Subaortic left brachiocephalic vein and real-time ultrasound-guided puncture

We describe a subaortic left brachiocephalic vein, a congenital anomaly that can be suspected during the rapid central vein assessment before central venous catheterization. Since the vein descends vertically/obliquely rapidly from its origin, we suggest that the puncture should be made at a greater...

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Bibliographic Details
Published inThe journal of vascular access Vol. 24; no. 2; p. 318
Main Authors Montes-Tapia, Fernando, Arenas-Ruiz, José, Palma-Soto, Rosa, Garcia-Alcudia, Zelenia, Rodríguez-Garza, Claudia Yasbek, Martínez-Ponce de León, Ángel
Format Journal Article
LanguageEnglish
Published United States 01.03.2023
Subjects
Brachiocephalic Veins - diagnostic imaging
Brachiocephalic Veins - surgery
Catheterization, Central Venous - adverse effects
Humans
Punctures
Ultrasonography
Ultrasonography, Interventional
ultrasound-guided puncture
real-time ultrasound
central venous catheter
left brachiocephalic vein
Subaortic
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Summary:We describe a subaortic left brachiocephalic vein, a congenital anomaly that can be suspected during the rapid central vein assessment before central venous catheterization. Since the vein descends vertically/obliquely rapidly from its origin, we suggest that the puncture should be made at a greater angle (50°-60°) than what is usually used to puncture this vein (20°-30°). Failure to identify this anomaly may cause a failed puncture or complications from the puncture of adjacent blood vessels.
ISSN:1724-6032
DOI:10.1177/11297298211034606