Posterior arm flap for axillary coverage in the setting of bifid axillary vein resection

2021 ◽  
Author(s):  
Oliver Miles ◽  
Olivia Perotti ◽  
Ji Yue Wang ◽  
Namrata Anavekar
Keyword(s):  
Axillary Vein ◽  
Vein Resection

Axillary vein cannulation for central venous access in critical care

2016 ◽  
Vol 37 (S 01) ◽  
Author(s):  
M Algaba Montes ◽  
AÁ Oviedo García ◽  
M Patricio Bordomás
Keyword(s):  
Critical Care ◽  
Central Venous Access ◽  
Venous Access ◽  
Axillary Vein ◽  
Central Venous ◽  
Vein Cannulation

scholarly journals Radiologic and intraoperative detection of need for mesenteric vein resection in patients with adenocarcinoma of the head of the pancreas

HPB ◽  
2011 ◽  
Vol 13 (9) ◽  
pp. 633-642 ◽  
Author(s):  
Matthew R. Porembka ◽  
William G. Hawkins ◽  
David C. Linehan ◽  
Feng Gao ◽  
Changqing Ma ◽  
...  
Keyword(s):  
Mesenteric Vein ◽  
Intraoperative Detection ◽  
Head Of The Pancreas ◽  
Vein Resection

scholarly journals Extended Venous Resections for Borderline Resectable Pancreatic Head Adenocarcinoma—A Retrospective Studies of Nine Cases

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 978
Author(s):  
Nicolae Bacalbasa ◽  
Irina Balescu ◽  
Mihai Dimitriu ◽  
Cristian Balalau ◽  
Florentina Furtunescu ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Portal Vein ◽  
Radical Surgery ◽  
Portal Vein Resection ◽  
Resectable Pancreatic Cancer ◽  
Borderline Resectable ◽  
Venous Resection ◽  
Graft Thrombosis ◽  
Borderline Resectable Pancreatic Cancer ◽  
Vein Resection

Background: pancreatic cancer is one of the most lethal malignancies and a leading cause of cancer-related death worldwide. The only chance to improve the long-term outcomes of patients with pancreatic cancer is surgery with radical intent. Methods: in the present paper, we aim to describe a case series of 9 patients submitted to radical surgery for borderline resectable pancreatic cancer. Results: in all cases, negative resection margins were achieved. The types of venous resection consisted of tangential portal vein resection in four cases, circumferential portal vein resection with direct reanastomosis in one case and circumferential resection with graft placement in another four cases; postoperatively, one patient developed a vascular surgery-related complication consisting of graft thrombosis and thus necessitated prolonged anticoagulant therapy. Conclusions: extended venous resections can be a safe and efficient way to maximize the benefits of radical surgery in locally advanced, borderline resectable pancreatic cancer.

scholarly journals Confounding by Indication Is a Major Issue in the Available Evidence on Role of Portal Vein Resection in Patients Undergoing Curative Surgery for Klatskin Tumour

2021 ◽  
pp. 1-4
Author(s):  
Shahab Hajibandeh ◽  
Shahin Hajibandeh ◽  
Karim Hassan ◽  
Sumera Baloch ◽  
Thomas Satyadas
Keyword(s):  
Portal Vein ◽  
Portal Vein Resection ◽  
Confounding By Indication ◽  
Curative Surgery ◽  
Klatskin Tumour ◽  
Vein Resection

scholarly journals Impact of Radical Pancreaticoduodenectomy with Portal Vein Resection and Extensive Surrounding Soft Tissues on the Long-term Outcomes for Pancreatic Head Cancer

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S63
Author(s):  
A. Saiura ◽  
H. Ito ◽  
A. Oba ◽  
Y. Inoue ◽  
Y. Mise ◽  
...  
Keyword(s):  
Portal Vein ◽  
Soft Tissues ◽  
Pancreatic Head ◽  
Portal Vein Resection ◽  
Long Term Outcomes ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Vein Resection

