Blood collection was achieved from the cephalic vein
, the saphenous vein, the anterior vena cava and the jugular vein.
C.V.: Cephalic vein
; Pect minor: Pectoralis minor muscle; Suprascapular V.: Suprascapular vein.
During routine gross anatomy dissection of the neck, we observed a rare case of variation of the termination of the cephalic vein
in both right and left upper limbs, of a male cadaver.
Subclavian vein puncture has faster learning curve, and the success rate is generally high.[sup] However, due to its anatomic characteristics, complications are relatively common, including pneumothorax, hemopneumothorax, inadvertent subclavian artery puncture, brachial nerve plexus injury, subclavian crush syndrome, and electrode lead fracture.[sup], The cephalic vein
was proposed to be an alternate access.
An 18gauge IV cannula was inserted into the cephalic vein
at the left wrist, and connected to a bag of Hartmann's solution.
The patency rate was highest in radiocephalic type of AVF because this anastomosis is done in the anatomical snuff box at the wrist of the hand, in which the radial artery and cephalic vein
are close by.
Subcutaneous fat and brachial fascia was incised along the same line and care was taken to protect the cephalic vein
. Brachial fascia were incised along the border of brachiocephalicus muscle and lateral head of triceps.
The device is inserted in a peripheral vein in the arm such as the cephalic vein
, basilic vein, or brachial vein.
This is an illustration of the limitations of current implantation techniques utilising anatomically or fluoroscopyguided subclavian puncture (when the cephalic vein
is unsuitable) without ultrasound guidance.
In the preoperative area, the design of the radial forearm free flap (RFFF) is completed taking into account the necessity for a tube-in-tube design, and the marking of the radial artery and cephalic vein
(see Figure 1A).
After two failed attempts during M.B.'s most recent admission, she had a 22-gauge IV catheter placed in a small branch of the median cephalic vein
located on her left forearm.
The vein comitante of the radial artery is not always of reliable size and it is important to plan the flap in order to include large subcutaneous veins or even cephalic vein
. This was the cause of failure in our case.
When the cephalic vein
was not accessible, the catheter was implanted in the subclavian vein by direct punction.
SWEETHEARTS: Stefan Moravcik (Slovakia), Raluca Sosdean (Romania), Ksenija Pesti (Estonia), Ufuk Eryilmaz (Turkey): "Cephalic vein
approach as an alternative technique for CRT device implantation."
Ultrasound of the left arm revealed an occlusive thrombus of the cephalic vein