Skip to main content
Erschienen in: Anatomical Science International 2/2018

01.03.2018 | Original Article

Dorsal metacarpal veins: anatomic variation and potential clinical implications

verfasst von: Sara S. Elmegarhi, Justin Z. Amarin, Maher T. Hadidi, Darwish H. Badran, Islam M. Massad, Amjad M. Bani-Hani, Amjad T. Shatarat

Erschienen in: Anatomical Science International | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

The dorsal metacarpal veins are frequently cannulated. Cannulation success is determined by several variable anatomic features. The objective of this study is to classify, for the first time, the anatomic variants of the dorsal metacarpal veins. In this cross-sectional study, 520 university students and staff were conveniently recruited. The dorsal metacarpal veins in 1040 hands were studied. Venous visibility was enhanced by either tourniquet application or near-infrared illumination. Variant patterns of the dorsal metacarpal veins were classified. The final analysis included 726 hands, for an exclusion rate of 30 %. Eight pattern types were identified. Three anatomic features informed the variation. Bilateral symmetry of the dorsal metacarpal veins was present in 352 participants (83 % of the total). The overall frequency distribution of variants in both hands was similar (P = 0.8). The frequency distribution of variants was subject to sexual dimorphism (P = 0.001), ethnic variation (P < 0.001), and technical variation (P < 0.001). The anatomic variants of the dorsal metacarpal veins were sorted into decreasingly frequent primary, secondary, and tertiary groups. The groups may signify a progressive increase in difficulty of peripheral cannulation, in the mentioned order. As such, primary patterns are the most common and likely the easiest to cannulate, while tertiary patterns are the least common and likely the most difficult to cannulate. The preceding premise, in tandem with the bilateral asymmetry of the veins, is clinically significant. With cannulation difficulty likely signifying an underlying tertiary pattern, the contralateral dorsal metacarpal veins are probabilistically characterized by a primary pattern and are, as such, the easier option for peripheral venous cannulation.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
Zurück zum Zitat Benziane SH, Benyettou A (2016) Dorsal hand vein identification. Int J Comput Sci Inf Secur 14:423–433 Benziane SH, Benyettou A (2016) Dorsal hand vein identification. Int J Comput Sci Inf Secur 14:423–433
Zurück zum Zitat Drake RL, Vogl AW, Mitchell AWM (2010) Gray’s anatomy for students. Churchill Livingstone, Philadelphia, p 770 Drake RL, Vogl AW, Mitchell AWM (2010) Gray’s anatomy for students. Churchill Livingstone, Philadelphia, p 770
Zurück zum Zitat Hess HA (2010) A biomedical device to improve pediatric vascular access success. Pediatr Nurs 36:259–263PubMed Hess HA (2010) A biomedical device to improve pediatric vascular access success. Pediatr Nurs 36:259–263PubMed
Zurück zum Zitat Im SK, Park HM, Kim YW, Han SC, Kim SW, Kang CH (2001) An biometric identification system by extracting hand vein patterns. J Korean Phys Soc 38:268–272 Im SK, Park HM, Kim YW, Han SC, Kim SW, Kang CH (2001) An biometric identification system by extracting hand vein patterns. J Korean Phys Soc 38:268–272
Zurück zum Zitat Kim MJ, Park JM, Rhee N et al (2012) Efficacy of VeinViewer in pediatric peripheral intravenous access: a randomized controlled trial. Eur J Pediatr 171:1121–1125CrossRefPubMed Kim MJ, Park JM, Rhee N et al (2012) Efficacy of VeinViewer in pediatric peripheral intravenous access: a randomized controlled trial. Eur J Pediatr 171:1121–1125CrossRefPubMed
Zurück zum Zitat Nandini C, Ashwini C, Aparna M, Ramani N, Kini P, Sheeba K (2012) Biometric authentication by dorsal hand vein pattern. Int J Eng Technol 2:837–840 Nandini C, Ashwini C, Aparna M, Ramani N, Kini P, Sheeba K (2012) Biometric authentication by dorsal hand vein pattern. Int J Eng Technol 2:837–840
Zurück zum Zitat Ogeng’o J (2013) Clinical significance of anatomical variations. Anat J Afr 2:57–60 Ogeng’o J (2013) Clinical significance of anatomical variations. Anat J Afr 2:57–60
Zurück zum Zitat Rothbart A, Yu P, Müller-Lobeck L, Spies CD, Wernecke KD, Nachtigall I (2015) Peripheral intravenous cannulation with support of infrared laser vein viewing system in a pre-operation setting in pediatric patients. BMC Res Notes 9:463. doi:10.1186/s13104-015-1431-2 CrossRef Rothbart A, Yu P, Müller-Lobeck L, Spies CD, Wernecke KD, Nachtigall I (2015) Peripheral intravenous cannulation with support of infrared laser vein viewing system in a pre-operation setting in pediatric patients. BMC Res Notes 9:463. doi:10.​1186/​s13104-015-1431-2 CrossRef
Metadaten
Titel
Dorsal metacarpal veins: anatomic variation and potential clinical implications
verfasst von
Sara S. Elmegarhi
Justin Z. Amarin
Maher T. Hadidi
Darwish H. Badran
Islam M. Massad
Amjad M. Bani-Hani
Amjad T. Shatarat
Publikationsdatum
01.03.2018
Verlag
Springer Singapore
Erschienen in
Anatomical Science International / Ausgabe 2/2018
Print ISSN: 1447-6959
Elektronische ISSN: 1447-073X
DOI
https://doi.org/10.1007/s12565-017-0403-0

Weitere Artikel der Ausgabe 2/2018

Anatomical Science International 2/2018 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.