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At least 19 recordsLinked to original sources

Anatomical study of the accessory axillary vein.

The Accessory Axillary Vein (AAV) was studied in 60 axillae of adult cadavers after fixation in 10% formaldehyde solution. The AAV had an incidence of 56.7% originating in 55.9% from the lateral brachial vein, in 32.4% from the common brachial and in 11.8% from the deep brachial vein. After running upward laterally to the axillary artery and the brachial plexus it ended usually (79.4%) in the suprapectoral portion of the AV. The tributaries of the AAV are the circumflex humeral and muscular veins and rarely the thoraco-acromial and the cephalic veins. The AAV can replace the AV in cases of obliteration of the latter.

Axillary Vein

Percutaneous catheterisation of the axillary vein and proximal basilic vein.

Percutaneous catheterisation techniques for the axillary vein and proximal portion of the basilic vein based on venepuncture on a visible or palpable vein are described. Results are presented on 73 catheterisation attempts on axillary veins and 68 on proximal basilic veins, in which the failure rate was 4-9% and 6-9% respectively. The advantages of the techniques include simplicity and the absence of acute life-threatening complications. The incidence of phlebitis from indwelling catheters maintained for an average of 5 days (range 1-28 days) is less than 2%. Several aspects of the techniques including background anatomy and anticipated risks are discussed.

Adolescent

Axillary vein entrapment.

This paper describes a patient with right axillary vein obstruction resulting from compression of the vein due to anomalous muscle tissue extending from the latissimus dorsi muscle across the neurovascular bundle to the pectoralis major muscle. This 'axillopectoral muscle' causing entrapment of the axillary vein has been described in only a few cases. These previous reports are discussed, with special reference to the symptoms and phlebographic findings. The obstruction and the symptoms caused by it are intermittent; the phlebographic features are characteristic.

Adult

[Central venous catheterization via the axillary vein].

Central venous catheterization is a common procedure in the intensive care unit. The vessels usually selected for access include those of the arm and the external and internal jugular, subclavian and femoral veins. We find the axillary vein also suitable. It is a safe and reliable route with few complications, and is especially recommended in ventilated and/or tracheotomized patients. We describe our experience in 80 patients, with a success rate of 90% and very few complications.

Axillary Vein

The axillopectoral muscle (Langer's axillary arch): a cause of axillary vein obstruction.

The second patient recognized to have high grade intermittent obstruction of the axillary vein due to an anomalous axillopectoral muscle is reported. This relatively common anomalous muscle extends from the latissimus dorsi to the insertion of the pectoralis major and overlies the neurovascular bundle in the axilla. Preoperative recognition of this anomaly appears possible by phlebography, a history of intermittent axillary vein obstruction, loss of the normal axillary concavity, and a market disparity between obvious visual fullness in the axilla and the great difficulty encountered in palpating an axillary mass. Although a correct preoperative diagnosis of the presence of this anomaly has not been made yet, awareness of this entity is important because simple excision of this muscle is curative.

Adolescent

Axillary vein thrombosis during pregnancy: a case report.

A 32-year-old multiparous woman had progressive swelling of the right arm at 32 weeks' gestation, accompanied by cyanosis and a preserved radial pulse. Phlebography demonstrated a 5-cm thrombus in the axillary vein. No known etiologic factors were found. Intravenous heparin administration resulted in rapid resolution of the clinical findings. Subcutaneous heparin 10,000 U/day was administered for secondary prophylaxis until cesarean at 39 weeks, during which a full dose was administered without complications. Axillary vein thrombosis during pregnancy may be diagnosed by either phlebography or duplex scanning, and preferably should be treated by heparin. Thrombolytic therapy is justified mainly for life-threatening complications such as pulmonary embolism.

Adult

Cross-over bypass to axillary vein in haemodialysis patients.

Two patients are described in whom cross-over bypass to axillary vein was performed to salvage brachio-basilic grafts. Both patients had massively swollen arms because of subclavian vein thrombosis and functioning grafts. Their grafts were used for prolonged periods after the corrective operation.

Arteriovenous Shunt, Surgical

Benign obstruction of subclavian and axillary veins possibly due to filariasis.

This paper analyses the clinical features of 8 patients with post-thrombotic obstruction of the subclavian and axillary veins demonstrated by phlebography. The classic physical signs of swelling of the arm with dilated superficial collateral veins were seen. The causes of thrombotic obstruction are discussed and the precipitating cause in this study was possibly filariasis.

Adult

[Effort thrombosis of the subclavian-axillary vein: a report of 3 cases and the individualization of treatment].

The previous history, clinical evolution, diagnostic procedure and treatment in three cases of effort thrombosis of the subclavian-axillary vein are described. Only one patient presented on admittance signs compatible with thoracic outlet syndrome. We insist on the importance of individualizing treatment. A patient presented on admittance an advanced clinical picture and underwent anticoagulant treatment for six months, showing important clinical and phlebographic alterations during this time. The other two patients presented an acute picture of a few hours of evolution and initially underwent fibrinolytic treatment followed by anticoagulant treatment during three months. The clinical data as well as phlebography was normal in these patients six months after admission.

Adolescent