Anat Cell Biol.  2022 Jun;55(2):148-154. 10.5115/acb.21.217.

Patterns of superficial veins in the cubital fossa and its clinical implications among southern Ethiopian population

• Melaku T
• Wondmagegn H
• Gebremickael A
• Tadesse A

• KMID: 2531201
• DOI: http://doi.org/10.5115/acb.21.217

Abstract

Cubital fossa is the site where the venous accesses are frequently made. Superficial veins at this site display variations in their pattern among different populations. Knowledge of different venous pattern in the cubital fossa is important for diagnostic, surgical and therapeutic procedures. The purpose of this study was to report variations of the cubital superficial vein patterns in the southern Ethiopian subjects. An institution based cross-sectional study design was employed among 401 randomly selected patients presented at the triage room of Arba Minch General Hospital from January 15 to February 15, 2021. A questionnaire was used to collect socio-demographic data and images of the common and variant superficial venous patterns were recorded. Descriptive statistical analysis was performed. P<0.05 was considered as statistical significance. In the present study, a total of 802 cubital fossae from 401 study participants were examined. Five patterns of superficial veins were identified. Type 2 was the most common pattern and observed in 55.0% of cubital fossae (42.1% right and 67.8% left cubital fossae). The least common, type 5 variant was detected in 2.6% cubital fossae (2.7% right and 2.5% left). Statistically significant association based on sex and laterality was noted. The current study concluded that type 2 and type 3 patterns were more frequent superficial venous patterns in the cubital fossa and more common in males than female. Awareness of these uncommon cubital venous patterns and their incidence is very useful for those performing venipuncture or venisection especially under emergency conditions.

Keyword

Cubital fossa; Venipuncture; Superficial veins; Patterns

Figure

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  Fig. 1 Diagrammatic illustration of superficial veins patterns in cubital fossa. C, cephalic vein; B, basillic vein; MCuV, median cubital vein; MCV, median cephalic vein; MBV, median basillic vein; MAV, median ante brachial vein.

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  Fig. 2 Distributions of cubital venous pattern based on sex of participants.

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  Fig. 3 Five types of superficial venous patterns of study participants. 1 and 2, tributaries draining to the arched median vein; c, cephalic vein; b, basilic vein; mcv, median cephalic vein; mbv, median basilic vein; mav, median antebrachial vein; t, other tributaries; arc, arched vein with proximal concavity.

Reference

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