Sakakibara Junta, Nasu Katsuhiro, Ikeda Jun-Ichiro, Suzuki Tiberiu Hiroshi, Yokomizo Jissei, Fujimoto Hiroshi, Takada Mamoru, Nagashima Takeshi, Ohtsuka Masayuki
Department of General Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuo-Ku, Chiba City, Chiba Prefecture, 260-8677, Japan.
Department of Radiology, Chiba University Graduate School of Medicine, Chiba, Japan.
J Med Case Rep. 2025 May 18;19(1):231. doi: 10.1186/s13256-025-05296-x.
AccuVein can help visualize superficial veins and is generally used as an auxiliary device to identify patterns of veins that are difficult to locate for collecting blood and securing venous lines. Even when venous patterns are obscure via visual inspection and/or palpation, the clear projection/delineation of superficial veins using this apparatus facilitates safe venous puncture and helps secure venous lines. Therefore, this apparatus is widely used in clinical settings. AccuVein can easily visualize not only superficial veins in the limbs but also the ones located throughout the body surface.
We report three cases of 68-year-old, 41-year-old, and 56-year-old Japanese women in whom superficial veins in the breasts were visualized using AccuVein, and mastectomy and partial mastectomy were performed. All patients were of Japanese ethnicity. AccuVein can enable the examiner to observe superficial veins in the breasts, irrespective of their skills. The examiner can, thus, secure detailed visualization of subcutaneous veins in the breasts. Furthermore, AccuVein ensures reproducibility and subjectivity regardless of the examiners' experience. During a mastectomy, the perforating branches of the internal thoracic vein originating from the greater pectoral muscle are identified, ligated, and separated. The preoperative use of AccuVein makes it possible to instantaneously identify their position. Visualizing the perforating branches to their root in patients with thin subcutaneous breast fat and their roots' proximity in patients with thick subcutaneous breast fat is possible. While the position and/or range of a breast cancer lesion may sometimes be unclear in ultrasonography, marking subcutaneous mammary veins around the lesion as the benchmark helps identify the lesion position. In this study, we inspected the patterns of subcutaneous mammary veins using AccuVein. This manuscript reports the clinical application of this apparatus in breast cancer surgeries.
Understanding the vascular construction of subcutaneous mammary veins using the vein visualization apparatus AccuVein may serve as an auxiliary technique for safely and securely identifying breast cancer lesions.
AccuVein有助于可视化浅表静脉，通常用作辅助设备，以识别难以定位的静脉模式，用于采血和固定静脉通路。即使通过目视检查和/或触诊难以看清静脉模式，使用该设备清晰投射/描绘浅表静脉也有助于安全地进行静脉穿刺并有助于固定静脉通路。因此，该设备在临床环境中被广泛使用。AccuVein不仅可以轻松可视化四肢的浅表静脉，还可以可视化遍布全身表面的静脉。
我们报告了3例分别为68岁、41岁和56岁的日本女性，她们使用AccuVein可视化了乳房中的浅表静脉，并进行了乳房切除术和部分乳房切除术。所有患者均为日本种族。AccuVein能够使检查者观察乳房中的浅表静脉，无论其技术水平如何。因此，检查者可以确保对乳房皮下静脉进行详细的可视化。此外，无论检查者的经验如何，AccuVein都能确保可重复性和客观性。在乳房切除术中，识别、结扎并分离起源于胸大肌的胸廓内静脉的穿支。术前使用AccuVein可以即时确定它们的位置。对于皮下乳房脂肪薄的患者，可以看到穿支至其根部，对于皮下乳房脂肪厚的患者，可以看到其根部的位置。虽然在超声检查中乳腺癌病变的位置和/或范围有时可能不清楚，但将病变周围的皮下乳腺静脉标记为基准有助于确定病变位置。在本研究中，我们使用AccuVein检查了皮下乳腺静脉的模式。本手稿报告了该设备在乳腺癌手术中的临床应用。
使用静脉可视化设备AccuVein了解皮下乳腺静脉的血管结构，可能作为一种辅助技术，用于安全可靠地识别乳腺癌病变。
