Indications, Management, and Complications of Percutaneous Subclavian Catheters

Herbst, Charles A.

doi:10.1097/00132586-197912000-00022

Cited by 6 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The acute complications of central venous access techniques are directly related to the technique itself (Christensen et al, 1967) and the skill of the operator (Bernard and Stahl, 1971;Herbst, 1978;Buithieu et al, 1996). It is therefore reasonable and even mandatory to make use of alternative or modified techniques, which aim at 1) more simplicity: choosing a more direct route to reach the superior vena cava; 2) more reproducibility: relying on more constant and more easily identifiable anatomical landmarks; and 3) more safety: puncture away from important structures with a short puncture distance and obvious trajectory of advancement into a more wide-bore, patent vessel.…”

Section: Discussionmentioning

confidence: 99%

“…Complication rates range between 0.1-10% (Seneff, 1991). Acute complications, with an incidence of 7.2%, are incurred during catheter insertion and are basically iatrogenic (Davidson et al, 1963;Yarom, 1964;Yoffa, 1965;Borja, 1972;Ryan et al, 1974;Voegele, 1976;Herbst, 1978;Goutail-Flaud et al, 1991;Yerdel et al, 1991a,b;Ballard et al, 1992).…”

Section: Introductionmentioning

confidence: 99%

“…Anatomical landmarks that are vague or hard to recognize, anatomical variations, and inexperience of the operator are among the factors causing complications (Bernard and Stahl, 1971;Herbst, 1978;Nehme, 1980;Seneff, 1991). Improper placement of needle/ catheter (6 -8% of total catheterizations; Christensen et al, 1967); incorrect trajectory of advancement of needle/catheter, or advancement of needle/catheter too far, with or without transfixion of the target vein, may injure neighboring structures, resulting in serious acute thoracic, vascular, cardiac, and neurological complications.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Brachiocephalic veins: An overlooked approach for central venous catheterization

2002

View full text Add to dashboard Cite

Central venous access is important in both assessment and treatment of the patient. In modern clinical practice, a percutaneous approach is preferred. The well-established subclavian and internal jugular vein catheterization techniques, however, still carry the risk of major acute complications. In this article we describe a trial study of a percutaneous brachiocephalic vein catheterization technique conducted on a total of 74 cadavers undergoing autopsy. Relying on constant and easily recognizable anatomical landmarks, we performed a total of 128 catheterizations of the right and left brachiocephalic veins. The success of catheterization was ascertained by regional dissection. Our results show very high reproducibility with a success rate of about 97% on the first attempt of catheterization on both right and left sides. Equally important, collateral injury of neighboring structures was consistently absent. We propose the introduction of this rather overlooked approach into clinical practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Brachiocephalic veins: An overlooked approach for central venous catheterization

2002

View full text Add to dashboard Cite

show abstract

“…Rates of complications of catheter insertion are somewhat operator-dependent and range up to about six percent [31], including all types of injuries from pneumothorax to thoracic duct injury. In addition, there is a complication rate for maintaining catheters in place including infections, venous thrombosis, arrhythmias, cardiac perforation with tamponade, catheter occlusion and air embolism.…”

Section: Complications Of Parenteral Therapymentioning

confidence: 99%

Nutritional Support in Critical Illness

Lunn

Murray²

2005

Surgical Critical Care, Second Edition

View full text Add to dashboard Cite

“…This is largely due to inexperience and/or technical mishaps (5). The relative merits of CVP catheterization by the subclavian or internal jugular route have been discussed in numerous publications (6)(7)(8)(9)(10)(11)(12)(13)(14). Despite the volume of literature on this subject dating back to 1942 (15), we have found no published comparison studies to evaluate which, if either, is the better procedure.…”

Section: Introductionmentioning

confidence: 99%