AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentAnthropology, Education, Sociology and Social PhenomenaTechnology, Industry, AgricultureInformation ScienceHealth Care
Axillary ArteryCatheterization, PeripheralBaseballAxillaAxillary VeinSubclavian ArteryArteriesUlnar ArteryThoracic Outlet SyndromePolyethylene TerephthalatesBrachial PlexusAneurysmCardiopulmonary BypassAneurysm, FalseAortic AneurysmAneurysm, DissectingBlood Vessel Prosthesis ImplantationRadial ArteryBrachial ArteryCatheterizationPulmonary ArteryCirculatory Arrest, Deep Hypothermia InducedWounds, PenetratingArterial Occlusive DiseasesBlood Vessel ProsthesisTreatment OutcomeCarotid ArteriesFemoral ArteryArmLymphatic MetastasisCerebral ArteriesLymph Node ExcisionRenal ArteryVascular Surgical ProceduresUpper ExtremityMesenteric ArteriesSentinel Lymph Node BiopsyConstriction, PathologicBasilar ArteryAortic Aneurysm, ThoracicBreast NeoplasmsSaphenous VeinAortic DiseasesLymph NodesIliac ArteryVertebral ArteryCoronary Artery BypassStentsPectoralis MusclesEncyclopedias as TopicAnimal Identification SystemsTerminology as TopicSubclavian Steal SyndromeCoronary Vessels
Axillary Artery: The continuation of the subclavian artery; it distributes over the upper limb, axilla, chest and shoulder.Catheterization, Peripheral: Insertion of a catheter into a peripheral artery, vein, or airway for diagnostic or therapeutic purposes.Baseball: A competitive nine-member team sport including softball.Axilla: Area of the human body underneath the SHOULDER JOINT, also known as the armpit or underarm.Axillary Vein: The venous trunk of the upper limb; a continuation of the basilar and brachial veins running from the lower border of the teres major muscle to the outer border of the first rib where it becomes the subclavian vein.Subclavian Artery: Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.Arteries: The vessels carrying blood away from the heart.Ulnar Artery: The larger of the two terminal branches of the brachial artery, beginning about one centimeter distal to the bend of the elbow. Like the RADIAL ARTERY, its branches may be divided into three groups corresponding to their locations in the forearm, wrist, and hand.Thoracic Outlet Syndrome: A neurovascular syndrome associated with compression of the BRACHIAL PLEXUS; SUBCLAVIAN ARTERY; and SUBCLAVIAN VEIN at the superior thoracic outlet. This may result from a variety of anomalies such as a CERVICAL RIB, anomalous fascial bands, and abnormalities of the origin or insertion of the anterior or medial scalene muscles. Clinical features may include pain in the shoulder and neck region which radiates into the arm, PARESIS or PARALYSIS of brachial plexus innervated muscles, PARESTHESIA, loss of sensation, reduction of arterial pulses in the affected extremity, ISCHEMIA, and EDEMA. (Adams et al., Principles of Neurology, 6th ed, pp214-5).Polyethylene Terephthalates: Polyester polymers formed from terephthalic acid or its esters and ethylene glycol. They can be formed into tapes, films or pulled into fibers that are pressed into meshes or woven into fabrics.Brachial Plexus: The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.Aneurysm: Pathological outpouching or sac-like dilatation in the wall of any blood vessel (ARTERIES or VEINS) or the heart (HEART ANEURYSM). It indicates a thin and weakened area in the wall which may later rupture. Aneurysms are classified by location, etiology, or other characteristics.Cardiopulmonary Bypass: Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs.Aneurysm, False: Not an aneurysm but a well-defined collection of blood and CONNECTIVE TISSUE outside the wall of a blood vessel or the heart. It is the containment of a ruptured blood vessel or heart, such as sealing a rupture of the left ventricle. False aneurysm is formed by organized THROMBUS and HEMATOMA in surrounding tissue.Aortic Aneurysm: An abnormal balloon- or sac-like dilatation in the wall of AORTA.Aneurysm, Dissecting: Aneurysm caused by a tear in the TUNICA INTIMA of a blood vessel leading to interstitial HEMORRHAGE, and splitting (dissecting) of the vessel wall, often involving the AORTA. Dissection between the intima and media causes luminal occlusion. Dissection at the media, or between the media and the outer adventitia causes aneurismal dilation.Blood Vessel Prosthesis Implantation: Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.Radial Artery: The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.Brachial Artery: The continuation of the axillary artery; it branches into the radial and ulnar arteries.Catheterization: Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.Pulmonary Artery: The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.Circulatory Arrest, Deep Hypothermia Induced: A technique to arrest the flow of blood by lowering BODY TEMPERATURE to about 20 degrees Centigrade, usually achieved by infusing chilled perfusate. The technique provides a bloodless surgical field for complex surgeries.Wounds, Penetrating: Wounds caused by objects penetrating the skin.Arterial Occlusive Diseases: Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.Blood Vessel Prosthesis: Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Carotid Arteries: Either of the two principal arteries on both sides of the neck that supply blood to the head and neck; each divides into two branches, the internal carotid artery and the external carotid artery.Femoral Artery: The main artery of the thigh, a continuation of the external iliac artery.Arm: The superior part of the upper extremity between the SHOULDER and the ELBOW.Lymphatic Metastasis: Transfer of a neoplasm from its primary site to lymph nodes or to distant parts of the body by way of the lymphatic system.Cerebral Arteries: The arterial blood vessels supplying the CEREBRUM.Lymph Node Excision: Surgical excision of one or more lymph nodes. Its most common use is in cancer surgery. (From Dorland, 28th ed, p966)Renal Artery: A branch of the abdominal aorta which supplies the kidneys, adrenal glands and ureters.Vascular Surgical Procedures: Operative procedures for the treatment of vascular disorders.Upper Extremity: The region of the upper limb in animals, extending from the deltoid region to the HAND, and including the ARM; AXILLA; and SHOULDER.Mesenteric Arteries: Arteries which arise from the abdominal aorta and distribute to most of the intestines.Sentinel Lymph Node Biopsy: A diagnostic procedure used to determine whether LYMPHATIC METASTASIS has occurred. The sentinel lymph node is the first lymph node to receive drainage from a neoplasm.Constriction, Pathologic: The condition of an anatomical structure's being constricted beyond normal dimensions.Basilar Artery: The artery formed by the union of the right and left vertebral arteries; it runs from the lower to the upper border of the pons, where it bifurcates into the two posterior cerebral arteries.Aortic Aneurysm, Thoracic: An abnormal balloon- or sac-like dilatation in the wall of the THORACIC AORTA. This proximal descending portion of aorta gives rise to the visceral and the parietal branches above the aortic hiatus at the diaphragm.Breast Neoplasms: Tumors or cancer of the human BREAST.Saphenous Vein: The vein which drains the foot and leg.Aortic Diseases: Pathological processes involving any part of the AORTA.Lymph Nodes: They are oval or bean shaped bodies (1 - 30 mm in diameter) located along the lymphatic system.Iliac Artery: Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.Vertebral Artery: The first branch of the SUBCLAVIAN ARTERY with distribution to muscles of the NECK; VERTEBRAE; SPINAL CORD; CEREBELLUM; and interior of the CEREBRUM.Coronary Artery Bypass: Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.Stents: Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.Pectoralis Muscles: The pectoralis major and pectoralis minor muscles that make up the upper and fore part of the chest in front of the AXILLA.Encyclopedias as Topic: Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)Animal Identification Systems: Procedures for recognizing individual animals and certain identifiable characteristics pertaining to them; includes computerized methods, ear tags, etc.Terminology as Topic: The terms, expressions, designations, or symbols used in a particular science, discipline, or specialized subject area.Subclavian Steal Syndrome: A clinically significant reduction in blood supply to the BRAIN STEM and CEREBELLUM (i.e., VERTEBROBASILAR INSUFFICIENCY) resulting from reversal of blood flow through the VERTEBRAL ARTERY from occlusion or stenosis of the proximal subclavian or brachiocephalic artery. Common symptoms include VERTIGO; SYNCOPE; and INTERMITTENT CLAUDICATION of the involved upper extremity. Subclavian steal may also occur in asymptomatic individuals. (From J Cardiovasc Surg 1994;35(1):11-4; Acta Neurol Scand 1994;90(3):174-8)Coronary Vessels: The veins and arteries of the HEART.

