Abstract

Axillary artery catheterization is frequently used in angiographic examinations. Meanwhile, in 10% of patients, we have significant difficulties during catheterization because of atypical origin of subscapular artery. As a result the guide-introducer cannot be conducted into subclavial artery through axillary artery, and gets into subscapular artery instead. We suggest using a new ultrasonic approach in which subscapular artery entry can be visualized. Ultrasonic examination of subscapular and axillary arteries in B-mode was performed in 30 patients who were prepared to undergo angiography from transaxillary approach. We defined subscapular artery atypical origin predictors: subscapular artery diameter to axillary artery diameter ratio >0.7; angle between proximal segments of subscapular and axillary arteries >95°. Therefore, we believe that ultrasonic examination of subscapular and axillary arteries before catheterization can make procedure of angiography more effective and less complicated.

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