Método trigonométrico para o acesso à veia basílica no terço distal do braço

Detalhes bibliográficos
Autor(a) principal: Cardoso, Alexandre Augusto Pinto [UNIFESP]
Data de Publicação: 2006
Outros Autores: Smith, Ricardo Luiz [UNIFESP], Prates, José Carlos [UNIFESP], Cricenti, Serafim Vincenzo [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
dARK ID: ark:/48912/0013000014gkx
DOI: 10.1590/S0100-69912006000300003
Texto Completo: http://dx.doi.org/10.1590/S0100-69912006000300003
http://repositorio.unifesp.br/handle/11600/3068
Resumo: BACKGROUND: To determine anatomo-surgical parameters to fast, safe and precise approach to the basilic vein in the arm distal third and to assess anatomic features related to the presence, and nerve sintopy in the region. MATERIAL AND METHODS: The study was made in 15 human corpses, from male adults aged 27 up to 58 years old, summing up 30 upper limbs, fixed in 10% formalin. It was created a trigonometric method using anatomic parameters to determine a triangle which apex was the reference point to locate the basilic vein in the arm distal third. The region was dissected, the vein exposed, its diameter assessed with a caliper. The method was utilized to perform the basilic vein dissection in 15 patients that required the venous approach. RESULTS AND CONCLUSION: The basilic vein was found in the medial surface of arm distal third in all studied cadavers. The vein was located on the triagle apex in 70% of the cases (87% of the right and 53% of the left upper limbs). In 30% of the specimens the vein was placed medially to the triangle apex, the distance did not exceeded 5mm. In 83,33% of the specimens there were branches of the medial cutaneous nerves of arm and forearm against the vein adventitia. It was found two branches of the medial cutaneous nerves of arm and forearm related to each basilic vein in the majority of the upper limbs (90% - 27 limbs) and only one branch in the remaining (10 % - 3 limbs). In 30% of the cases there were branches located behind the basilic vein, this fact must be considered when the basilic vein dissection is made. The proposed method to the basilic vein location showed to be fast, safe and precise, indicating that the method is a good option to the vascular approach in patients in critical conditions that demand this procedure.
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spelling Método trigonométrico para o acesso à veia basílica no terço distal do braçoTrigonometric method to the anatomo-surgical approach of the basilic vein in the arm distal thirdVeinsForearmSurgeryVeiasAntebraçoCirurgiaBACKGROUND: To determine anatomo-surgical parameters to fast, safe and precise approach to the basilic vein in the arm distal third and to assess anatomic features related to the presence, and nerve sintopy in the region. MATERIAL AND METHODS: The study was made in 15 human corpses, from male adults aged 27 up to 58 years old, summing up 30 upper limbs, fixed in 10% formalin. It was created a trigonometric method using anatomic parameters to determine a triangle which apex was the reference point to locate the basilic vein in the arm distal third. The region was dissected, the vein exposed, its diameter assessed with a caliper. The method was utilized to perform the basilic vein dissection in 15 patients that required the venous approach. RESULTS AND CONCLUSION: The basilic vein was found in the medial surface of arm distal third in all studied cadavers. The vein was located on the triagle apex in 70% of the cases (87% of the right and 53% of the left upper limbs). In 30% of the specimens the vein was placed medially to the triangle apex, the distance did not exceeded 5mm. In 83,33% of the specimens there were branches of the medial cutaneous nerves of arm and forearm against the vein adventitia. It was found two branches of the medial cutaneous nerves of arm and forearm related to each basilic vein in the majority of the upper limbs (90% - 27 limbs) and only one branch in the remaining (10 % - 3 limbs). In 30% of the cases there were branches located behind the basilic vein, this fact must be considered when the basilic vein dissection is made. The proposed method to the basilic vein location showed to be fast, safe and precise, indicating that the method is a good option to the vascular approach in patients in critical conditions that demand this procedure.OBJETIVO: Determinar parâmetros anátomo-cirúrgicos para o acesso rápido, seguro e preciso da veia basílica no terço distal do braço e avaliar os aspectos anatômicos relacionados à presença, número e sintopia neural na região. MÉTODO: Foram utilizados 30 membros superiores de cadáveres adultos, brasileiros, do sexo masculino (27 a 58 anos), fixados em solução de formalina a 10%. Foi criado um método trigonométrico utilizando-se parâmetros anatômicos, determinando-se um triângulo cujo ápice foi o ponto de referência para a localização da veia basílica no terço distal do braço. A região foi dissecada e a veia exposta. O método foi também utilizado na dissecação venosa de 15 pacientes. RESULTADOS: A veia basílica foi encontrada na face medial do terço distal do braço de todos os cadáveres, localizando-se no ápice do trígono em 70% dos casos e em situação medial em relação ao mesmo em 30%. Em 83,33% havia ramos dos nervos cutâneos mediais do braço e antebraço junto à adventícia da veia basílica. Foram encontrados dois ramos dos nervos cutâneos mediais do braço e antebraço relacionados a cada veia basílica em 90% dos membros superiores e apenas um ramo no restante. Em 30% dos casos existiam ramos posteriores à veia basílica, o que deve ser considerado ao se realizar a dissecação da mesma. CONCLUSÕES: O método proposto para a localização da veia basílica mostrou-se eficaz, rápido, seguro e preciso, indicando ser uma boa opção de acesso venoso no paciente em estado crítico que