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James J. Reilly, MD; A. Benedict Cosimi, MD; Paul S. Russell, MD

Arch Surg. 1977;112(1):96.

Abstract
• Mechanical complications of central vein catheterization for hyperalimentation typically become manifest shortly after insertion. We present a case report describing a delayed innominate vein perforation by a central venous catheter. Use of the adult internal jugular vein for central venous catheterization should be limited to situations in which a subclavian vein is unavailable. Ongoing watchfulness and a vigorous diagnostic and therapeutic approach to such complications are mandatory in the treatment of patients receiving total parenteral nutrition.

(Arch Surg 112:96, 1977)

Author Affiliations
From the Department of Surgery, Massachusetts General Hospital, Boston.

Footnotes
Accepted for publication Aug 24, 1976.

Reprint requests to Department of Surgery, Massachusetts General Hospital, Boston, MA 02114 (Dr Reilly).

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