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Supraclavicular cephalic vein draining into the internal jugular vein via the external jugular vein

  • Anatomic Variations
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Abstract

Purpose

The aim of this study is to report rare anatomical variations of the cephalic vein (CV) in a 77-year-old Korean male cadaver.

Case report

On the right upper arm, the CV located lateral to the deltopectoral groove passed anterior to the clavicle at the lateral one-fourth of the clavicle without anastomosis to the axillary vein. It was connected to the transverse cervical and suprascapular veins by two communicating branches in the middle of its course at the neck, and opened into the external jugular vein at its junction with the internal jugular veins. The suprascapular and anterior jugular veins were flowed into the subclavian vein at the jugulo-subclavian venous confluence, and were connected by a short communicating branch.

Conclusion

Detailed knowledge of the variations in the CV is expected to be helpful in decreasing unpredicted injuries and possible postoperative complications when invasive venous access is performed through the CV.

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References

  1. Charpy A (1903) Veines in Particulier. In: Poirier P, Charpy A (eds) Traite ́d’Anatomie Humaine. Masson et Cie Editeurs, Paris (cited by Vazquez and Sanudo 2016).

  2. Deslaugiers B, Vaysse P, Combes JM, Guitard J, Moscovici J, Visentin M, Vardon D, Bécue J (1994) Contribution to the study of the tributaries and the termination of the external jugular vein. Surg Radiol Anat 16:173–177. https://doi.org/10.1007/BF01627591

    Article  CAS  PubMed  Google Scholar 

  3. Go JY, Han DJ, Kim J, Yoon SP (2017) A supraclavicular cephalic vein drained into the subclavian vein. Surg Radiol Anat 39:1413–1415. https://doi.org/10.1007/s00276-017-1878-z

    Article  PubMed  Google Scholar 

  4. Hong JE, Kim BR, Kim J, Yoon SP (2016) A cephalic veindrained into one of the double axillary veins through the pectoralis major muscle. Folia Morphol (Warsz) 75:268–270. https://doi.org/10.5603/FM.a2015.0082

    Article  CAS  PubMed  Google Scholar 

  5. Kameda S, Tanaka O, Terayama H, Kanazawa T, Sakamoto R, Tetsu S, Sakabe K (2018) Variations of the cephalic vein anterior to the clavicle in humans. Folia Morphol (Warsz) 77:677–682. https://doi.org/10.5603/FM.a2018.0018

    Article  CAS  PubMed  Google Scholar 

  6. Le Saout J, Vallee B, Person H, Doutriaux M, Blanc J, Nguyen H (1983) Anatomical basis for the surgical use of the cephalic vein (V. Cephalica). 74 anatomical dissections. 189 surgical dissections. J Chir (Paris) 120:131–134

    PubMed  Google Scholar 

  7. Loukas M, Myers CS, Wartmann ChT, Tubbs RS, Judge T, Curry B, Jordan R (2008) The clinical anatomy of the cephalic vein in the deltopectoral triangle. Folia Morphol (Warsz) 67:72–77

    CAS  PubMed  Google Scholar 

  8. Lum C, Ladenheim ED (2013) An interesting clinical case: variant of the cephalic vein emptying into the internal jugular vein. Semin Dial 26:E11–E12. https://doi.org/10.1111/j.1525-139X.2012.01102.x

    Article  PubMed  Google Scholar 

  9. McMinn RMH (1990) Last’s anatomy, regional and applied, 8th edn. Churchill Livingstone, Edinburgh, p 94

    Google Scholar 

  10. Padget DH (1956) The cranial venous system in man in reference to development, adult configuration, and relation to the arteries. Am J Anat 98:307–355. https://doi.org/10.1002/aja.1000980302

    Article  CAS  PubMed  Google Scholar 

  11. Parsonnet V, Roelke M (1999) The cephalic vein cutdown versus subclavian puncture for pacemaker/ICD lead implantation. Pacing Clin Electrophysiol 22:695–697. https://doi.org/10.1111/j.1540-8159.1999.tb00531.x

    Article  CAS  PubMed  Google Scholar 

  12. Povoski SP (2000) A prospective analysis of the cephalic vein cutdown approach for chronic indwelling central venous access in 100 consecutive cancer patients. Ann Surg Oncol 7:496–502. https://doi.org/10.1007/s10434-000-0496-9

    Article  CAS  PubMed  Google Scholar 

  13. Saaid A, Drysdale I (2008) Unusual termination of the cephalic vein. Clin Anat 21:786–787. https://doi.org/10.1002/ca.20661

    Article  PubMed  Google Scholar 

  14. Standring S (2015) Gray’s anatomy: the anatomical basis of clinical practice, 41st edn. Elsevier, Philadelphia, pp 619–620

    Google Scholar 

  15. Świętoń EB, Steckiewicz R, Grabowski M, Stolarz P (2016) Selected clinical challenges of a supraclavicular cephalic vein in cardiac implantable electronic device implantation. Folia Morphol (Warsz) 75:376–381. https://doi.org/10.5603/FM.a2015.0125

    Article  PubMed  Google Scholar 

  16. Testut L (2016) Latarjet A (1929) Traite ́d’anatomie humanine, 8th edn. Gaston Doin & Cie Editeurs, Paris (cited by Vazquezand Sanudo

    Google Scholar 

  17. Vazquez T, Sanudo J (2016) Veins of the upper limb. In: Tubbs S, Shoja MM, Loukas M (eds) Bergman’s comprehensive encyclopedia of human anatomic variation. Willey Blackwell, New Jersey, pp 826–831

    Chapter  Google Scholar 

  18. Vialle R, Pietin-Vialle C, Cronier P, Brillu C, Villapadierna F, Mercier P (2001) Anatomic relations between the cephalic vein and the sensory branches of the radial nerve: how can nerve lesions during vein puncture be prevented? Anesth Analg 93:1058–1061. https://doi.org/10.1097/00000539-200110000-00052

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

The authors express their gratitude to the body donor and the families who participated in the body donation program of the Kangwon National University School of Medicine. Results from such research can potentially increase mankind’s overall knowledge that can then improve patient care. The authors thank Kyung-Jin Lee and Soon-Jung Kim for their technical supports.

Funding

This study was supported by the Soonchunhyang University Research Fund (No. 20220446).

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Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Writing and revision of the anatomic part of manuscript by HSW. Writing and revision of the embryologic part of manuscript by JOS and SMN. Project development, data collection, writing—original draft, and editing by HJW. HSW and JOS are co-first authors and contributed equally to this work.

Corresponding author

Correspondence to Hyung-Jin Won.

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Conflict of interest

The authors have no conflicts of interest to declare. Finally, no benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject matter of the manuscript.

Ethical approval

Approval was obtained from the institutional review board of the Kangwon National University for anatomy research (approval number KWNUIRB-2022–10-005).

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Won, HS., Shin, JO., Nam, S.M. et al. Supraclavicular cephalic vein draining into the internal jugular vein via the external jugular vein. Surg Radiol Anat 45, 487–490 (2023). https://doi.org/10.1007/s00276-023-03109-8

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  • DOI: https://doi.org/10.1007/s00276-023-03109-8

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