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The anatomical relationship between the axillary artery and vein investigated by radial coronary angiography

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dc.contributor.authorKEPEZ, ALPER
dc.contributor.authorsSert, Sena; Kepez, Alper; Atas, Halil; Mutlu, Bulent; Erdogan, Okan
dc.date.accessioned2022-03-12T22:24:24Z
dc.date.available2022-03-12T22:24:24Z
dc.date.issued2018
dc.description.abstractAimsTo 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. MethodsThe 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. ResultsThe 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 25kg/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. ConclusionOur 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.
dc.identifier.doi10.1111/pace.13398
dc.identifier.eissn1540-8159
dc.identifier.issn0147-8389
dc.identifier.pubmed29856073
dc.identifier.urihttps://hdl.handle.net/11424/234751
dc.identifier.wosWOS:000440414500010
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofPACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectaxillary artery and vein
dc.subjectbleeding
dc.subjectpacemaker
dc.subjectpuncture site
dc.subjectvein access
dc.subjectDEFIBRILLATOR LEADS IMPLANTATION
dc.subjectPACEMAKER IMPLANTATION
dc.subjectCONTRAST VENOGRAPHY
dc.subjectEARLY COMPLICATIONS
dc.subjectWARFARIN THERAPY
dc.subjectPUNCTURE
dc.subjectEXPERIENCE
dc.subjectCHAMBER
dc.subjectSAFE
dc.titleThe anatomical relationship between the axillary artery and vein investigated by radial coronary angiography
dc.typearticle
dspace.entity.typePublication
local.avesis.id0801e496-ed2f-4f8b-bf0c-7865096a4f98
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages5
local.journal.quartileQ4
oaire.citation.endPage947
oaire.citation.issue8
oaire.citation.startPage943
oaire.citation.titlePACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
oaire.citation.volume41
relation.isAuthorOfPublicationee337595-cb57-413d-96e4-6474f4632b7b
relation.isAuthorOfPublication.latestForDiscoveryee337595-cb57-413d-96e4-6474f4632b7b

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