Topographic anatomy of superficial veins and brachial arteries in cubital fossa for safe venous puncture site

DOI
  • Mikuni Yuko
    Department of Pathologic Analysis, Division of Medical Life Sciences, Hirosaki University Graduate School of Health Sciences
  • Ichinohe Tomoko
    Department of Health Promotion, Division of Health Sciences, Hirosaki University Graduate School of Health Sciences
  • Chiba Shoji
    Department of Pathologic Analysis, Division of Medical Life Sciences, Hirosaki University Graduate School of Health Sciences

Bibliographic Information

Other Title
  • 肘窩における静脈穿刺部位の皮静脈と動脈との局所解剖学

Search this article

Description

We investigated the correlations among superficial veins and brachial arteries in 132 cadaveric arms, as well as the courses of aberrant arteries to confirm safe venous puncture sites in the cubital fossa. The superficial brachial artery appeared in 27 cases (21%), which were classified into types III, V, VIII, and XVI based on the classification of Adachi (1928). The superficial antebrachial artery appeared in 2 cases (2%), an ulnar superficial antebrachial artery was in 1 (1%) and a median superficial antebrachial artery in the other (1%). The superficial brachial artery passed deeply under the unification part of the basilic and median cubital veins, and deeply along the ulnar side of the median cubital vein. The ulnar superficial antebrachial artery passed deeply along the ulnar side of the median cubital vein and deeply along the median antebrachial vein. The median superficial antebrachial artery passed deeply along the basilic vein of forearm and then deeply along the median antebrachial vein. The courses and frequency of appearance of the superficial brachial and superficial antebrachial arteries were mostly in agreement with previous reports. At the time of venous puncture, caution is needed regarding the courses of the brachial and superficial brachial arteries running deep along the ulnar side of the median cubital vein. In addition, it is important to be aware that the superficial antebrachial artery passes deeply along the ulnar side of the median cubital and median antebrachial veins. Safe venous puncture sites are considered to be between the middle of the median cubital vein and the separation part of the cephalic and median cubital veins. In the case of venous puncture, it is important to check the pulsation of an artery enough by examination and manipulation.

Journal

  • Structure and Function

    Structure and Function 10 (2), 86-93, 2012

    Co-medical Research Society of Structure and Function

Keywords

Details 詳細情報について

Report a problem

Back to top