While it may be a concern that endoluminal control will not allow rapid access to the heart for cardiopulmonary bypass, our planned strategy in this case would be veno-venous bypass from the femoral vein to the axillary vein
Complications after axillary dissection Minor complications Numbness in distribution of intercostobrachial nerve (70%) Seroma (30%) Reduction in ROM of shoulder (25%) Lymphoedema (depends on the number nodes removed: may be minor or major complication) Major complications (infrequent) Thrombosis axillary vein
Injury to motor nerve in axilla
Besides cephalic vein cut-down technique, extrathoracic axillary vein
puncture is currently suggested as an alternative technique for venous access to avoid crush injury.
Venous stenting is a common endovascular therapy performed by interventional radiologists for various venous territories including axillary vein
thrombosis (Paget-Schrotter syndrome), iliofemoral stenosis (May-Thumer syndrome), arteriovenous fistula anastomosis stenosis, and superior vena cava (SVC) syndrome.
The most medial structure in the neurovascular bundle is the axillary vein
formed by the confluence of the brachial veins.