Chaplygina Ye V, Mukanyan S S, Kaplunova O A
Morfologiia. 2016;149(1):53-6.
The diaphragm was taken from the corpses of 80 humans of both sexes of adult age and was studied using the complex of preparation, injection, morphometric and of variational-statistical methods. A significant anatomical variation of the left inferior phrenic veins was found, that was characterized by different variants of their confluence, and variation of their diameters. Five variants of the confluence of the left inferior phrenic veins were defined. It was shown that the variant of confluence of the left inferior phrenic veins into a single trunk fusing with the inferior vena cava was suitable for catheterization. Suitable for catheterization left inferior phrenic veins may be divided into freely catheterizable (diameter of 5 mm and more).and conditionally catheterizable (diameter less Than 5 mm). When performing cardiac resynchronization therapy, the vein can be used as an alternative way (along with the coronary sinus of the heart) for transvenous delivery system of stimulation electrode. Variants of confluence of the left inferior phrenic vein in hepatic and adrenal veins were not suitable for catheterization.
取80具成年男女尸体的膈肌，采用标本制备、注射、形态测量及变异统计方法进行研究。发现左膈下静脉存在显著的解剖变异，其特征为汇合方式不同及直径各异。确定了左膈下静脉汇合的五种变异类型。结果表明，左膈下静脉汇入单一主干并与下腔静脉融合的变异类型适合进行导管插入术。适合导管插入术的左膈下静脉可分为可自由导管插入的（直径5毫米及以上）和有条件导管插入的（直径小于5毫米）。在进行心脏再同步治疗时，该静脉可作为（与心脏冠状窦一起）经静脉输送刺激电极系统的替代途径。左膈下静脉汇入肝静脉和肾上腺静脉的变异类型不适合导管插入术。
