Anatomical MRI Study of Cutaneous Veins used for drawing Blood and Intravenous Injection in the Cubital Fossa

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  • Terajima Miho
    Ex. Health Innovation of Nursing, Faculty of Medicine, University of Tsukuba
  • Gomi Toshiaki
    Tokyo Ariake University of Medical and Health Science, Faculty of Nursing, Department of Nursing
  • Nishihara Ken
    Saitama Prefectural University, School of Health and Social Services, Department of Physical therapy
  • Kunisawa Naoko
    The Research Institute of Community and Health, Health Cooperative Saitama
  • Kanemura Naohiko
    Saitama Prefectural University, School of Health and Social Services, Department of Physical therapy
  • Hayashi Hiroyuki
    Saitama Prefectural University, School of Health and Social Services, Center for University-Wide Education
  • Naruse Hideo
    Tokyo Ariake University of Medical and Health Science, Faculty of Health Sciences, Department of Judo-seifuku therapy
  • Kimura Akihiko
    Tokyo Ariake University of Medical and Health Science, Faculty of Health Sciences, Department of Judo-seifuku therapy
  • Koyama Koji
    Tokyo Ariake University of Medical and Health Science, Faculty of Health Sciences, Department of Judo-seifuku therapy
  • Sasaki Seizo
    Clinic attached to the Oriental Medicine Research Institute Foundation
  • Ishikawa Youichi
    Department of Anatomy, School of Medicine, Toho University

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Other Title
  • MRIを用いた肘窩の採血・静脈注射部位における皮静脈の解剖学的研究

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Abstract

<p>  In this image-anatomical study we used magnetic resonance imaging to analyze the numbers and diameters of the basilic vein（BA）, median basilic vein（MBA）, median cubital vein（MC）, median cephalic vein（MCE）, and cephalic vein（CE）, which are utilized for drawing blood and intravenous injections in the cubital fossa. In addition, correlations between cutaneous vein diameters and participant characteristics were estimated.</p><p>  In an analysis of the number of cutaneous veins in 105 people（63 men and 42 women）, the BA was most frequent, and the MC was the least frequent. The mean diameter of the MBA, MC, and MCE was significantly larger than those of the BA and CE in men and women. The MC had the largest diameter in men and women. There was no significant difference in diameter when cutaneous veins were divided into two areas（BA, MBA）and（MCE, CE）. Because the median nerve and brachial artery and vein run deep in the ulnar area of the cubital fossa, venipuncture should first be administered in the MBA, MC, and MCE, because of their large diameters.</p><p>  The diameters of cutaneous veins were correlated with body weight. The correlation of body weight with cutaneous vein diameters likely explains the correlation between body mass index and vein diameters.</p>

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