Subclavian vein catheterization. Medical search. Frequent questions

The case highlights the importance of ensuring adequate positioning of the catheter after insertion through aspiration of venous blood, immediate post insertion X-ray and the utilization of ultrasound guidance in cases with expected difficult catheterization. (biomedcentral.com)
We are describing a case of massive hydrothorax that developed after the insertion of a subclavian catheter and administering fluids through the line requiring immediate intercostal tube insertion and mechanical ventillation. (biomedcentral.com)
This was the same amount of fluid given to the patient through the subclavian catheter for correction of dehydration. (biomedcentral.com)
The catheter was then removed from the subclavian vein and reinserted in the left internal jugular vein through an anterior approach. (biomedcentral.com)
Marik PE, Flemmer M, Harrison W. The risk of catheter-related bloodstream infection with femoral venous catheters as compared to subclavian and internal jugular venous catheters: a systematic review of the literature and meta-analysis. (medscape.com)
Ultrasound-guided cannulation of the subclavian vein uses real-time (dynamic) ultrasound to guide venipuncture and a guidewire (Seldinger technique) to thread a central venous catheter through the subclavian vein and into the superior vena cava. (merckmanuals.com)
How To Do Infraclavicular Subclavian Vein Cannulation Percutaneous cannulation of the subclavian vein uses anatomic landmarks to guide venipuncture and a Seldinger technique to thread a central venous catheter through the subclavian vein and into. (merckmanuals.com)
A subclavian central venous catheter (CVC) is preferred for long-term venous access in nonbedridden patients (eg, ambulatory patients needing parenteral nutrition, antibiotics, or chemotherapy). (merckmanuals.com)
In central venous catheterization, a catheter is inserted into one of the large veins of the neck, upper chest, or groin. (msdmanuals.com)
This procedure is most often used to give intravenous fluids or drugs when a catheter cannot be inserted into an arm or a leg vein (peripheral intravenous catheter). (msdmanuals.com)
In pulmonary artery catheterization, a catheter is passed through the right atrium and. (msdmanuals.com)
Because central venous catheters are larger than a regular intravenous (IV) catheter and the veins in which they are placed are deeper, doctors usually inject a local anesthetic before doing the procedure. (msdmanuals.com)
The patients were randomized into two groups to receive a central vein catheter: one by basilic vein cutdown and the other by percutaneous subclavian vein placement. (nih.gov)
The subclavian vein catheter was inserted more quickly (8.3 minutes compared with 14.4 minutes [P = .0001] for the basilic vein group). (nih.gov)
Unusual right internal jugular vein catheter malposition into the right axillary vein: A rare case report', Advanced Biomedical Research , 2012(May), pp. 1-3. (ac.ir)
As the guide wire appeared to be appropriately placed in the right atrium on the image intensifier, the procedure continued with dilation of the vein and insertion of the catheter. (biomedcentral.com)
As the PO2 could still be compatible with an arterial sample, Ultravist 300 (Lopromide) (Schering, West Sussex, UK) was injected down the catheter but the contrast dissipated so rapidly that the screening images were unhelpful in distinguishing arterial from venous catheterisation. (biomedcentral.com)
The attending anesthesiologist placed a central venous catheter (CVC) in the right internal jugular vein. (biomedcentral.com)
Subsequently, 76 residents completed simulation-based training in internal jugular and subclavian central venous catheter insertions. (nih.gov)
Central venous stenosis and thrombosis are much more likely to occur following the insertion of a double-lumen catheter in the subclavian vein rather than the internal jugular vein. (ac.ir)
This study aimed to evaluate the knowledge and awareness of general surgeons in Fars province regarding the complications of central venous stenosis and thrombosis following the insertion of a double-lumen subclavian catheter. (ac.ir)
Urgent contrast computed tomographic angiogram ( Figs 2 and 3 ) revealed that the catheter had been inserted via the left IJV, subsequently exiting posteromedially, entering the left vertebral artery, and harbouring at the origin of the left subclavian artery. (hkmj.org)
The catheter tip is seen at the origin of the left subclavian artery (thin white arrow). (hkmj.org)
Contrast computed tomographic angiogram showing the central venous catheter puncturing through the left internal jugular vein, exiting medially (black arrow). (hkmj.org)
Hamdi K, Khelifa H, Foidart P, Bulpa P, Ali D, Michaux I (2021) Mediastinal malposition of a catheter enhanced by an unusual stenosis of the left brachiocephalic vein due to a former long-term haemodialysis catheter: A Case report. (acquaintpublications.com)
We are reporting the case of a mediastinal malposition of a hemodialysis catheter with perforation of the left proximal brachiocephalic vein caused by a downstream venous obstruction. (acquaintpublications.com)
That obstruction was revealed on the chest CT scan by an opacity along the left innominate vein suggesting the calcification of either a catheter cast or a thrombus due to a former long-term subclavian hemodialysis catheter removed a few days earlier. (acquaintpublications.com)
This is the story of a 44-year-old man, with a history of chronic hemodialysis, presenting to the emergency department because of fever, shivering, and asthenia following 3 days of purulent discharge at the puncture site of a left subclavian tunneled catheter. (acquaintpublications.com)
Longer catheter are preferable when using ultrasound guided insertion especially with a vein deeper then 0.5 cm to minimize the risk of dislodgment and infiltration (suggested to be longer than 2 cm). (sjrhem.ca)
The external jugular vein is slightly raised with an opening to attach your own triple lumen catheter and there is also an opening in the upper chest area for placement of a subclavian catheter. (alphacenturysimulations.com)

