Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
249 2 |
Ultima descărcare din IBN: 2023-06-24 13:40 |
Căutarea după subiecte similare conform CZU |
611.134 (5) |
Anatomie. Anatomie umană și comparată. (237) |
SM ISO690:2012 ZORINA, Zinovia, CATERENIUC, Ilia, BABUCI, Angela, BOTNARI, Tatiana, CERTAN, Galina, BOTNARU, Doina. Aplicative aspect of the axillary artery. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 28. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 611.134 | ||||||
Pag. 28-28 | ||||||
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Background. The axillary artery (AA) is frequently punctured when performing the coronarography. Its catheterization provides more safety access to the vascular system, because it is located in the proximity to the bulb of the aorta and it has a more reliable arterial pressure. Objective of the study. Studying the topographic aspect of the axillary artery and identification of a bony landmark necessary for the axillary artery approach. Material and Methods. It is a retrospective, descriptive study. AA was studied on 30 upper limbs collected from formalized adult cadavers and on 90 angiograms taken from the database of the Medical Center „Euromed Diagnostic” archive. By anatomical dissection the topography of the AA portions was studied, and the glenoid cavity as a bony landmark was analyzed on the angiograms. Results. It has been established that AA in the supra- and retropectoral portions is covered on all the sides by the fascicles of the brachial plexus, but in its infrapectoral portion, proximal to the origin of the subscapular artery, it is not crossed by any of them. In relation to the lower edge of the glenoid cavity (GC), the origin of the subscapular artery in 62.2% was determined 5.0 mm distally to the given landmark; in 24.4% it was by 6-10 mm, and in 13.4% – by 11.0-20.0 mm below the landmark. The distance from the most distal point on the lower edge of the GC and the lateral edge of the axillary artery had a mean value of 10 mm. Conclusion. (1) The most appropriate access point for AA puncture and its catheterization is the proximal extremity of its infrapectoral portion. (2) In order to determine the level of origin of the subscapular artery, the lower edge of the GC can be used as a bone landmark. |
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Cuvinte-cheie axillary artery, glenoid cavity, bone landmark, artera axilară, cavitatea glenoidală, reper osos |
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