Document Detail

Left or right transaxillary approach in lower extremity arteriography for severe occlusive vascular disease. An anatomic study of a roentgenologic problem.
MedLine Citation:
PMID:  3127905     Owner:  NLM     Status:  MEDLINE    
In an anatomic study of 46 specimens, the angle of the brachiocephalic trunk and the left subclavian artery to the tangent of the aortic arch was measured in an effort to decide which route offers the quickest access to the descending aorta in lower extremity angiography for severe occlusive vascular diseases. The study shows that the average angles (77.1 +/- 16.0 degrees for the brachiocephalic trunk/77.7 +/- 16.3 degrees for the left subclavian artery) are not significantly different. Since the right axillary approach incurs other risks that could only be compensated by significantly quicker access, i.e. shorter maneuvering time in the aortic arch we conclude that in patients of all ages the left side should be the access route of choice.
J W Oestmann; B Wilken; F Gerhart; H Herrmann; H von Boehmer; A Majewski
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical and radiologic anatomy : SRA     Volume:  9     ISSN:  0930-1038     ISO Abbreviation:  Surg Radiol Anat     Publication Date:  1987  
Date Detail:
Created Date:  1988-04-22     Completed Date:  1988-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8608029     Medline TA:  Surg Radiol Anat     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  315-7     Citation Subset:  IM    
Department of Diagnostic Radiology II, Medizinische Hochschule Hannover/Krankenhaus Oststadt, West Germany.
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MeSH Terms
Angiography / methods*
Aorta, Thoracic / anatomy & histology
Arterial Occlusive Diseases / pathology,  radiography*
Brachiocephalic Trunk / anatomy & histology
Leg / blood supply*
Middle Aged
Subclavian Artery / anatomy & histology

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