From the Guidelines
The basilic vein is considered a superficial vein, as stated in the 2020 update of the KDOQI clinical practice guideline for vascular access 1. The basilic vein is one of the major superficial veins of the upper extremity, running along the inner aspect of the arm, starting near the elbow and extending up towards the armpit. As a superficial vein, it is located just beneath the skin in the subcutaneous tissue, making it easily visible and palpable in many individuals. Some key points to consider about the basilic vein's superficial nature include:
- Venipuncture: The basilic vein is often used for blood draws and intravenous access due to its easy accessibility.
- Dialysis access: It can be used in the creation of arteriovenous fistulas for hemodialysis patients, as noted in the guideline, which recommends considering the use of superficial veins before deep veins 1.
- Clinical assessment: Its superficial nature allows for visual examination, which can be helpful in diagnosing conditions like thrombophlebitis or assessing venous return. Understanding the basilic vein's superficial nature is crucial for healthcare professionals performing procedures or evaluating upper extremity circulation, and the guideline emphasizes the importance of considering superficial veins, including the basilic vein, for vascular access 1.
From the Research
Vein Classification
- The basilic vein is initially a superficial vein, but it becomes deep around the mid-arm 2.
- Superficial veins, including the basilic and cephalic veins, are commonly used for medical procedures such as vein puncture and transfusion 2.
Anatomical Variations
- Variations in the venous system of the upper limb can occur, including the merging of the basilic and cephalic veins into one vein 3.
- The basilic vein can drain into the axillary vein, and its anatomy is not always a mirror image of the axillary artery 4.