Clinical application of computed tomography angiography and venography three-dimensional reconstruction of axillary artery and axillary vein and their distribution

doi:10.16098/j.issn.0529-1356.2025.02.012

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Acta Anatomica Sinica ›› 2025, Vol. 56 ›› Issue (2) : 214-222. DOI: 10.16098/j.issn.0529-1356.2025.02.012

Anatomy

Clinical application of computed tomography angiography and venography three-dimensional reconstruction of axillary artery and axillary vein and their distribution

WEI Yu¹ MAO Yao-ke¹ GONG Jia-yi¹ ZHANG Le¹ WU Peng-ao¹ CHEN Wei² ZHANG Hui^3*

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Abstract

Objective To explore the relationship between axillary artery and axillary vein by combining computed tomography angiography computed tomography angiography(CTA) and computed tomography venography(CTV), and to provide imaging data for establishing an effective blood circulation pathway for vascular injury in clinical transaxillary surgery.

Methods The image data of 30 patients who underwent left upper limb and axillary CTA and CTV at the same time were collected. After three-dimensional reconstruction of the images by GE AW4.6 workstation, the course, branch type and variation of axillary artery, the course of axillary vein, the reflux of subordinate branches and the relationship between axillary artery and axillary vein were observed. The length of the whole segment, the length of segment and the inner diameter of the starting point of each segment were measured and statistically analyzed. Results According to the number of branches from the main trunk, the axillary artery was divided into 7 types. According to the variation of the number of blood vessels, the axillary vein was divided into 5 types; The unknown vein branches converge into 32 branches, of which the first segment accounted for 37.5%, the second segment accounted for 46.9%, and the third segment accounted for 15.6%. According to the absence of arterial branches, the relationship between axillary artery and axillary vein was divided into 2 types. Conclusion There are many types of branches of axillary arteries and branches of axillary veins, and the variation types are complex. The changes of branches of axillary arteries affect the distribution of branches of axillary veins. Combined with CTA and CTV images, the relationship between axillary vessels can be reflected clearly and intuitively, which can provide imaging reference for the establishment of new ways of blood supply and reflux in clinical axillary treatment.

Key words

Axillary artery / Axillary vein / Computed tomography angiography / Computed tomography venography / Human

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WEI Yu MAO Yao-ke GONG Jia-yi ZHANG Le WU Peng-ao CHEN Wei ZHANG Hui. Clinical application of computed tomography angiography and venography three-dimensional reconstruction of axillary artery and axillary vein and their distribution[J]. Acta Anatomica Sinica. 2025, 56(2): 214-222 https://doi.org/10.16098/j.issn.0529-1356.2025.02.012

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