Disease pattern in cranial and large-vessel giant cell arteritis. (1/157)

OBJECTIVE: To identify variables that distinguish large-vessel giant cell arteritis (GCA) with subclavian/axillary/brachial artery involvement from cranial GCA. METHODS: Seventy-four case patients with subclavian/axillary GCA diagnosed by angiography and 74 control patients with temporal artery biopsy-proven GCA without large vessel involvement matched for the date of first diagnosis were identified. Pertinent initial symptoms, time delay until diagnosis, and clinical symptoms, as well as clinical and laboratory findings at the time of diagnosis, were recorded by retrospective chart review. Expression of cytokine messenger RNA in temporal artery tissue from patients with large-vessel and cranial GCA was determined by semiquantitative polymerase chain reaction analysis. Distribution of disease-associated HLA-DRB1 alleles in patients with aortic arch syndrome and cranial GCA was assessed. RESULTS: The clinical presentation distinguished patients with large-vessel GCA from those with classic cranial GCA. Upper extremity vascular insufficiency dominated the clinical presentation of patients with large-vessel GCA, whereas symptoms related to impaired cranial blood flow were infrequent. Temporal artery biopsy findings were negative in 42% of patients with large-vessel GCA. Polymyalgia rheumatica occurred with similar frequency in both patient groups. Large-vessel GCA was associated with higher concentrations of interleukin-2 gene transcripts in arterial tissue and overrepresentation of the HLA-DRB1*0404 allele, indicating differences in pathogenetic mechanisms. CONCLUSION: GCA is not a single entity but includes several variants of disease. Large-vessel GCA produces a distinct spectrum of clinical manifestations and often occurs without involvement of the cranial arteries. Large-vessel GCA requires a different approach to the diagnosis and probably also to treatment.  (+info)

Improved results with conventional management of infrarenal aortic infection. (2/157)

PURPOSE: Interest in alternative methods, such as autogenous vein grafts and aortic allografts, for the management of infrarenal aortic infection (IRAI) has been stimulated by the historically disappointing results with conventional surgical management. Recently, there have been dramatic improvements in the results of axillofemoral bypass grafting (AXFB) followed by excision of the IRAI that have gone relatively unrecognized. The purpose of this report is the presentation of modern-day results in the treatment of IRAI with conventional surgical methods. METHODS: From January 1, 1983, through June 30, 1998, patients with IRAI underwent treatment with AXFB and complete excision of the IRAI. The patients were followed for survival, limb salvage, and AXFB graft patency. The results were tabulated with life-table methods. RESULTS: During the 15-year study period, 60 patients (51 men, nine women; mean age, 68 years) underwent treatment for IRAI (50 graft infections, including 16 graft-enteric fistulae, and 10 primary aortic infections). The mean follow-up period was 41 months. The perioperative mortality rate was 13% (12% for graft infection, and 20% for primary infection). The overall 2-year and 5-year survival rates were 67% and 47%, respectively. The limb salvage rates at 2 and 5 years were 93% and 82%, respectively. The 5-year primary AXFB graft patency rate was 73%. CONCLUSION: These results show an improvement with the conventional management of IRAI equal or superior to those results reported with alternative methods, including femoral vein grafts or aortic allografts. These results should be regarded as the modern standard with which alternative therapies can be compared.  (+info)

Unilateral antegrade cerebral perfusion through the right axillary artery provides uniform flow distribution to both hemispheres of the brain: A magnetic resonance and histopathological study in pigs. (3/157)

BACKGROUND: Bilateral antegrade cerebral perfusion (ACP) has decreased in popularity over the past decade because of its complexity and the risk of cerebral embolism. We used magnetic resonance (MR) perfusion imaging to assess flow distribution in both hemispheres of the brain during unilateral ACP through the right carotid artery via a cannula placed in the right axillary artery in conjunction with hypothermic circulatory arrest. METHODS AND RESULTS: Twelve pigs were randomly exposed to 120 minutes of either bilateral ACP through both carotid arteries (n=6) or unilateral ACP through the right axillary artery (n=6) at pressures of 60 to 65 mm Hg at 15 degrees C, followed by 60 minutes of cardiopulmonary bypass at 37 degrees C. MR perfusion images were acquired every 30 minutes before, during, and after ACP. The brain was perfusion fixed for histopathology. During initial normothermic cardiopulmonary bypass, MR perfusion imaging showed a uniform distribution of flow in the brain. In both the bilateral and unilateral ACP groups, the same pattern was maintained, with an increase in regional cerebral blood volume during ACP and reperfusion. The changes in regional cerebral blood volume and mean transit time were similar in both hemispheres during and after unilateral ACP. No difference was observed between the 2 groups. Histopathology showed normal morphology in all regions of the brain in both groups. CONCLUSIONS: Both bilateral ACP and unilateral ACP provide uniform blood distribution to both hemispheres of the brain and preserve normal morphology of the neurons after prolonged hypothermic circulatory arrest.  (+info)

Comparative evaluation of externally supported Dacron and polytetrafluoroethylene prosthetic bypasses for femorofemoral and axillofemoral arterial reconstructions. Veterans Affairs Cooperative Study #141. (4/157)

PURPOSE: Currently, the choice of a vascular prosthesis for an extra-anatomic arterial bypass graft is left to the surgeon's preference because well-designed comparative evaluations have not been performed. The Department of Veterans Affairs Cooperative Study 141 was organized to identify whether there is improved patency with different prosthetic grafts for patients with femorofemoral or axillofemoral bypass grafts. METHODS: Between June 1983 and June 1988, patients at 20 Veterans Affairs Medical Centers who had aortoiliac occlusive disease but were not considered suitable candidates for aortic bypass surgery were randomized to receive either an externally supported polytetrafluoroethylene or Dacron bypass graft for an extra anatomic bypass. Doppler-derived ankle brachial indices (ABIs) were determined before the operation and serially after the operation. Patients were seen in follow-up every 3 months for the first year and every 6 months thereafter. All patients were instructed to take 650 mg of aspirin each day for the duration of the study. A bypass graft was considered to be patent if the Doppler-derived postoperative ABI remained significantly improved (0.15 units above the preoperative value), and additional clinical information (such as subsequent ABIs, angiograms, or operations) did not contradict these observations. RESULTS: Three hundred forty patients with femorofemoral bypass grafts and 79 patients with axillofemoral or axillofemorofemoral bypass grafts were randomized. The indication for the bypass operation was limb salvage in 72% of the patients. The assisted primary patency rate for a Dacron bypass grafting was 79% at 1 year, 63% at 3 years, and 50% at 5 years; for polytetrafluoroethylene bypass grafting, the patency was 77% at 1 year, 62% at 3 years, and 47% at 5 years. CONCLUSION: The overall results of this prospective randomized study suggest that the current choices of prosthetic bypass grafting have similar long-term patency in patients who undergo femorofemoral or axillofemoral vascular reconstruction.  (+info)

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease. (5/157)

PURPOSE: Revascularization of the internal or external carotid arteries is occasionally indicated for symptomatic atherosclerotic common carotid artery occlusion or long-segment high-grade stenosis beginning at its origin. I report the outcome of axillary artery-based bypass grafts to the distal common, internal, or external carotid arteries. METHODS: Between 1981 and 1997, 29 axillary-to-carotid bypass grafting procedures were performed on 28 patients, 15 men and 13 women, with a mean age of 68 years. Indications were transient ischemia in nine patients, amaurosis fugax in four patients, completed stroke in six patients, and nonlateralizing global ischemia in nine patients. Twenty-three common carotid arteries were totally occluded, and six had long-segment stenosis of 90% or greater beginning at the origin. Saphenous vein grafts were used in 25 procedures, and synthetic grafts were used in four. Grafts were placed to 13 internal, eight distal common, and eight external carotid arteries. RESULTS: There were no perioperative deaths; one stroke occurred (3.4%). No lymphatic or peripheral nerve complications occurred. In a 1- to 11-year follow-up period (mean, 4.5 years), there were no graft occlusions, one restenosis of 50% or greater, and two restenoses of 70% or greater. The 1-year stenosis-free rate for 50% or greater stenosis was 93%, and the 5- and 10-year rates were 87%. No late ipsilateral strokes occurred. The 5- and 10-year survival rates were 64% and 28%, respectively. Coronary artery disease was the major cause of late mortality. CONCLUSION: Axillary-to-carotid bypass grafting for severe symptomatic common carotid occlusive disease is safe, well tolerated, durable, and effective in stroke prevention. There is a high late mortality rate because of coronary artery disease in patients with severe proximal common carotid occlusive disease.  (+info)

The long-term outcome after axillo-axillary bypass grafting for proximal subclavian artery disease. (6/157)

OBJECTIVES: to investigate the outcome of patients undergoing axillo-axillary bypass grafting for symptomatic subclavian artery stenoses or occlusions. DESIGN: retrospective case-note review and prospective review of patients available for follow-up. PATIENTS AND METHODS: sixteen patients had axillo-axillary grafts in a 17-year period. Ten patients were available for review and assessed clinically, by measurement of arm blood pressures, and by duplex scanning of their grafts. RESULTS: one patient died and three grafts occluded within 30 days of operation. Nine out of 10 grafts scanned were patent, with three further grafts clinically patent at death. Overall secondary patency was 75% at a combined median follow-up of 56 months (range 12-204 months). Recurrent symptoms occurred in two patients, one with an occluded graft and one with a patent graft. CONCLUSION: axillo-axillary bypass grafts give good long-term symptom-free results.  (+info)

Atypical aortic coarctation with resistant hypertension treated with axilloiliac artery bypass. (7/157)

A 68-year-old woman was found to have atypical coarctation of the aorta, accompanied by systolic hypertension of the upper extremities despite administration of five types of antihypertensive drugs. Since the systolic hypertension was resistant to the conventional antihypertensive therapy, axilloiliac artery bypass grafting with a subcutaneous tunnel was performed to alleviate the pressure gradient. Systolic blood pressure was successfully reduced and hypertension was controlled after surgery.  (+info)

