METHOD FOR AXILLARY VEIN PUNCTION AND CANNULATION Russian patent published in 2018 - IPC A61B17/00 A61M25/01 

FIELD: medicine.

SUBSTANCE: skin and subcutaneous tissue are cut in the projection of the deltopectoral groove. The needle is punctured through the large pectoral muscle at an angle of 45 degrees to the front axis at the point 2 centimetres medial to the inner edge of the deltopectoral groove. The needle tip with a syringe attached thereto is advanced, creating negative pressure in the latter by piston traction towards the x-ray anatomical landmark - the lower edge of the ipsilateral first rib along the midclavicular line. The axillary vein wall, depending on the constitutional features of the operated patients, is reached by a needle at a depth of 2.5-4 cm.

EFFECT: method allows to improve the security of antiarrhythmic devices implantation by eliminating the risk of lung damage, development of intraoperative gemotorax and pneumothorax, electrode crushing in the costoclavicular interval leading to inefficient electrical stimulation of the heart and unmotivated triggering of the cardioverter-defibrillator, does not require intraoperative venography.

2 ex