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Adjuncts to Percutaneous Subclavian Venous Catheterization

Richard E. Land, MD; John C. Garrett, MD; Stephen E. Hedberg, MD

AMA Arch Surg. 1970;101(3):429-430.

Abstract
Percutaneous catheterization of the subclavian vein is frequently performed for fluid replacement and central venous pressure monitoring. Serious complications have been encountered, including laceration of the subclavian artery and vein, brachial plexus injury, pneumothorax, and hemomediastinum. Faulty catheter placement is not uncommon when percutaneous catheterization of the subclavian vein is accomplished without radiologic guidance. A method of opacifying the subclavian vein prior to needle puncture and fluoroscopic monitoring of the catheter placement is described. These radiologic procedures are recommended to expedite and diminish the risks of percutaneous subclavian venous catheterization.

Author Affiliations
Boston

From the departments of radiology and surgery, Harvard Medical School and Massachusetts General Hospital, Boston.

Footnotes
Accepted for publication April 13, 1970.

Reprint requests to Department of Radiology, Massachusetts General Hospital, Boston 02114 (Dr. Land).

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