Javier E. Anaya-Ayala, MD, Houssam K. Younes, MD, Christy L

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Presentation transcript:

Prevalence of variant brachial-basilic vein anatomy and implications for vascular access planning Javier E. Anaya-Ayala, MD, Houssam K. Younes, MD, Christy L. Kaiser, MD, Obaid Syed, BS, Nyla Ismail, PhD, Joseph J. Naoum, MD, Mark G. Davies, MD, PhD, MBA, Eric K. Peden, MD Journal of Vascular Surgery Volume 53, Issue 3, Pages 720-724 (March 2011) DOI: 10.1016/j.jvs.2010.09.072 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Schematic Illustrations of the anatomic classification and distribution of the different types found among the 426 duplex vein mapping: In Type 1 anatomy, the basilic vein joins with the brachial venous system to form the axillary vein (A). In Type 2 and 3 anatomies, the basilic vein joins with the brachial venous system in the middle or lower third of the upper arm. In Type 2, the brachial veins are still paired at the level of the brachial-basilic junction (B). In Type 3 anatomy, there is only a single unpaired brachial vein above the level of convergence with the basilic (C). Journal of Vascular Surgery 2011 53, 720-724DOI: (10.1016/j.jvs.2010.09.072) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Example of Type 3 variation. Right upper extremity venogram demonstrates a single unpaired brachial vein running the length of the arm; the basilic vein enters the brachial vein relatively distal to the usual location and closer to the antecubital fossa. (Kaiser CL, Anaya-Ayala JE, Ismail N, Davies MG, Peden EK. Eur J Vasc Endovasc Surg 2010;39:627-9. Permission to reproduce granted by Elsevier.) Journal of Vascular Surgery 2011 53, 720-724DOI: (10.1016/j.jvs.2010.09.072) Copyright © 2011 Society for Vascular Surgery Terms and Conditions