Anatomic Variation of Subclavian Artery Visualized on Ultrasound-Guided Supraclavicular Brachial Plexus Block
Use of ultrasonography for performance of nerve and plexus blocks has made the process simpler and safer. However, at times, variant anatomy of the visualized structures can lead to failure of blocks or complications such as intravascular injections. This is especially true in case of novice operato...
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2014-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2014/394920 |
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author | Santvana Kohli Naveen Yadav Arunima Prasad Sumantra Sarathi Banerjee |
author_facet | Santvana Kohli Naveen Yadav Arunima Prasad Sumantra Sarathi Banerjee |
author_sort | Santvana Kohli |
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description | Use of ultrasonography for performance of nerve and plexus blocks has made the process simpler and safer. However, at times, variant anatomy of the visualized structures can lead to failure of blocks or complications such as intravascular injections. This is especially true in case of novice operators. We report a case of a variant branch of subclavian artery, possibly the dorsal scapular artery passing through the brachial plexus nerve bundles in the supraclavicular area. Since this variation in anatomy was visualized in the scout scan prior to the performance of the block, it was possible to avoid any accidental puncture. Hence, a thorough knowledge of the ultrasound anatomy is important in order to identify various aberrations and variations. It is also prudent to perform a preliminary scan, prior to performance of the block to localize the target area and avoid any inadvertent complications. |
format | Article |
id | doaj-art-b9c8981851014a6ba0e072df488b63ca |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2014-01-01 |
publisher | Wiley |
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series | Case Reports in Medicine |
spelling | doaj-art-b9c8981851014a6ba0e072df488b63ca2025-02-03T06:13:20ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/394920394920Anatomic Variation of Subclavian Artery Visualized on Ultrasound-Guided Supraclavicular Brachial Plexus BlockSantvana Kohli0Naveen Yadav1Arunima Prasad2Sumantra Sarathi Banerjee3Department of Anesthesiology, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, IndiaDepartment of Anesthesiology, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, IndiaDepartment of Anesthesiology, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, IndiaDepartment of Anesthesiology, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, IndiaUse of ultrasonography for performance of nerve and plexus blocks has made the process simpler and safer. However, at times, variant anatomy of the visualized structures can lead to failure of blocks or complications such as intravascular injections. This is especially true in case of novice operators. We report a case of a variant branch of subclavian artery, possibly the dorsal scapular artery passing through the brachial plexus nerve bundles in the supraclavicular area. Since this variation in anatomy was visualized in the scout scan prior to the performance of the block, it was possible to avoid any accidental puncture. Hence, a thorough knowledge of the ultrasound anatomy is important in order to identify various aberrations and variations. It is also prudent to perform a preliminary scan, prior to performance of the block to localize the target area and avoid any inadvertent complications.http://dx.doi.org/10.1155/2014/394920 |
spellingShingle | Santvana Kohli Naveen Yadav Arunima Prasad Sumantra Sarathi Banerjee Anatomic Variation of Subclavian Artery Visualized on Ultrasound-Guided Supraclavicular Brachial Plexus Block Case Reports in Medicine |
title | Anatomic Variation of Subclavian Artery Visualized on Ultrasound-Guided Supraclavicular Brachial Plexus Block |
title_full | Anatomic Variation of Subclavian Artery Visualized on Ultrasound-Guided Supraclavicular Brachial Plexus Block |
title_fullStr | Anatomic Variation of Subclavian Artery Visualized on Ultrasound-Guided Supraclavicular Brachial Plexus Block |
title_full_unstemmed | Anatomic Variation of Subclavian Artery Visualized on Ultrasound-Guided Supraclavicular Brachial Plexus Block |
title_short | Anatomic Variation of Subclavian Artery Visualized on Ultrasound-Guided Supraclavicular Brachial Plexus Block |
title_sort | anatomic variation of subclavian artery visualized on ultrasound guided supraclavicular brachial plexus block |
url | http://dx.doi.org/10.1155/2014/394920 |
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