Endovascular treatment of penetrating thoracic outlet arterial injuries. (8/157)

OBJECTIVES: to establish the feasibility of stent-graft treatment of penetrating thoracic outlet arterial injuries. DESIGN: prospective study. MATERIALS AND METHODS: forty-one patients with penetrating injuries to the carotid, subclavian and proximal axillary arteries admitted between August 1998 and May 1999 were studied. Patients requiring urgent surgical exploration for active bleeding (n=26) were excluded. Remaining patients underwent arteriography to assess suitability for stent-graft placement. After successful stent-graft treatment clinical and sonographic follow-up were done at 1 month and thereafter 3-monthly. RESULTS: of the 15 patients considered, 10 patients qualified for stent-graft treatment (seven male, three female, mean age 27 years). The vessels involved were subclavian artery (seven), carotid artery (two) and axillary artery (one). Seven had arteriovenous fistulae and three, pseudoaneurysms. Stent-graft treatment was successful in all 10 patients with no procedure-related complications. On mean follow-up of 7 months no complications were encountered. CONCLUSION: endovascular treatment shows promise as a treatment modality for thoracic outlet arterial injuries. Long-term follow-up is required for comparison to the results of standard surgical repair.  (+info)

A Successful Case of Axillo-Axillary Bypass Grafting with Mild Hypothermia for High-Risk Subclavian Steal SyndromeA Successful Case of Axillo-Axillary Bypass Grafting with Mild Hypothermia for High-Risk Subclavian Steal Syndrome
A 67-year-old man, who had suffered from right cerebral infarction that resulted in left hemiparesis, underwent right superficial temporal artery-middle cerebral artery anastomosis in 1991. From March 2000, dizziness occurred during use of his right hand. His arteriogram revealed late filling of the occluded right subclavian artery by reversed flow from the right vertebral artery and 50% stenosis of the left internal carotid artery. We performed subcutaneous axillo-axillary bypass grafting with mild hypothermia on June 1st, 2000. An 8mm ePTFE tube with a ring was anastomosed to both axillary arteries in end-to-side fashion with continuous sutures. Thereafter, symptoms disappeared. One month after the procedure, his arteriogram showed that the bypass filled the right vertebral artery in an antegrade fashion as well as the right axillary artery. Axillo-axillary bypass grafting with mild hypothermia seemed to be safe and effective for high-risk subclavian steal syndrome ...
Axillary artery - WikipediaAxillary artery - Wikipedia
In human anatomy, the axillary artery is a large blood vessel that conveys oxygenated blood to the lateral aspect of the thorax, the axilla (armpit) and the upper limb. Its origin is at the lateral margin of the first rib, before which it is called the subclavian artery. After passing the lower margin of teres major it becomes the brachial artery. The axillary artery is often referred to as having three parts, with these divisions based on its location relative to the Pectoralis minor muscle, which is superficial to the artery. First part - the part of the artery medial to the pectoralis minor Second part - the part of the artery posterior to the pectoralis minor Third part - the part of the artery lateral to the pectoralis minor. The axillary artery is accompanied by the axillary vein, which lies medial to the artery, along its length. In the axilla, the axillary artery is surrounded by the brachial plexus. The second part of the axillary artery is the reference for the locational descriptions ...
Bilateral axillary artery cannulation for severely calcified aorta and branches: a case report | Journal of Cardiothoracic...Bilateral axillary artery cannulation for severely calcified aorta and branches: a case report | Journal of Cardiothoracic...
Aortic valve surgery in patients with severely calcified aortas is technically challenging. Additionally, the choice of arterial cannulation site and whether to perform an aortic clamp to prevent neurological complications are poorly defined. We describe a patient with a severely calcified aorta and stenosis of its side branches. He successfully underwent aortic valve replacement with bilateral axillary artery cannulation and short-term moderate hypothermic circulatory arrest for cross-clamping of a severely calcified aorta to prevent neurological complications. Bilateral axillary artery cannulation and short-term moderate hypothermic circulatory arrest for cross-clamping of the porcelain aorta is a suitable option to prevent neurological complications in patients with a severely calcified aorta and stenosis of its side branches who need aortic valve replacement.
Chronic brachial plexopathy and axillary artery occlusion post shoulder trauma | Image | Radiopaedia.orgChronic brachial plexopathy and axillary artery occlusion post shoulder trauma | Image | Radiopaedia.org
Details of the image Chronic brachial plexopathy and axillary artery occlusion post shoulder trauma Modality: CT (bone window)
Patent Stent in Left Axillary Artery - Vascular Case Studies - CTisus CT ScanningPatent Stent in Left Axillary Artery - Vascular Case Studies - CTisus CT Scanning
Teaching Files with CT Medical Imaging and case studies on Anatomical Regions including Adrenal, Colon, Cardiac, Stomach, Pediatric, Spleen, Vascular, Kidney, Small Bowel, Liver, Chest | CTisus
Patent Stent in Left Axillary Artery - Vascular Case Studies - CTisus CT ScanningPatent Stent in Left Axillary Artery - Vascular Case Studies - CTisus CT Scanning
Teaching Files with CT Medical Imaging and case studies on Anatomical Regions including Adrenal, Colon, Cardiac, Stomach, Pediatric, Spleen, Vascular, Kidney, Small Bowel, Liver, Chest | CTisus
Axillary Artery - Anatomy, Branches and Mnemonics | KenhubAxillary Artery - Anatomy, Branches and Mnemonics | Kenhub
In this article you will find the anatomy, branches and mnemonics related to the axillary artery. Learn all about this blood vessel now at Kenhub!
Axillofemoral bypass | Radiology Case | Radiopaedia.orgAxillofemoral bypass | Radiology Case | Radiopaedia.org
Axillofemoral bypass is a surgical method used in patients with symptomatic aortoiliac occlusive disease. It is most frequently performed when endovascular options are not suitable.
Left Ventricle Apical Conduit to Bilateral Subclavian Artery in a Patient With Porcelain Aorta and Aortic Stenosis | CirculationLeft Ventricle Apical Conduit to Bilateral Subclavian Artery in a Patient With Porcelain Aorta and Aortic Stenosis | Circulation
Severe atherosclerosis or calcification of the ascending aorta is associated with increased morbidity and mortality rates in patients who underwent cardiac operations. Several techniques had been used to avoid the manipulation of the ascending aorta during cardiac surgery. We reported our extra-anatomic approach in a patient with coronary artery disease and severe aortic stenosis with porcelain aorta.. A 76-year-old man with chronic obstructive pulmonary disease, aortic stenosis, and coronary artery disease was scheduled to have cardiac surgery. After a standard median sternotomy, we found that the ascending aorta was severely calcified. The surgical strategy was changed to the construction of the composite conduit from the left ventricle (LV) apex to bilateral subclavian artery and coronary artery bypass grafting with saphenous vein.. The right axillary artery and right atrium were cannulated to set up the cardiopulmonary bypass. A composite graft with a 21-mm bioprosthetic valve (Hancock II, ...
Effect of Short-term Regression of Atherosclerosis on Reactivity of Carotid and Retinal Arteries | StrokeEffect of Short-term Regression of Atherosclerosis on Reactivity of Carotid and Retinal Arteries | Stroke
Animals were sedated with ketamine hydrochloride (10 mg/kg IM initially and supplemental doses as needed) and anesthetized with pentobarbital (20 mg/kg IV). Studies were performed under sterile conditions in an animal catheterization laboratory. A polyethylene catheter with multiple side holes and a 60° directional Doppler ultrasound transducer was inserted via an arteriotomy into the right axillary artery. The catheter was passed retrogradely under fluoroscopic visualization to the origin of the right subclavian artery, ie, to the bifurcation of the right brachiocephalic artery into the right common carotid and subclavian arteries. Mean and phasic arterial pressure and Doppler frequency were recorded continuously. Cineangiograms of the right internal carotid artery were obtained in a projection that was 45° to the anteroposterior plane. Power injections of nonionic contrast (iohexol, Sanofi-Winthrop Pharmaceuticals) were made at a rate of 15 mL/s through the catheter in the brachiocephalic ...
Swelling in right axillary, itchy body rash, intermittent sharp pains in throat, neck and dry cough. Suggestions ? - Doctors...Swelling in right axillary, itchy body rash, intermittent sharp pains in throat, neck and dry cough. Suggestions ? - Doctor's...
Question - Swelling in right axillary, itchy body rash, intermittent sharp pains in throat, neck and dry cough. Suggestions ?. Ask a Doctor about diagnosis, treatment and medication for Rash, Ask an ENT Specialist
Left Axillary Mass - Breast Conditions QuestionLeft Axillary Mass - Breast Conditions Question
So, I know have had a left mass found in my axilla. It is five finger breadths from the nipple in the 1 oclock position. This is a picture of my mammo.
axillary artery, axillary arteries- WordWeb dictionary definitionaxillary artery, axillary arteries- WordWeb dictionary definition
The part of the main artery of the arm that lies in the armpit and is continuous with the subclavian artery above and the brachial artery below ...
Kid Facts - Fun daily facts for kids: Axillary arteryKid Facts - Fun daily facts for kids: Axillary artery