The value of real-time ultrasound-guidance for definite placement of a right supraclavicular subclavian central venous catheter

2021 ◽  
pp. 112972982199853
Author(s):  
Jens M Poth ◽  
Stefan F Ehrentraut ◽  
Se-Chan Kim
Keyword(s):  
Ultrasound Guidance ◽  
Venous Catheter ◽  
Needle Insertion ◽  
Major Surgery ◽  
Axillary Vein ◽  
Central Venous ◽  
Supraclavicular Fossa ◽  
The Right ◽  
High Index Of Suspicion ◽  
Insertion Process

Central venous catheters (CVC) are widely used in critically ill patients and in those undergoing major surgery. Significant adverse events, such as pneumothorax and hemothorax, can be caused by needle insertion during CVC insertion. CVC misplacement is less often described, yet equally important, as it can lead to deleterious complications. Here, we describe a case in which misplacement of a guidewire following infraclavicular puncture of the right axillary vein was detected by continuous ultrasound employing the right supraclavicular fossa view. Utilizing this ultrasound view, the insertion approach to the vessel was changed and correct CVC placement could be achieved. While ultrasound guidance is widely accepted for vessel puncture, this case demonstrates the value of continuous ultrasound guidance for the entire process of CVC insertion: vessel puncture, correct guidewire advancement, catheter placement, and exclusion of complications such as pneumothorax. It also shows that there should be a high index of suspicion for guidewire misplacement, even after successful venipuncture. In conclusion, ultrasound protocols covering the complete CVC insertion process should be implemented into current clinical practice.

Meta-analysis and cost effective analysis of portal-superior mesenteric vein resection during pancreatoduodenectomy: Impact on margin status and survival

2017 ◽  
Vol 26 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Richard Bell ◽  
Braden Te Ao ◽  
Natasha Ironside ◽  
Adam Bartlett ◽  
John A. Windsor ◽  
...  
Keyword(s):  
Superior Mesenteric Vein ◽  
Meta Analysis ◽  
Cost Effective ◽  
Margin Status ◽  
Mesenteric Vein ◽  
Vein Resection ◽  
Effective Analysis

Axillary Vein Fat Pad and Its Surgical Importance—Image of Interest

2021 ◽  
Author(s):  
M. Dhivya Nandhiny ◽  
Paul Mazhuvanchary Jacob
Keyword(s):  
Axillary Vein ◽  
Fat Pad

Single center experience with ultrasound guided axillary vein port placement

2021 ◽  
pp. 112972982110080
Author(s):  
Patrick Tivnan ◽  
Micaela Nannery ◽  
Yan Epelboym ◽  
Rajendran Vilvendhan
Keyword(s):  
Demographic Data ◽  
Axillary Vein ◽  
Safe Procedure ◽  
Ultrasound Guided ◽  
Port Placement ◽  
Chi Square ◽  
Vein Thrombosis ◽  
Single Center Experience ◽  
Procedural Complications ◽  
The Right

Purpose: To retrospectively review a single institution experience of ultrasound guided axillary vein port placement. Methods: In this retrospective study, a patient list was generated after searching our internal database from 1/1/2012 to 10/1/2018. Patients who had undergone axillary vein port placement were included. Chart review was performed to confirm approach, laterality and to gather demographic data, clinical indications, technical outcomes, and complications. Descriptive statistics were used to analyze this cohort. Chi-square statistics were used to compare outcomes by laterality. Results: Three hundred seven patients (51% female) with an average age of 58 years were included. The port was placed via the right axillary vein in 85% (261/307), predominantly for the indication of chemotherapy access (296/307). Technical success was achieved in all 307 cases. Peri procedural complications occurred in 1% (4/307) of cases and included port malpositioning requiring replacement and a case of port pocket hematoma. Post procedural complications including deep vein thrombosis and port malfunction occurred in 17% (52/307) of cases and port removal as a result of complication occurred in 9% (29/307) of cases. Conclusions: Ultrasound guided placement of an axillary port is a safe procedure to perform and demonstrates good clinical outcomes.

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