Clinical application of vein visualization apparatus AccuVein®500 in breast cancer surgery: a case report
Abstract Background AccuVein® can help visualize superficial veins and is generally used as an auxiliary device to identify patterns of veins that are difficult to locate for collecting blood and securing venous lines. Even when venous patterns are obscure via visual inspection and/or palpation, the...
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BMC
2025-05-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-025-05296-x |
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| author | Junta Sakakibara Katsuhiro Nasu Jun-ichiro Ikeda Tiberiu Hiroshi Suzuki Jissei Yokomizo Hiroshi Fujimoto Mamoru Takada Takeshi Nagashima Masayuki Ohtsuka |
| author_facet | Junta Sakakibara Katsuhiro Nasu Jun-ichiro Ikeda Tiberiu Hiroshi Suzuki Jissei Yokomizo Hiroshi Fujimoto Mamoru Takada Takeshi Nagashima Masayuki Ohtsuka |
| author_sort | Junta Sakakibara |
| collection | DOAJ |
| description | Abstract Background AccuVein® can help visualize superficial veins and is generally used as an auxiliary device to identify patterns of veins that are difficult to locate for collecting blood and securing venous lines. Even when venous patterns are obscure via visual inspection and/or palpation, the clear projection/delineation of superficial veins using this apparatus facilitates safe venous puncture and helps secure venous lines. Therefore, this apparatus is widely used in clinical settings. AccuVein® can easily visualize not only superficial veins in the limbs but also the ones located throughout the body surface. Case presentation We report three cases of 68-year-old, 41-year-old, and 56-year-old Japanese women in whom superficial veins in the breasts were visualized using AccuVein®, and mastectomy and partial mastectomy were performed. All patients were of Japanese ethnicity. AccuVein® can enable the examiner to observe superficial veins in the breasts, irrespective of their skills. The examiner can, thus, secure detailed visualization of subcutaneous veins in the breasts. Furthermore, AccuVein® ensures reproducibility and subjectivity regardless of the examiners’ experience. During a mastectomy, the perforating branches of the internal thoracic vein originating from the greater pectoral muscle are identified, ligated, and separated. The preoperative use of AccuVein® makes it possible to instantaneously identify their position. Visualizing the perforating branches to their root in patients with thin subcutaneous breast fat and their roots’ proximity in patients with thick subcutaneous breast fat is possible. While the position and/or range of a breast cancer lesion may sometimes be unclear in ultrasonography, marking subcutaneous mammary veins around the lesion as the benchmark helps identify the lesion position. In this study, we inspected the patterns of subcutaneous mammary veins using AccuVein®. This manuscript reports the clinical application of this apparatus in breast cancer surgeries. Conclusion Understanding the vascular construction of subcutaneous mammary veins using the vein visualization apparatus AccuVein® may serve as an auxiliary technique for safely and securely identifying breast cancer lesions. |
| format | Article |
| id | doaj-art-e4bcd4c9dfd14978a19dd6d994d606af |
| institution | OA Journals |
| issn | 1752-1947 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | Journal of Medical Case Reports |
| spelling | doaj-art-e4bcd4c9dfd14978a19dd6d994d606af2025-08-20T01:53:23ZengBMCJournal of Medical Case Reports1752-19472025-05-011911710.1186/s13256-025-05296-xClinical application of vein visualization apparatus AccuVein®500 in breast cancer surgery: a case reportJunta Sakakibara0Katsuhiro Nasu1Jun-ichiro Ikeda2Tiberiu Hiroshi Suzuki3Jissei Yokomizo4Hiroshi Fujimoto5Mamoru Takada6Takeshi Nagashima7Masayuki Ohtsuka8Department of General Surgery, Chiba University Graduate School of MedicineDepartment of Radiology, Chiba University Graduate School of MedicineDepartment of Diagnostic Pathology, Chiba University Graduate School of MedicineBreast Clinic, Kouzunomori Medical ClinicBreast Clinic, Kawakami Breast ClinicDepartment of General Surgery, Chiba University Graduate School of MedicineDepartment of General Surgery, Chiba University Graduate School of MedicineDepartment of General Surgery, Chiba University Graduate School of MedicineDepartment of General Surgery, Chiba University Graduate School of MedicineAbstract Background AccuVein® can help visualize superficial veins and is generally used as an auxiliary device to identify patterns of veins that are difficult to locate for collecting blood and securing venous lines. Even when venous patterns are obscure via visual inspection and/or palpation, the clear projection/delineation of superficial veins using this apparatus facilitates safe venous puncture and helps secure venous lines. Therefore, this apparatus is widely used in clinical settings. AccuVein® can easily visualize not only superficial veins in the limbs but also the ones located throughout the body surface. Case presentation We report three cases of 68-year-old, 41-year-old, and 56-year-old Japanese women in whom superficial veins in the breasts were visualized using AccuVein®, and mastectomy and partial mastectomy were performed. All patients were of Japanese ethnicity. AccuVein® can enable the examiner to observe superficial veins in the breasts, irrespective of their skills. The examiner can, thus, secure detailed visualization of subcutaneous veins in the breasts. Furthermore, AccuVein® ensures reproducibility and subjectivity regardless of the examiners’ experience. During a mastectomy, the perforating branches of the internal thoracic vein originating from the greater pectoral muscle are identified, ligated, and separated. The preoperative use of AccuVein® makes it possible to instantaneously identify their position. Visualizing the perforating branches to their root in patients with thin subcutaneous breast fat and their roots’ proximity in patients with thick subcutaneous breast fat is possible. While the position and/or range of a breast cancer lesion may sometimes be unclear in ultrasonography, marking subcutaneous mammary veins around the lesion as the benchmark helps identify the lesion position. In this study, we inspected the patterns of subcutaneous mammary veins using AccuVein®. This manuscript reports the clinical application of this apparatus in breast cancer surgeries. Conclusion Understanding the vascular construction of subcutaneous mammary veins using the vein visualization apparatus AccuVein® may serve as an auxiliary technique for safely and securely identifying breast cancer lesions.https://doi.org/10.1186/s13256-025-05296-xVein visualization apparatusAccuVein®Subcutaneous mammary veinsBreast cancerSurgery |
| spellingShingle | Junta Sakakibara Katsuhiro Nasu Jun-ichiro Ikeda Tiberiu Hiroshi Suzuki Jissei Yokomizo Hiroshi Fujimoto Mamoru Takada Takeshi Nagashima Masayuki Ohtsuka Clinical application of vein visualization apparatus AccuVein®500 in breast cancer surgery: a case report Journal of Medical Case Reports Vein visualization apparatus AccuVein® Subcutaneous mammary veins Breast cancer Surgery |
| title | Clinical application of vein visualization apparatus AccuVein®500 in breast cancer surgery: a case report |
| title_full | Clinical application of vein visualization apparatus AccuVein®500 in breast cancer surgery: a case report |
| title_fullStr | Clinical application of vein visualization apparatus AccuVein®500 in breast cancer surgery: a case report |
| title_full_unstemmed | Clinical application of vein visualization apparatus AccuVein®500 in breast cancer surgery: a case report |
| title_short | Clinical application of vein visualization apparatus AccuVein®500 in breast cancer surgery: a case report |
| title_sort | clinical application of vein visualization apparatus accuvein r 500 in breast cancer surgery a case report |
| topic | Vein visualization apparatus AccuVein® Subcutaneous mammary veins Breast cancer Surgery |
| url | https://doi.org/10.1186/s13256-025-05296-x |
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