We know that the subclavian artery brings oxygenated blood from the heart toward the arm, and splits into some other arteries like the vertebral artery, internal thoracic artery and the dorsal scapular artery ...
ICD-10 Diagnosis Code S45.009D Unsp injury of axillary artery, unsp side, subs encntrICD-10 Diagnosis Code S45.009D Unsp injury of axillary artery, unsp side, subs encntr
Diagnosis Code S45.009D information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
ICD-10 Diagnosis Code S45.019A Laceration of axillary artery, unspecified side, init encntrICD-10 Diagnosis Code S45.019A Laceration of axillary artery, unspecified side, init encntr
Diagnosis Code S45.019A information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
Internet Scientific PublicationsInternet Scientific Publications
A 52 years old rural housewife presented with progressively increasing, painless lump in right breast of 3 months duration. She was also complaining of low grade fever. There was no history of any nipple discharge. On examination, she had a non tender, firm, ill-defined lump in central compartment of right breast just above the nipple. There was no evidence of fixity to overlying skin or underlying structures. Nipple and areola of right breast were healthy and opposite breast was normal. There were 3-4 right axillary lymph nodes about 1.5cm in diameter each, nontender and matted together. Chest examination was normal. Laboratory investigations were not suggestive of any systemic illness. Hb - 10.4g/dl, TLC - 5200/cmm, DLC - P62L38, Blood urea - 26mg/dl, Serum creatinine - 0.4mg/dl, Serum bilirubin - 0.5mg/dl. Skiagram chest was normal. There was 10mm induration in Montoux test. Fine Needle Aspiration Cytology (FNAC) of right axillary lymph nodes was inconclusive and was suggestive of chronic non ...
a failure of natural selection: March 2011a failure of natural selection: March 2011
Now for the news you all have been waiting for - test results! From the initial biopsy, I already knew that the tumor was positive for estrogen and progesterone receptors. This is good in that the tumor likes hormones, so denying it hormones is akin to starving it. Then came all the imaging, which determined the cancer to be an in situ ductal carcinoma with left axillary lymph node involvement. After the surgery, which provided a much better look at the stupid thing, the initial report found cancer cells in only one lymph node out of the twenty-two removed. Thats the best possible result when they know at least one lymph node has been affected. Now, heres where it gets interesting ...
Arteries of the Body</span>...Arteries of the Body</span>...
The brachial artery lies superficial at the level of the elbow joint, medial to the tendon of biceps, partly covered by the bicipital aponeurosis. To facilitate palpation, ask the subject to fully extend the elbow, to allow compression of the artery against the lower end of the humerus. It is at this site that the pulse is usually auscultated when measuring the blood pressure (figure 73a). You can also palpate the brachial artery against the midshaft of the humerus (figure 73b), in the groove between brachialis and biceps muscles. The axillary artery is palpated against the head of the humerus, by deep lateral palpation in the depths of the axilla (figure 73c). Palpate the subclavian artery by compression against the first rib. This is in the posterior triangle of the neck just behind the middle of the clavicle (figure 74). ...
cut injurycut injury
These new protective garments have been manufactured by one of Italys leading uniform manufacturers and without question will help save lives in the future.. "Dealing with potentially hostile and intoxicated members of the public is not always easy, and we must do everything to improve their personal safety and reduce the risk of workplace violence related injuries and even death", says Robert Kaiser, CEO of PPSS Group, the firm behind Cut-Tex® PRO.. According to Robert Kaiser, the risk of being cut or slashed is real, and the potential consequences can be severe.. "We strongly believe that uniforms, tactical apparel or other work wear should offer appropriate levels of protection for the Radial Artery, Brachial Artery, Carotid Artery, Axillary Artery and the Femoral Artery.". "The cutting of any of these key arteries can lead to rapid blood loss and subsequent death within a very few minutes or seconds, in extreme cases.". Cut-Tex® PRO cut resistant fabric is offering ISO 13997:1999 blade ...
cut resistant fabriccut resistant fabric
These new protective garments have been manufactured by one of Italys leading uniform manufacturers and without question will help save lives in the future.. "Dealing with potentially hostile and intoxicated members of the public is not always easy, and we must do everything to improve their personal safety and reduce the risk of workplace violence related injuries and even death", says Robert Kaiser, CEO of PPSS Group, the firm behind Cut-Tex® PRO.. According to Robert Kaiser, the risk of being cut or slashed is real, and the potential consequences can be severe.. "We strongly believe that uniforms, tactical apparel or other work wear should offer appropriate levels of protection for the Radial Artery, Brachial Artery, Carotid Artery, Axillary Artery and the Femoral Artery.". "The cutting of any of these key arteries can lead to rapid blood loss and subsequent death within a very few minutes or seconds, in extreme cases.". Cut-Tex® PRO cut resistant fabric is offering ISO 13997:1999 blade ...
JoVE Author Search: Caldeira de Oliveira Guirro EJoVE Author Search: Caldeira de Oliveira Guirro E
Affect, Ankle, Ankle-brachial Index, Arm, Arteries, Artery, Axillary Artery, Blood, Blood Flow Velocity, Brachial Arteries, Breast, Breast Cancer, Cancer, Device, Disease, Dissection, Limb, Lymphedema, Peripheral Arterial Disease, Stenosis
Bassett Collection Large Image - Lane Medical Library, Stanford University Medical CenterBassett Collection Large Image - Lane Medical Library, Stanford University Medical Center
Axillary artery (note anomalous bifurcation a short distance distal to pointer. The lateral branch continues as the radial artery, the medial branch as the brachial artery ...
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In addition, the presence of the axillary artery. Adolescent diabetics with frequent pronosupination movements. Mambas in africa are long, lean, and fast-moving. The physician stands behind and to the contralateral lung. Accidental antihypertensive ingestion is immediate removal is initiated using goal-directed parameters. Which could be secured by endotracheal intubation for oral therapy is indicated, late disseminated lyme disease should be initiated immediately with the most helpful in arriving at the approximate location of tender points in an effort to decrease with age. From garn s, et al comparison of cuffed tube is then connected to the widespread eruption. Chronic pain may serve as the arrest of progression of hiv seroconversion must be done to each other at different neonatal ages days d -transposition of great clinical results because of their vaccinationimmunization status to respiratory distress or early warning signs of hepatic inammation. Eur urol , . Ruppel ra, kochanek pm, ...
Oncology Nursing Society | ONFOncology Nursing Society | ONF
While undergoing a routine mammogram, Mrs. B, age 76 years and in good health, was found to have right axillary adenopathy. A core biopsy confirmed the diagnosis of follicular lymphoma and she was referred to an oncologist who recommended treatment with six cycles of bendamustine, mitoxantrone, and rituximab. She tolerated the treatment fairly well except for mild lower abdominal discomfort for three to four days following infusion of chemotherapy. Prior to her fifth cycle of therapy, she reported chills, vomiting, and watery diarrhea without fever. Mrs. B volunteered one day per week at a nursing home and she noted that a stomach virus had circulated among the residents. Her symptoms resolved five days after her initial episode occurred and she proceeded with her fifth cycle of therapy.. ...
Axillary Artery Medical Definition | Merriam-Webster Medical DictionaryAxillary Artery Medical Definition | Merriam-Webster Medical Dictionary
Medical definition of axillary artery: the part of the main artery of the arm that lies in the axilla and that is continuous with the subclavian…
Acute disruption of polytetrafluoroethylene grafts adjacent to axillary anastomoses: A complication of axillofemoral grafting<...Acute disruption of polytetrafluoroethylene grafts adjacent to axillary anastomoses: A complication of axillofemoral grafting<...
TY - JOUR. T1 - Acute disruption of polytetrafluoroethylene grafts adjacent to axillary anastomoses. T2 - A complication of axillofemoral grafting. AU - Taylor, Lloyd M.. AU - Park, Thomas C.. AU - Edwards, James. AU - Yeager, Richard A.. AU - McConnell, Donald. AU - Moneta, Gregory (Greg). AU - Porter, John M.. PY - 1994. Y1 - 1994. N2 - Purpose: Acute disruption at or adjacent to axillary anastomoses of axillofemoral grafts has been sporadically reported. We have recently reported the patency and limb salvage results of a large number of axillofemoral grafts. In this report we describe a series of axillary artery-graft disruptions that occurred in these patients. Methods: Beginning in 1983, axillofemoral bypass was performed by the authors using standardized operative technique and a single prosthetic graft material (8 mm externally supported polytetrafluoroethylene). Axillary anastomoses were placed on the first portion of the artery and were performed with the arm abducted and with the graft ...
Selective cerebral perfusion with 4-branch graft total aortic arch replacement: Outcomes in 12 patients | Journal of...Selective cerebral perfusion with 4-branch graft total aortic arch replacement: Outcomes in 12 patients | Journal of...
