavian vein on arteriographic and venographic examinations, he was operat...

Since January 1994, we have used percutaneous placement of both the subclavian and femoral cannulae to establish access for venovenous bypass during orthotopic liver transplantation. Percutaneous subclavian and femoral cannulae were used in 36 patients of which 5 had portal decompression by placement of a cannula in inferior mesenteric vein percutaneously through the abdominal wall. Intraoperat...

The overall incidence of all acute vascular trauma, including subclavian vessel injury, is approximately 5% [3, 4, 6, 7]. The majority of subclavian vessel injuries in the civilian population is the result of penetrating trauma. Subclavian artery injury in particular, accounts for 1-2% of all acute vascular injuries in major trauma centers [3, 4, 6, 7]. In this case report, we present a case of...