PubMed · 12113531
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Nicoletta Centi, Giannantonio Pellicanò, Enzo Brizzi, Leonardo Capaccioli, Natale Villari. Brachial plexus imaging.. https://pubmed.ncbi.nlm.nih.gov/12113531/
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In order to evaluate the complications and risk factors associated with peripheral arterial catheters used for haemodynamic monitoring, we reviewed the literature published from 1978 to 2001. We closely examined the three most commonly used arterial cannulation sites. The reviewed papers included a total of 19,617 radial, 3899 femoral and 1989 axillary artery catheterizations. Factors that contribute to higher complication rates were investigated. Major complications occurred in fewer than 1% of the cases, and rates were similar for the radial, femoral and axillary arteries. We conclude that arterial cannulation is a safe procedure.
A case report of multiple variations involving the arteries of the upper limb in a single cadaver is presented. In addition to the proximal origin of the arteries unusual arterial patterns on both the right and left sides were present. On the right side, the subscapular artery gave rise to a large posterior circumflex humeral artery in addition to the thoracodorsal and circumflex scapular arteries. On the left side, the radial and ulnar arteries arose from the brachial artery at the level of arm, with their origins being opposite to the usual arrangement. There was an arciform anastomosis between the radial and ulnar arteries, with the radial recurrent artery arising from the concavity of the arch. The course of both the radial and ulnar arteries was normal at the wrist and hand, except for the absence of the first palmar metacarpal artery and an early bifurcation of the second palmar metacarpal artery. The French version of this article is available in the form of electronic supplementary material and can be obtained by using the Springer LINK server located at http://dx.doi.org/10.1007/s00276-002-0011.
Cerebral protection during hypothermic circulatory arrest was obtained by combining right carotid perfusion through the axillary artery with selective perfusion of the left common carotid artery in ten patients. We believe that the proposed technique offers several advantages. (1) The axillary artery is generally free from atherosclerosis. (2) It eliminates the risk of retrograde embolization. (3) It provides antegrade perfusion of the true lumen in aortic dissection. (4) Antegrade cerebral perfusion is never interrupted. (5) Bihemispheric perfusion is assured. (6) The risk of air embolysm during carotid cannulation is reduced.