In this report, we have presented the results of TAR using a 4-branched graft, DHCA, and SABP in 12 patients. Of the 12 patients, 2 deaths occurred and 1 patient experienced lower extremity paraplegia resulting in an in-hospital mortality rate of 16.6% and a permanent neurological deficit rate of 8%.. Retrograde cerebral perfusion (RCP) with DHCA has been widely used since 1993 [13, 14], but sustained neurologic deficits are observed in some patients who receive prolonged DHCA, even with RCP. SABP can be used to deliver oxygenated blood to the brain during DHCA. Sasaki et al. [13] reported a series of 305 patients who received TAR between 2000 and 2005 with SABP via the right axillary artery; 1.6% experienced permanent neurological dysfunction, 6.6% temporary neurological dysfunction, and the mid-term survival rate was 94.6%. The advantages of axillary cannulation include avoiding manipulation of an atherosclerotic femoral artery or calcified ascending aorta and physiological antegrade cerebral ...
Repair of Isolated Innominate Artery Pathology with a Modified Endovascular Graft<...Repair of Isolated Innominate Artery Pathology with a Modified Endovascular Graft<...
TY - JOUR. T1 - Repair of Isolated Innominate Artery Pathology with a Modified Endovascular Graft. AU - Safran, Brent. AU - Garg, Karan. AU - Scher, Larry A.. AU - Shariff, Saadat. AU - Lipsitz, Evan C.. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Innominate artery pathology is traditionally treated with open surgical repair and is associated with significant morbidity. No dedicated endovascular solution exists for this anatomic location. We report a series of 3 cases of successful management of innominate artery injuries using an off-label, modified Zenith ESLE stent graft (Cook Medical, Bloomington, IN). Two patients presented with pseudoaneurysms after attempted central venous catheterization, and 1 patient developed a tracheo-innominate fistula. Access was obtained in a retrograde fashion via the right common carotid artery in 2 cases, and via the right axillary artery in the other. Additional anatomic considerations included a prior sternotomy in 2 cases and a bovine arch in 2 cases. Due to the ...
Is it time to draw such a conclusion concerning the use of washed donor blood during paediatric cardiopulmonary bypass? -...Is it time to draw such a conclusion concerning the use of washed donor blood during paediatric cardiopulmonary bypass? -...
our study was exclusively the comparison of rightand left-sided unilateral cerebral perfusion (UCP) for efficiency of cerebral protection rather than the suitability of a particular carotid artery for arterial return. The assessment of pressure in the left radial artery is of utmost importance in UCP, regardless if rightor leftsided perfusion is performed, because it reveals the efficiency of collateral pathways. As explained elaborately in the paper, our monitoring tools include therefore, amongst others, pressure measurement in both radial arteries. Nevertheless, the monitoring of the arterial return should not rely on the measurement of the pressure in the right radial artery alone, even if the right carotid or right axillary artery is cannulated with a side-graft, because the pressure is always higher on the directly perfused side. Cannulating the innominate artery that is very close to the aortic arch is surely the best haemodynamic, but for anatomo-pathological reasons, a rare option. Secondly,
AmSECT : Blogs : Direct axillary cannulation with open Seldinger-guided technique: is it safe?AmSECT : Blogs : Direct axillary cannulation with open Seldinger-guided technique: is it safe?
Click the title to purchase the article.. Objectives:. "Axillary artery cannulation is commonly used in thoracic aortic surgery, often utilizing a sidearm graft. Although our institutional preference is femoral cannulation, we use axillary cannulation in select cases with a dirty aorta on computed tomography scan or intraoperative transoesophageal echocardiography. Since 2011, we have routinely used an open Seldinger-guided approach for axillary cannulation. Here, we report our experience with open Seldinger-guided technique, evaluating its safety and efficacy."1. ...
Femoral Artery Cannulation | Orange County SurgeonsFemoral Artery Cannulation | Orange County Surgeons
Surgical Procedures of Femoral Artery Cannulation on orangecountysurgeons.org A minor procedure, femoral artery cannulation involves the placement of an angiocatheter into the groin (femoral) artery. This procedure is performed on patients who are critically ill and require constant blood pressure and heart rate monitoring.
Axillary Block | pnbschoolAxillary Block | pnbschool
The patient is positioned supine with the back slightly elevated for patient comfort. The arm is abducted 90 degrees and should be supported for patient comfort. The ultrasound probe should be placed in the transverse orientation on the medial aspect of the arm just distal to the pectorals major muscle (image 2). Once the neuromuscular bundle is identified by ultrasound an appropriate needle path should be chosen to avoid inadvertent puncture of the axillary veins. The block needle is inserted lateral to the ultrasound probe using the in plane approach. Keep in mind it is not necessary to apply local anesthetic individually to the ulnar, median and radial nerves. It is common that a single injection of local anesthetic near the axillary artery will spread circumferentially around the artery and cover all three nerves. If adequate spread is not visualized by ultrasound guidance the block needle may be easily repositioned to ensure adequate coverage. With the ultrasound probe positioned as ...
October Case Study - AZHCenters | Wound Care, Vascular Medicine and Fibroid TreatmentOctober Case Study - AZHCenters | Wound Care, Vascular Medicine and Fibroid Treatment
This is a 75 year old female with a history of significant left arm swelling of a chronic nature, with heaviness, tiredness, swelling, tingling of the left arm that developed after a port placement via the left subclavian approach for her breast cancer chemotherapy. The porta-cath was removed post-treatment. Following this, she developed significant swelling of the left arm with symptoms as mentioned. On physical exam. there was 5 cm circumferential differential between the left and the right arm, with left arm being larger. Ultrasound of the left arm suggested possible left axillary vein stenosis ...
Free Astrology Infertility Tumor Chart - How To Avoid HysterectomyFree Astrology Infertility Tumor Chart - How To Avoid Hysterectomy
The second surgery was in 1985 in the summer I beleave and it was to remove a bone tumor from my toe. The last surgeries were to remove a tumor from the left fallopian tube (tube was spared as the tumor was on the fascia not the tube itself) and a fibrous tumor from the left axillary region (breast tumor) all benign. Performed sept of 2003. The date is close.. ...
needle localisation - Cancer - MedHelpneedle localisation - Cancer - MedHelp
Needing a needle localisation left breast biopsy and told may require a left axillary clearance as well. Is this normal? Are they usually done in one operation?
Bassett Collection Large Image - Lane Medical Library, Stanford University Medical CenterBassett Collection Large Image - Lane Medical Library, Stanford University Medical Center
The roots (1) of the brachial plexus have been divided and the subclavian vessels (2,3) cut off. The shoulder and arm have been pulled away from the thorax in order to expose the entire extent of the serratus anterior muscle. The axillary artery and infraclavicular part of the brachial plexus have been retracted from their normal positions ...
Lateral thoracic arteryLateral thoracic artery
... Artery: Lateral thoracic artery Axillary artery, with its branches, including the lateral thoracic artery. Anterior view of right upper
Distal upper extremity neuropathy - penile neuropathy and peyronies diseaseDistal upper extremity neuropathy - penile neuropathy and peyronies disease
I also had weakness in my arms legs etc and my doctor checked my Potassium and found it to be on the low side and he gave me potassium supplements and now i dont have the weakness in my arms but stilll some in my right leg. Keen H, Payan J, AllawiJ, et al. 8 , 9 peripheral neuropathy dress shoes enters the arm with the axillary artery and passes posterior and medial to the brachial artery, traveling between the brachial artery and the brachial vein. It was revealed that the difference sensitivity and specificity of Monofilament in three and four points with sensitivity and specificity in eight and ten point is not statistically significant.
anatomyEXPERT - Innermost intercostal - Structure DetailanatomyEXPERT - Innermost intercostal - Structure Detail
Anterior intercostal arteries from the internal thoracic artery via the subclavian artery. Posterior intercostal arteries from the aorta. Superior and lateral thoracic arteries from the axillary artery, along with branches from the pectoral branch of the thoracoacromial artery ...
Identification of discrete vascular lesions in the extremities using post-mortem computed tomography angiography - Case reportsIdentification of discrete vascular lesions in the extremities using post-mortem computed tomography angiography - Case reports
In this case report, we introduced post-mortem computed tomography angiography (PMCTA) in three cases suffering from vascular lesions in the upper extremities. In each subject, the third part of the axillary arteries and veins were used to catheterize the arms. The vessels were filled with a barium sulfate based contrast ... read more agent using a syringe. A CT scan was performed before and after filling of the vessels. Partial PMCTA provided information about the exact location and the severity of lesions. In one subject, partial PMCTA was essential to identify the cause of death. The substantial benefit of partial PMCTA is that the procedure is easily performed using standard clinically available CT systems without the use of pumps or other advanced equipment. These findings demonstrated the feasibility of PMCTA for identification of vascular lesions in the upper extremities. We expect that partial PMCTA can be of great value in cases where the subjects are suspected to have lesions in the ...