necessite de tal procedimento.Escola Paulista de Medicina Departamento de Morfologia da Universidade Federal de São Paulo (UNIFESP)UNIFESP, EPM, Depto. de Morfologia da EPMSciELOColégio Brasileiro de CirurgiõesUniversidade Federal de São Paulo (UNIFESP)Cardoso, Alexandre Augusto Pinto [UNIFESP]Smith, Ricardo Luiz [UNIFESP]Prates, José Carlos [UNIFESP]Cricenti, Serafim Vincenzo [UNIFESP]2015-06-14T13:32:06Z2015-06-14T13:32:06Z2006-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion140-145application/pdfhttp://dx.doi.org/10.1590/S0100-69912006000300003Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 33, n. 3, p. 140-145, 2006.10.1590/S0100-69912006000300003S0100-69912006000300003.pdf0100-6991S0100-69912006000300003http://repositorio.unifesp.br/handle/11600/3068ark:/48912/0013000014gkxporRevista do Colégio Brasileiro de Cirurgiõesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-04T15:38:31Zoai:repositorio.unifesp.br/:11600/3068Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:55:32.982837Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Método trigonométrico para o acesso à veia basílica no terço distal do braço
Trigonometric method to the anatomo-surgical approach of the basilic vein in the arm distal third
title Método trigonométrico para o acesso à veia basílica no terço distal do braço
spellingShingle Método trigonométrico para o acesso à veia basílica no terço distal do braço
Método trigonométrico para o acesso à veia basílica no terço distal do braço
Cardoso, Alexandre Augusto Pinto [UNIFESP]
Veins
Forearm
Surgery
Veias
Antebraço
Cirurgia
Cardoso, Alexandre Augusto Pinto [UNIFESP]
Veins
Forearm
Surgery
Veias
Antebraço
Cirurgia
title_short Método trigonométrico para o acesso à veia basílica no terço distal do braço
title_full Método trigonométrico para o acesso à veia basílica no terço distal do braço
title_fullStr Método trigonométrico para o acesso à veia basílica no terço distal do braço
Método trigonométrico para o acesso à veia basílica no terço distal do braço
title_full_unstemmed Método trigonométrico para o acesso à veia basílica no terço distal do braço
Método trigonométrico para o acesso à veia basílica no terço distal do braço
title_sort Método trigonométrico para o acesso à veia basílica no terço distal do braço
author Cardoso, Alexandre Augusto Pinto [UNIFESP]
author_facet Cardoso, Alexandre Augusto Pinto [UNIFESP]
Cardoso, Alexandre Augusto Pinto [UNIFESP]
Smith, Ricardo Luiz [UNIFESP]
Prates, José Carlos [UNIFESP]
Cricenti, Serafim Vincenzo [UNIFESP]
Smith, Ricardo Luiz [UNIFESP]
Prates, José Carlos [UNIFESP]
Cricenti, Serafim Vincenzo [UNIFESP]
author_role author
author2 Smith, Ricardo Luiz [UNIFESP]
Prates, José Carlos [UNIFESP]
Cricenti, Serafim Vincenzo [UNIFESP]
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Cardoso, Alexandre Augusto Pinto [UNIFESP]
Smith, Ricardo Luiz [UNIFESP]
Prates, José Carlos [UNIFESP]
Cricenti, Serafim Vincenzo [UNIFESP]
dc.subject.por.fl_str_mv Veins
Forearm
Surgery
Veias
Antebraço
Cirurgia
topic Veins
Forearm
Surgery
Veias
Antebraço
Cirurgia
description BACKGROUND: To determine anatomo-surgical parameters to fast, safe and precise approach to the basilic vein in the arm distal third and to assess anatomic features related to the presence, and nerve sintopy in the region. MATERIAL AND METHODS: The study was made in 15 human corpses, from male adults aged 27 up to 58 years old, summing up 30 upper limbs, fixed in 10% formalin. It was created a trigonometric method using anatomic parameters to determine a triangle which apex was the reference point to locate the basilic vein in the arm distal third. The region was dissected, the vein exposed, its diameter assessed with a caliper. The method was utilized to perform the basilic vein dissection in 15 patients that required the venous approach. RESULTS AND CONCLUSION: The basilic vein was found in the medial surface of arm distal third in all studied cadavers. The vein was located on the triagle apex in 70% of the cases (87% of the right and 53% of the left upper limbs). In 30% of the specimens the vein was placed medially to the triangle apex, the distance did not exceeded 5mm. In 83,33% of the specimens there were branches of the medial cutaneous nerves of arm and forearm against the vein adventitia. It was found two branches of the medial cutaneous nerves of arm and forearm related to each basilic vein in the majority of the upper limbs (90% - 27 limbs) and only one branch in the remaining (10 % - 3 limbs). In 30% of the cases there were branches located behind the basilic vein, this fact must be considered when the basilic vein dissection is made. The proposed method to the basilic vein location showed to be fast, safe and precise, indicating that the method is a good option to the vascular approach in patients in critical conditions that demand this procedure.
publishDate 2006
dc.date.none.fl_str_mv 2006-06-01
2015-06-14T13:32:06Z
2015-06-14T13:32:06Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0100-69912006000300003
Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 33, n. 3, p. 140-145, 2006.
10.1590/S0100-69912006000300003
S0100-69912006000300003.pdf
0100-6991
S0100-69912006000300003
http://repositorio.unifesp.br/handle/11600/3068
dc.identifier.dark.fl_str_mv ark:/48912/0013000014gkx
url http://dx.doi.org/10.1590/S0100-69912006000300003
http://repositorio.unifesp.br/handle/11600/3068
identifier_str_mv Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 33, n. 3, p. 140-145, 2006.
10.1590/S0100-69912006000300003
S0100-69912006000300003.pdf
0100-6991
S0100-69912006000300003
ark:/48912/0013000014gkx
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 140-145
application/pdf
dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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dc.identifier.doi.none.fl_str_mv 10.1590/S0100-69912006000300003