Particularități individuale ale indicilor morfometrici ai arterei axilare

Abstract

Background Lately, the radial artery has been increasingly used in coronary angiography and in cases when its diameter is too small, or there occurs a spasm after the introduction of the contrast medium, the axillary artery is used. In order to avoid injury to the brachial plexus during catheterization of the axillary artery, it is necessary to know both the anatomo-topographic peculiarities and its morphometric parameters. The aim of the study was to evaluate the morphometric parameters of the axillary artery and of its branches depending on gender and constitutional type. Material and methods The upper limb arteries were studied on 210 angiographies of both genders, taken from the database of the Euromed Diagnostic Medical Center, Chisinau, Republic of Moldova. By determining the proportionality index of the humerus thickness/length, three constitutional types were established. Using the RadiAnt DICOM Viewer 3.42 software, the length of the axillary artery, its proximal/distal internal diameter, as well as the proximal internal diameter of all its branches were determined. Results The mean length of the axillary artery was 8.69±0.15 cm; in males – 8.98±0.18 cm, in females – 8.25±0.25 cm. The proximal internal diameter of the axillary artery was 7.82±0.16 mm, and the distal one – 6.38±0.14 mm; depending on gender, its proximal diameter was 8.08±0.20 mm in males and 7.40±0.24 mm in females, and the distal one – 6.6±0.19 mm in males and 6.03±0.20 mm in females. Conclusions Advanced imaging methods have the capacity for precise description of the individual peculiarities of the axillary artery morphometric parameters.