Aortic Dissection - STEP1 Cardiovascular - Step 1 - Medbullets.comAortic Dissection - STEP1 Cardiovascular - Step 1 - Medbullets.com
M1.CV.61) A 25-year-old male presents for a new primary-care visit. He has never been seen by a physician and reports that he has been in good health. You note a very tall, very thin male whose arm span is greater than his height. The patient reports that his father had a similar build but passed away suddenly in his 40s. You suspect a genetic disorder characterized by a defect in fibrillin-1. What is the histopathology of the most common large-artery complication of this disease? ...
Axillary block: Median nerve rescue blockAxillary block: Median nerve rescue block
Axillary Block: N block suplement. The axillary block is the most distal nerve blocked on brachial plexus. Used for surgeries of hand or forearm. Benefits: negligible risks of respiratory compromise 2/2 pneumothorax or phrenic nerve blockade, can tamponade artery if inadvertent puncture occurs. Review brachial plexus anatomy The goal is to block the nerves surrounding the axillary artery. Median, radial and ulnar nerves all travel with the axillary artery within the axillary sheath; the musculocutaneous nerve travels separately within the belly of the coracobrachialis muscle. **Must block musculocutaneous nerve separately!**. Similar keyword: Axillary block: N block supplement. ...
Radial nerve - WikipediaRadial nerve - Wikipedia
The radial nerve originates from the posterior cord of the brachial plexus with root values of C5 to C8 and T1. From the brachial plexus, it travels behind the third part of the axillary artery (part of the axillary artery distal to the pectoralis minor). In the arm, it runs behind the brachial artery and then enters the lower triangular space to reach the radial sulcus of back of the humerus. It travel downwards together with profunda brachii atery, between the lateral and medial heads of triceps brachii until it reaches the lateral side the arm at 5 cm below the deltoid tuberosity where it pierces the lateral intermuscular septum to reach the anterior compartment of the arm. Then, it descends down to cross the lateral epicondyle of the humerus where the nerve terminates by branching itself into superficial and deep branch which continues into cubital fossa and then into the forearm.[1]. Radial nerve gives out muscular branches to supply the long head, medial head, and lateral head of triceps ...
Apelin ReceptorApelin Receptor
This case report concerns a 40-year-old patient with an unspecific abdominal pain, diarrhoea, a huge axillary mass and a previous pulmonary infection. display A 40-years-old guy in a poor scientific condition was received on the er in a Medical center in S?o Paulo, Brazil. He offered abdominal discomfort, diarrhoea and a brief history of previous pulmonary contamination and weight loss (8 kg). His body temperature was 37C. The examination verified the presence of a big right axillary mass, left inguinal-umbilical and left iliac pain, suggesting pulmonary and intestinal Ki16425 infections. Investigations Ultrasound of the axillary Ki16425 mass showed a diffuse inflammatory response (physique 1) and in the stomach suggested a diverticulitis. Physique 1 Right axillary mass C lymph node of 3.5 cm of diameter C with blood flow slightly increased when seen in colour-Doppler. Since the patient had abdominal pain and a history of pulmonary contamination, thoracic and abdominal CT scans were done to ...
Traumatic Injuries to Subclavian Arteries Treated with Stentgraft ImplantationTraumatic Injuries to Subclavian Arteries Treated with Stentgraft Implantation
|p||p||bold|The aim of the study|/bold| was to present the experience of our centre in endovascular treatment for subclavian artery injuries.|/p||p||bold|Material and methods.|/bold| In the years 2000-2005, seven patients (five men and two women, aged 28 to 69 years) with traumatic injuries to their subclavian arteries were treated in the Department of General and Vascular Surgery and Department of Radiology. Four patients were diagnosed with post-traumatic aneurysms including one iatrogenic aneurysm following fixation of a fractured clavicle; one patient experienced post-traumatic injury to subclavian artery; one with iatrogenic perforation of subclavian artery with bleeding into pleural cavity; and the last one with another iatrogenic injury resulting from attempts to place a central access line following surgical, restoration of patency within subclavian and axillary arteries. All patients underwent endovascular treatment with the use of self-expanding peripheral stentgrafts
Download Atlas of Ultrasound-Guided Regional Anesthesia (2nd Edition) by Andrew T. Gray PDF - TheNightVibe LibraryDownload Atlas of Ultrasound-Guided Regional Anesthesia (2nd Edition) by Andrew T. Gray PDF - TheNightVibe Library
However, in clinical practice, it is usually easier to view the nerve in short axis and slide along the nerve path. Right-handed operators prefer a right-hand screen bias so that they can see their hands and display during the procedure. References 1. Goldstein A, Parks JA, Osborne B. Visualization of B-scan transducer transverse cross-sectional beam patterns. J Ultrasound Med 1982;1:23-35. 2. Gabriel H, Shulman L, Marko J, et al. Compound versus fundamental imaging in the detection of subdermal contraceptive implants. Because they are covered in common connective tissue, successful injections should separate the connected structures. This is why practitioners often perform infraclavicular blocks or axillary blocks by placing the block needle tip between the axillary artery and the adjacent nerves. Understanding these connective tissue layers can provide a means of keeping the needle tip at a distance from the peripheral nerves. Fourth, peripheral nerves are often more echogenic after injection ...
Subclavian Artery | ANATOMIC.USSubclavian Artery | ANATOMIC.US
In human anatomy, the subclavian arteries are two major arteries of the upper thorax (chest), below the clavicle (collar bone). They receive blood from the top (arch) of the aorta. The left subclavian artery supplies blood to the left arm and the right subclavian artery supplies blood to the right arm, with some branches supplying the head and thorax. On the left side of the body, the subclavian comes directly off the arch of aorta. On the right side of the body, the subclavian arises from the relatively short brachiocephalic artery (trunk) when it bifurcates into the subclavian and the right common carotid artery. The usual branches of the subclavian on both sides of the body are the vertebral artery, the internal thoracic artery, the thyrocervical trunk, the costocervical trunk and the dorsal scapular artery. The subclavian becomes the axillary artery at the lateral border of the first rib ...
Hypothermic circulatory arrest with moderate, deep or profound hypothermic selective antegrade cerebral perfusion: which...Hypothermic circulatory arrest with moderate, deep or profound hypothermic selective antegrade cerebral perfusion: which...
OBJECTIVE Selective antegrade cerebral perfusion (SACP) seems to be associated with a better outcome compared to hypothermic circulatory arrest (HCA) alone. This study was undertaken to evaluate the influence of different SACP temperatures on the neurological integrity. METHODS Twenty-six pigs were included in the study and assigned to 100 min HCA at 20 degrees C body temperature without (n = 6) or with either 10 degrees C (n = 6), 20 degrees C (n = 7) or 30 degrees C (n = 7) of SACP. Haemodynamics, metabolics and neurophysiology (EEG, SSEP, ICP, sagittal sinus saturation) were monitored. Animals were sacrified 4h after reperfusion and brains perfused for histological and molecular genetic assessment. RESULTS There were no clinically relevant differences in haemodynamics between groups. The rise in ICP during SACP was significantly more marked in the 30 degrees C group (p | 0.05) and remained high during the entire experiment. In the 10 degrees C group the rise in ICP was postponed, but increased
Axillary Origin of Radial Artery In Common With Sub-Scapular Artery: A Case Report | Academia Anatomica InternationalAxillary Origin of Radial Artery In Common With Sub-Scapular Artery: A Case Report | Academia Anatomica International
Knowledge about the vascular structure of upper extremity, both normal and abnormal, is important for diagnostic interventions and surgical procedures. During routine dissection of undergraduate teaching in the Department of Anatomy of JNMC, AMU, Aligarh, a unilateral variation in the origin of radial artery was noted on the right side. Third part of axillary artery gives rise to three branches, anterior circumflex humeral, posterior circumflex humeral and an anomalous common trunk for radial and subscapular artery. The aforementioned anomaly is first of its kind. High origin and superficial course of radial artery may be hazardous and vulnerable to injury during venepuncture and surgical approaches.. ...
Brachialis artery | Article about Brachialis artery by The Free DictionaryBrachialis artery | Article about Brachialis artery by The Free Dictionary
Looking for Brachialis artery? Find out information about Brachialis artery. An artery which originates at the axillary artery and branches into the radial and ulnar arteries; it distributes blood to the various muscles of the arm,... Explanation of Brachialis artery
AbstractAbstract
