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Subclavian vein
The thyroid gland and its relations. (Right subclavian vein visible at bottom left, left subclavian vein visible at bottom right.)
Diagram showing completion of development of the parietal veins. (Subclavian vein labeled at right, third from top.)
Details
Source
axillary vein, external jugular vein
Drains to
brachiocephalic vein
Artery
subclavian artery
Identifiers
Latin
vena subclavia
MeSH
D013350
TA
A12.3.08.002
FMA
4725
Anatomical terminology
[edit on Wikidata]
The subclavian vein is a paired large vein, one on either side of the body, that is responsible for draining blood from the upper extremities, allowing this blood to return to the heart. The left subclavian vein plays a key role in the absorption of fats and lipids, by allowing its products that have been carried by lymph to enter the bloodstream, where it can enter the hepatic portal vein. Their diameter is approximately 1-2cm, depending on the individual.[1]
Contents
1Structure
2Function
3Clinical relevance
4History
5Disorders
6See also
7Additional images
8References
Structure
Each subclavian vein is a continuation of the axillary vein and runs from the outer border of the first rib to the medial border of anterior scalene muscle. From here it joins with the internal jugular vein to form the brachiocephalic vein (also known as "innominate vein"). The angle of union is termed the venous angle.
The subclavian vein follows the subclavian artery and is separated from the subclavian artery by the insertion of anterior scalene. Thus, the subclavian vein lies anterior to the anterior scalene while the subclavian artery lies posterior to the anterior scalene (and anterior to the middle scalene).
Function
The thoracic duct drains into the left subclavian vein,[2] near its junction with the left internal jugular vein. It carries lymph (water and solutes) from the lymphatic system, as well as chylomicrons or chyle, formed in the intestines from dietary fat and lipids, allowing these to enter the bloodstream; the products of fats and lipids can then be carried by the bloodstream to the hepatic portal vein, and then finally to the liver, making it so that the left subclavian vein plays a key role in the absorption of these fats and lipids.
The right lymphatic duct drains its lymph into the junction of the right internal jugular vein, and the right subclavian vein.
Clinical relevance
As the subclavian vein is large, central and relatively superficial, it is often used to place central venous lines.
History
Sub (below), and clavian (pertaining to the clavicle).
Disorders
Paget–Schroetter disease includes the thrombosis of the subclavian veins, in this case usually caused by exercise-induced strains.
See also
Subclavian artery
Additional images
Peculiar ribs.
The venæ cavæ and azygos veins, with their tributaries.
The thoracic and right lymphatic ducts.
The thymus of a full-term infant, exposed in situ.
Subclavian vein
Subclavian vein - right view
Subclavian vein
Subclavian vein
References
^"Subclavian Vein Anatomy, Function & Location | Body Maps". Healthline. 2015-03-20. Retrieved 2019-01-03.
^"What is the Subclavian Vein? (with pictures)". wiseGEEK. Retrieved 2019-01-03.
v
t
e
Veins of the thorax and vertebral column
Thorax
Heart
Coronary sinus
Great cardiac (Left marginal)
Posterior of the left ventricle
Oblique of the left atrium (Ligament of the left vena cava)
Middle cardiac
Small cardiac vein
Anterior cardiac (Right marginal)
Smallest cardiac veins
Right atrial veins
Right ventricular veins
Lungs
Pulmonary veins
superior vena cava
Brachiocephalic
internal thoracic
anterior intercostal
superior epigastric
left superior intercostal
supreme
vertebral
subclavian
axillary:
lateral thoracic
thoracoepigastric
dorsal scapular
external jugular
pericardiacophrenic
internal jugular
Azygos
right superior intercostal
bronchial
intercostal/posterior intercostal 5-11
accessory hemiazygos/hemiazygos
superior phrenic
Vertebral column
vertebral venous plexuses
external
internal
spinal
posterior
anterior
basivertebral
intervertebral
Authority control
TA98: A12.3.08.002
UpToDate Contents
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… Vena cava filters can be placed into the inferior vena cava (IVC) or, much less commonly, the superior vena cava (SVC) as a treatment to prevent pulmonary embolism. Two general types of vena cava filters …
… Superior vena cava (SVC) syndrome results from any condition that leads to obstruction of blood flow through the SVC. Malignant obstruction can be caused by direct invasion of tumor into the SVC, or by …
…Suppurative thrombophlebitis of the superior vena cava (SVC) and inferior vena cava (IVC) occurs most frequently in the setting of a central venous catheter. Vena cava suppurative thrombophlebitis should …
…discussed below. Vena cava diameter and dynamic measures of vena cava collapse have been proposed as tools for estimating intravascular volume status. Because there is no valve between the vena cava and right …
…arising from the inferior vena cava into the right atrium. Surgical excision may result in protracted palliation from symptoms of right-sided obstruction. The inferior vena cava (IVC) and its junction …
English Journal
Retrospective outcome analysis of rates and types of complications after 8654 minimally invasive radiological port implantations via the subclavian vein without ultrasound guidance.
To evaluate the rate and types of complications after minimally invasive radiological central vein port implantation without ultrasound guidance. We retrospectively evaluated 8654 patients who underwent port implantations in the subclavian vein without ultrasound guidance in our institution from 199
Long-term single-centre large volume experience with transseptal endocardial left ventricular lead implantation.
Gellér L, Salló Z, Molnár L, Tahin T, Özcan EE, Kutyifa V, Osztheimer I, Szilágyi S, Szegedi N, Ábrahám P, Apor A, Nagy KV, Kosztin A, Becker D, Herczeg S, Zima E, Merkely B.
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. 2019 Jun;().
The aim of our study was to investigate the long-term efficacy and safety of transseptal endocardial left ventricular lead implantation (TELVLI). Transseptal endocardial left ventricular lead implantation was performed in 54 patients (44 men, median age 69, New York Heart Association III-IV stage) b
Journal of vascular surgery. Venous and lymphatic disorders. 2019 Jun;().
Upper extremity central venous stenosis results from a variety of environmental and anatomic conditions, including venous thoracic outlet syndrome, the presence of device leads or catheters, and the turbulence created by the presence of arteriovenous fistulas or grafts. In cases of total occlusion,
… In seiner vorherigen Mitteilung hat der Verfasser berichtet, dass be Kaninchen das Blut der Venasubclavia et Vena jugularis bei der Stauung durch die Lymphbahnen in die Lungenlymphdrüseu leicht zurückfliessen kann. … Beim letzteren fliesst das Blut der Vena jugularis et Venasubclavia selbst bei starker Stauung nur schwer zurück. …
… Thypus der Blutlymphdrüsen beim Asthma bronchiale hat der Verfasser bereits gezeigt, dass bei Kaninchen das Blut der Venasubclavia et V. … jugularis bei der Stauung derselben von den Lymphbahnen in die intrathoracalen thoracobronchialen Lymphdrüsen leicht zurückfliessen kann.<BR>Die wiederholte Stauung der Venasubclavia et V. …
1 Definition Die Vena subclavia ist eine großlumige, paarige Vene an der oberen Thoraxapertur. Sie setzt die Vena axillaris nach proximal fort. 2 Anatomie Die Vena subclavia verläuft hinter dem Schlüsselbein (Clavicula) vom medialen Rand des ...
Está atravesado por la vena yugular interna y las venas vertebrales, por el nervio vago y las ramas cardíacas del nervio vago y simpático, y por el asa subclavia del tronco simpático que forma un anillo alrededor del vaso. La vena ...