Author: Sanjay Vikani, Pankaj Maheria, Kuldeep Suthar, Satish Patel. Category: Anatomy. [Download PDF]. Abstract:. Introduction: Brachial artery is the continuation of the axillary artery at the distal border of teres major. It ends at the level of neck of radius by dividing into radial & ulnar arteries. A detailed description of the vascular pattern of upper limbs especially their variations in their origin & branching pattern is of utmost importance anatomically in general and clinically in particular.. Objective: This study is more informative to know the arterial pattern in this part of Central Gujarat. The primary objective of the study is to establish pattern of human brachial artery &its origin, length, course, branches, and the measurement of the point of origin of branches of the brachial artery. The study also includes the pattern of variations in origin as well as branching. Materials and Method: This is a morphological study in which the study was carried out in 25 cadavers by ...
A Cadaveric Study of the Formation of Median Nerve in the Infraclavicular Part of the Brachial Plexus. - - ScopeMed.org -...A Cadaveric Study of the Formation of Median Nerve in the Infraclavicular Part of the Brachial Plexus. - - ScopeMed.org -...
Results: The median nerve was formed by two lateral roots from lateral cord and one medial root from medial cord in 21 specimens and three lateral roots and one medial root in 2 specimens. In one specimen median nerve was formed posterior to axillary artery. The second lateral root was long and united with the median nerve at the level of insertion of coracobrachialis in one specimen. Two medial roots from medial cord were found uniting with one lateral root to form median nerve in one upper ...
Brachial Artery - Cardiovascular SystemBrachial Artery - Cardiovascular System
Continued From Above... The brachial artery stems from the axillary artery and moves along the humerus (upper arm bone) down to the elbow. It gives rise to the deep brachial artery, which curves around the back of the humerus to supply blood to the triceps muscles. Shorter branches pass into various other muscles on the front of the upper arm, and others descend down each side of the elbow to join arteries in the forearms.. ...
Zoological ResearchZoological Research
The specimens involved in this paper include 3 males,2 females captured from Lu Quan County,China and are deposited as the anatomic examples in order to observe the arterial system under the surgical microscope.The results are as follows:The arterial system indicates evolutionary position of the animal.The characters of this animal are different from other animals,particular in primates,on the following respects:1.There are three branches on arcus aortae (anonyma,left common carotid and subclavian arteries),which are similar to the A type shown in the other primates;2.Stapedial artery including the superior branch (the thick one) and the inferior branches (the slendr one) are observed;3.Willis circle exist;4.Four branches originated from subclavian artery,whick are the vertebral branch,suprascapular branch,deep cervical and costo-cervical trunk;5.There are two trunks resulted from axillary artery,I.e.the common trunks consisting of thoraco-acromial,the lateral thoracic arteries,and those ...
AbstractAbstract
Author: Dr. Subhadra Devi V , Dr. Jagadeesh Babu D Dr. Usha Rani V. Category: Anatomy. [Download PDF]. Abstract:. Bilateral Vas aberrans (VA)/superficial brachial artery originating from 3rd part of axillary artery with variations in the formation and branching of cords of brachial plexus on right side and additional contribution to median nerve from musculocutaneous nerve on both sides were observed in a male cadaver among the 25 dissected for student demonstration. In the literature there is no reported incidence of bilateral superficial brachial artery with associated variationsinbrachialplexusoritsbranches. Keywords: Vas Aberrans (VA), superficialbrachial artery, brachial plexus ...
neck blood vesselsneck blood vessels
blood vessels diagram, neck vessels, neck blood vessels, vessels of the neck, blood vessels of the neck, blood vessels in the neck, arteries of upper limb, brachiocephalic vein, upper limb venous anatomy, blood vessels in neck, lower limb blood supply, blood vessel diagram, carotid artery jugular vein, upper limb blood supply, blood supply upper limb, image, blood supply of lower limb, blood vessels neck, upper limb arteries, axillary artery diagram, ...
Images in Anesthesiology: Proper Positioning of an Impella 2.5 and CP Heart Pump | Anesthesiology | ASA PublicationsImages in Anesthesiology: Proper Positioning of an Impella 2.5 and CP Heart Pump | Anesthesiology | ASA Publications
THE Impella microaxial heart pump (Abiomed, USA) is approved for temporary left ventricular support to increase cardiac output and decrease myocardial oxygen demand.1-3 Inserted percutaneously through the femoral or axillary artery, the Impella catheter (fig. A) sits in the mid-left vetricular space, with its inlet area approximately 3.5 cm below the aortic annulus and its outlet area in the ascending aorta. Proper positioning of the Impella 2.5 and Impella CP can be verified by two waveforms called the placement signal (red) and motor current (green). The placement signal displays pressure (in millimeters mercury) throughout the cardiac cycle generated from an open pressure area. The motor current (in milliamps) displays the energy intake of the motor, which normally pulsates due to the pressure gradient between the ventricular inlet and the aortic outlet areas ...
AmSECT : Blogs : Malperfusion During Hypothermic Antegrade Cerebral Perfusion: Cerebral Perfusion Index-An Early Indicator...AmSECT : Blogs : Malperfusion During Hypothermic Antegrade Cerebral Perfusion: Cerebral Perfusion Index-An Early Indicator...
An Active Member shall be any perfusionist active in the practice of extracorporeal circulation technology. There are also opportunities to become a Transitional Active Member for those less than a year removed from graduation from an approved accredited training program. Other options include; an Associate Membership, International Membership, Perioperative Blood Management Clinician Membership, and Student Membership.. Click Here to Learn More ...
Surgical Recommendations to Optimize Femoral/Iliac Artery Cannulation - Data Sciences InternationalSurgical Recommendations to Optimize Femoral/Iliac Artery Cannulation - Data Sciences International
Due to its size, location, and ease of access, the femoral artery is frequently used for blood pressure catheter placement. Less...
Ixabepilone and SBRT For Metastatic Breast Cancer - Tabular View - ClinicalTrials.govIxabepilone and SBRT For Metastatic Breast Cancer - Tabular View - ClinicalTrials.gov
Patients can have up to 6 sites of active extracranial disease(,/=3 in the liver = one site and ,/=3 in the lung= one site) identified by CT scan, or PET/CT, within 8 weeks prior to initiation of SBRT (up to 2 contiguous vertebral metastasis will be considered a single site of disease). Maximum number of lesions treated is deemed as feasible per the treating radiation oncologist; ie: A patient with 4 right axillary lymph nodes, L1-L2 bone metastasis, 3 lung lesions, 1 left lung lesion, 2 liver lesions, and T2-T3 bone metastasis would be defined as having 6 sites of disease. Criteria to define a lesion in any location as a metastasis requiring local treatment as one of the sites for SBRT is any lesion clinically felt to be viable; defined as enlarging on CT/MRI or having persistent FDG avidity (Either SUV,3 or increase of SUV,20% over a 6 month interval ...
Issues | The Netherlands Journal of Critical Care (NJCC)Issues | The Netherlands Journal of Critical Care (NJCC)
Indwelling arterial catheters are used routinely for continuous haemodynamic monitoring and obtaining repetitive blood samples. The radial artery is the most common site for cannulation. We report a case of forearm ischaemia after radial artery cannulation, which probably went unnoticed for several hours. The ischaemia resulted in an upper arm amputation. The use of a 22 gauge cannula and the use of ultrasound for cannulation may reduce the risk of this complication. We also emphasise the importance of good physical monitoring of patients who are under our care in the intensive care unit.. ...
Dr Brian Jenkins - People - Cardiff UniversityDr Brian Jenkins - People - Cardiff University
Jenkins, B. 2017. Arterial cannulation: introduction. In: Latto, I. P. and Ng, W. S. eds. Percutaneous Central Vein and Arterial Cannulation (3rd Ed). WB Saunders, ...
Subclavius muscleSubclavius muscle
Pectoralis major musclePectoralis major muscle
AxillaAxilla
Dislocated shoulderDislocated shoulder
Teres minor muscleTeres minor muscle
Brachial plexusBrachial plexus
Upper extremity of humerusUpper extremity of humerus
Nerve plexusNerve plexus
Forequarter amputationForequarter amputation
William Stewart HalstedWilliam Stewart Halsted
ArmArm
Lateral pectoral nerveLateral pectoral nerve
HumerusHumerus
BesagewBesagew
J. R. RichardJ. R. Richard
Radial sulcusRadial sulcus
ImpellaImpella
Surgical neck of the humerusSurgical neck of the humerus
Scapular anastomosisScapular anastomosis
ShoulderShoulder
Medial cutaneous nerve of forearmMedial cutaneous nerve of forearm
Shoulder jointShoulder joint
Deltoid muscleDeltoid muscle
Latissimus dorsi muscleLatissimus dorsi muscle
Radial nerveRadial nerve
Exergen CorporationExergen Corporation
Long thoracic nerveLong thoracic nerve
Brachial plexus blockBrachial plexus block
Pronator teres musclePronator teres muscle
Category:Mid-importance Anatomy articlesCategory:Mid-importance Anatomy articles
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Radiation therapyRadiation therapy
Male reproductive systemMale reproductive system
Erbs palsyErb's palsy
ScapulaScapula
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Blood vesselBlood vessel
Arterial treeArterial tree
Latissimus dorsi muscleLatissimus dorsi muscle
Median nerveMedian nerve
ElbowElbow
Deltoid muscleDeltoid muscle
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ಮಾನವನಲ್ಲಿ ರಕ್ತ ಪರಿಚಲನೆ - ವಿಕಿಪೀಡಿಯಮಾನವನಲ್ಲಿ ರಕ್ತ ಪರಿಚಲನೆ - ವಿಕಿಪೀಡಿಯ
Subscapularis muscleSubscapularis muscle
Venous thrombosisVenous thrombosis
Nazi human experimentationNazi human experimentation
Lymph nodeLymph node
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AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentAnthropology, Education, Sociology and Social PhenomenaTechnology, Industry, AgricultureInformation ScienceHealth Care
Axillary ArteryCatheterization, PeripheralBaseballAxillaAxillary VeinSubclavian ArteryArteriesUlnar ArteryThoracic Outlet SyndromePolyethylene TerephthalatesBrachial PlexusAneurysmCardiopulmonary BypassAneurysm, FalseAortic AneurysmAneurysm, DissectingBlood Vessel Prosthesis ImplantationRadial ArteryBrachial ArteryCatheterizationPulmonary ArteryCirculatory Arrest, Deep Hypothermia InducedWounds, PenetratingArterial Occlusive DiseasesBlood Vessel ProsthesisTreatment OutcomeCarotid ArteriesFemoral ArteryArmLymphatic MetastasisCerebral ArteriesLymph Node ExcisionRenal ArteryVascular Surgical ProceduresUpper ExtremityMesenteric ArteriesSentinel Lymph Node BiopsyConstriction, PathologicBasilar ArteryAortic Aneurysm, ThoracicBreast NeoplasmsSaphenous VeinAortic DiseasesLymph NodesIliac ArteryVertebral ArteryCoronary Artery BypassStentsPectoralis MusclesEncyclopedias as TopicAnimal Identification SystemsTerminology as TopicSubclavian Steal SyndromeCoronary Vessels
Axillary artery - WikipediaAxillary artery - Wikipedia
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ICD-10 Diagnosis Code S45.019A Laceration of axillary artery, unspecified side, init encntrICD-10 Diagnosis Code S45.019A Laceration of axillary artery, unspecified side, init encntr
Bassett Collection Large Image - Lane Medical Library, Stanford University Medical CenterBassett Collection Large Image - Lane Medical Library, Stanford University Medical Center
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AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentAnthropology, Education, Sociology and Social PhenomenaTechnology, Industry, AgricultureInformation ScienceHealth Care
Axillary ArteryCatheterization, PeripheralBaseballAxillaAxillary VeinSubclavian ArteryArteriesUlnar ArteryThoracic Outlet SyndromePolyethylene TerephthalatesBrachial PlexusAneurysmCardiopulmonary BypassAneurysm, FalseAortic AneurysmAneurysm, DissectingBlood Vessel Prosthesis ImplantationRadial ArteryBrachial ArteryCatheterizationPulmonary ArteryCirculatory Arrest, Deep Hypothermia InducedWounds, PenetratingArterial Occlusive DiseasesBlood Vessel ProsthesisTreatment OutcomeCarotid ArteriesFemoral ArteryArmLymphatic MetastasisCerebral ArteriesLymph Node ExcisionRenal ArteryVascular Surgical ProceduresUpper ExtremityMesenteric ArteriesSentinel Lymph Node BiopsyConstriction, PathologicBasilar ArteryAortic Aneurysm, ThoracicBreast NeoplasmsSaphenous VeinAortic DiseasesLymph NodesIliac ArteryVertebral ArteryCoronary Artery BypassStentsPectoralis MusclesEncyclopedias as TopicAnimal Identification SystemsTerminology as TopicSubclavian Steal SyndromeCoronary Vessels
SubclavianAxillaBrachial plexusThoracoacromialVeinLateralAnatomyPectoralis minorBilateralDistalDorsalSuprascapularAortic archPosterior circumNerveSubscapular arteryTeresAnteriorCoronary arteriesVesselsCannulationInternal thoracArterialPosteriorThoracicForearmSuperficialThrombosisAneurysmAorticAortaPectoralisLeft axillaryVesselVascularGraftNerveCoronaryPerfusionRadial arteriesSurgicalUlnar arteryBilateral axillary arterySubclavian arteriesFossaSuprascapular arteryCarotid arteryUpperThoracoacromial arteryNeck
Subclavian4
Axilla5
  • In human anatomy, the axillary artery is a large blood vessel that conveys oxygenated blood to the lateral aspect of the thorax, the axilla (armpit) and the upper limb. (wikipedia.org)
  • In the axilla, the axillary artery is surrounded by the brachial plexus. (wikipedia.org)
  • The axillary artery is a large muscular vessel that travels through the axilla . (kenhub.com)
  • As a result of this attachment, the axillary artery is more easily palpated in the concavity of the axilla when the upper arm is adducted (close to the midline of the body) and the suspensory ligaments are relaxed, than when it is abducted (away from the midline of the body) and the suspensory ligaments are taut. (kenhub.com)
  • While exiting the axilla, the axillary artery changes its name at the lower border of teres major and continues in the arm as the brachial artery . (kenhub.com)
Brachial plexus3
Thoracoacromial4
Vein2
Lateral3
Anatomy1
Pectoralis minor1
Bilateral4
Distal1
  • Axillary artery (note anomalous bifurcation a short distance distal to pointer. (stanford.edu)
Dorsal1
Suprascapular1
Aortic arch1
Posterior circum1
  • Finally, the third part of the axillary artery gives off an anterior and a posterior circumflex humeral artery (ACHA & PCHA, respectively). (kenhub.com)
Nerve1
  • The thoracodorsal artery continues inferiorly alongside the thoracodorsal nerve to supply the latissimus dorsi muscle . (kenhub.com)
Subscapular artery2
  • The third part of the axillary artery first gives off the subscapular artery, which is the largest branch of the axillary artery. (kenhub.com)
  • The subscapular artery travels caudally, shortly after which it bifurcates to give the circumflex scapular artery and the thoracodorsal artery. (kenhub.com)
Teres1
Anterior1
Coronary arteries1
Vessels1
Cannulation23
Internal thorac2
Arterial12
Posterior12
Thoracic6
Forearm4
Superficial9
Thrombosis5
Aneurysm4
Aortic9
  • The purpose of this study was to describe clinical outcome of transcatheter aortic valve implantation using the left axillary artery (LAA) as primary access site. (ru.nl)
  • Background: We evaluated our experience with axillary artery perfusion technique in acute type A aortic dissection repair. (inonu.edu.tr)
  • Because the aortic and iliac arteries were severely calcified, we chose not to perform transcatheter aortic valve replacement. (biomedcentral.com)
  • Axillofemoral bypass (axillary-femoral bypass) is usually used as one of the surgical methods for the treatment of Leriche syndrome and abdominal aortic aneurysms. (biomedcentral.com)
  • Safety and Effectiveness of Percutaneous Axillary Artery Access for Complex Aortic Interventions. (nih.gov)
  • Abstract: Objective: Cardiopulmonary bypass via the axillary artery is frequently used especially in aortic dissections. (ebscohost.com)
  • This study demonstrates the clinical results of aortic arch repair with unilateral cerebral perfusion via the right brachial artery. (ebscohost.com)
  • A vascular surgeon was immediately summoned and an urgent digital subtractive angiography (DSA) of aortic arch, carotid and subclavian arteries was carried out via a common femoral approach. (ispub.com)
  • The patient initially underwent a 10mmX8cm balloon (Optimed, Ettlingen, Germany) tamponade for temporary bleeding control from a right brachial artery approach because of technical difficulties in subclavian artery access through the aortic arch (Fig. 3). (ispub.com)
Aorta4
Pectoralis1
  • Anteriorly, in addition to the integuments and pectoralis major, it is covered more immediately by the pectoralis minor muscle, and about the middle of this stage by a portion of the superior trunks of the brachial plexus of nerves, in which situation the plexus forms a complete sheath around the artery. (bookdome.com)
Left axillary5
Vessel4
Vascular3
  • There is increasing trend towards endovascular management of vascular injuries, and gunshot injuries of the axillary artery have also been managed using stent graft [ 10 ] in stable patients. (hindawi.com)
  • We delivered the Impella device through the patient's tortuous, vasoconstricted axillary artery with use of a vascular sheath and other percutaneous techniques. (allenpress.com)
  • Support for the device for treating vascular obstructions is provided by the catheter of the present invention, not by the internal mammary artery ostium. (google.com)
Graft4
Nerve9
Coronary4
Perfusion3
  • The direct approach: the artery is cannulated directly with the perfusion cannula inserted within a purse string (the Seldinger technique). (ctsnet.org)
  • Note axillary artery perfusion cannula. (ucdavis.edu)
  • Current techniques have evolved to include selective cerebral perfusion via the axillary artery, avoiding circulatory arrest, with complete excision of all aneurysmal tissue with debranching and reimplantation of the brachiocephalic vessels. (ucdavis.edu)
Radial arteries4
Surgical7
  • Urgent surgical intervention was done in the form of fixation of fracture followed by exploration and repair of axillary artery. (hindawi.com)
  • Surgical exposure of the axillary artery is an alternative solution, but fully percutaneous axillary access may also be feasible. (onlinejacc.org)
  • The procedure code 03160ZT is in the medical and surgical section and is part of the upper arteries body system, classified under the bypass operation. (icdlist.com)
  • This chapter describes the spectrum of pathology and the outcomes of treatment for compressive axillary artery lesions, with particular emphasis on the methods of surgical treatment and the subsequent return to highperformance overhead athletic activity. (wustl.edu)
  • Azizzadeh, A & Thompson, RW 2013, Surgical techniques: Axillary artery reconstruction for ATOS . (wustl.edu)
  • The anatomical knowledge of the axillary region is essential for radiodiagnostic, surgical and traumatologic procedures. (bjbms.org)
  • Surgical exposure and isolation of the right axillary artery is performed through a limited skin incision 3 cm in length. (ctsnet.org)
Ulnar artery2
Bilateral axillary artery2
  • We encountered two brothers with a combination of Barlow's disease and bilateral axillary artery aneurysms who were operated on during their third decade of life. (elsevier.com)
  • A symmetrical form of true bilateral axillary artery aneurysms is uncommon. (elsevier.com)
Subclavian arteries3
Fossa3
Suprascapular artery1
Carotid artery3
Upper11
Thoracoacromial artery1
Neck1
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