Thrombosis of upper extremity thoracic inlet veins: Diagnosis with duplex Doppler sonography. (ac.ir)
Massive thrombosis around subclavian cannulas used for haemodialysis. (ox.ac.uk)
Digital subtraction angiography identified an incomplete thrombosis of the left brachiocephalic vein with retrograde flow in the internal jugular vein, sigmoid sinus, and transverse sinus on the left side. (neurointervention.org)
A surgeon can successfully treat a subclavian vein thrombosis by removing a portion of the tumor. (amazingposting.com)
Although it is technically more challenging, ultrasound evaluation of the subclavian vein reduces the risk of venous thrombosis and pneumothorax. (amazingposting.com)
Thrombosis of the subclarial vein can be a complication of thoracic outlet syndrome. (amazingposting.com)
Post-contrast CT showed thrombosis of the subclavian vein and left internal jugular vein. (amazingposting.com)
A computed tomography (CT) scan showed ischemia of the small intestines as a result of superior mesenteric vein thrombosis. (biomedcentral.com)
A condition caused by one or more episodes of DEEP VEIN THROMBOSIS, usually the blood clots are lodged in the legs. (lookformedical.com)
Deep venous thrombosis (DVT) is clotting of blood in a deep vein of an extremity (usually calf or thigh) or the pelvis. (merckmanuals.com)

[ 9 , 10 ] At the insertion site, the subclavian vein is closer to the skin, and the right-side approach offers a straighter path into the subclavian vein. (medscape.com)
This trial is designed to provide robust data on the incidence of central vein stenosis after silicone tCDC insertion in the era of ultrasound-guided catheterisations. (lu.se)
In this case report, we present an adult patient with history of multiple trauma and intracranial hemorrhage in whom the right axillary vein was accidentally cannulated during CVC insertion. (ac.ir)
Supraclavicular subclavian vein catheterization: Modified landmarks for needle insertion. (asianinstituteofresearch.org)
A 34 year old woman diagnosed with breast cancer and liver metastases underwent a left subclavian Portacath insertion. (biomedcentral.com)
This report highlights the potential difficulties in establishing long-term central venous access, the limitations of common investigations and safety issues relating to the process of subclavian line insertion. (biomedcentral.com)

Most major bleeding associated with Eptifibatide has been at the arterial access site for cardiac catheterization or from the gastrointestinal or genitourinary tract. (wikidoc.org)

50% lesion (stenosis or occlusion) in one of the following central veins of the chest: inferior and superior vena cava, brachiocephalic vein (BCV), subclavian vein (SCV), or internal jugular vein (IJV) [ 1 ]. (neurointervention.org)
This vein was shown to drain into the left brachiocephalic vein (Fig. 2 ). (biomedcentral.com)

Although percutaneous catheterization of centralveins is a routine technique, it is a procedure requiring advancedoperating skills, expert supervision, and attention to detailin order to prevent adverse effects. (ispub.com)
Percutaneous catheterization of central veins is a routine technique. (ispub.com)
Percutaneous subclavian vein catheters can be used successfully in patients with hypovolemic shock and can be place quickly with low complication rates. (nih.gov)
Percutaneous cannulation of the central veins is an essential technique for both long-term and emergent medical care. (mhmedical.com)

The incidence of infectious complications of central venous catheters at the subclavian, internal jugular, and femoral sites in an intensive care unit population. (medscape.com)
The subclavian vein may be less preferred for stiff catheters (because of difficulty achieving the sharp turn into the superior van cava) or large-bore hemodialysis catheters (which can cause venous stenosis that renders the ipsilateral arm unsuitable for arteriovenous shunt placement). (merckmanuals.com)
Background: The right internal jugular vein is currently recommended for temporary central dialysis catheters (tCDC) based on results from previous studies showing a lower incidence of central vein stenosis compared to the subclavian vein. (lu.se)
Ruesch S, Walder B, Tramer MR. Complications of central venous catheters: Internal jugular versus subclavian access-a systematic review. (ac.ir)

Ultrasound-guided cannulation of the internal jugular vein significantly improves success rate, decreases average access time and reduces complication rate. (ispub.com)
Cannulation of the internal jugular vein: Is postprocedural chest radiography always necessary? (ac.ir)

Four attempts to cannulate the subclavian vein were performed by a skilled intensivist using an 18 gauge needle but were all unsuccessful. (biomedcentral.com)
Gross obesity: Because the axillary vein lies deep and the brachial plexus is nearby, cannulate the axillary vein only in thin patients. (merckmanuals.com)
A landmark infra-clavicular approach was used to cannulate the subclavian vein. (amazingposting.com)
1.5 cm) veins are difficult to cannulate. (sjrhem.ca)

Using ultrasound guidance to approach the subclavian vein infraclavicularly requires that the axillary vein (distal continuance of the subclavian vein) is imaged and cannulated because the clavicle blocks ultrasound imaging of the proximal vein. (merckmanuals.com)
Cannulating the axillary vein may be difficult to do with or without ultrasound guidance, and ultrasound guidance, if available, is mandatory. (merckmanuals.com)
It is the continuation of the axillary vein, which begins on the lower margin of the teres major and continues until it reaches the lateral margin of the first rib. (amazingposting.com)
Axillary vein and internal jugular vein approaches are available. (simtrainingresource.com)

Bilateral pleural effusions: Unexpected complication after left internal jugular venous catheterization. (ac.ir)

Pikwer A, Sterner G, Acosta S. Inadvertent arterial catheterization complicating femoral venous access for haemodialysis. (medscape.com)
Cannulation of the subclavian vein was more difficult when patients experienced severe hypotension, and the presence of arterial blood flow was difficult to monitor. (amazingposting.com)
The visualization of the overlap of the right internal jugular vein and the carotid artery may prevent inadvertent arterial puncture and the resultant sequelae in the anticoagulated patient. (mhmedical.com)

The catheterization success rate at the first attempt, the overall catheterization success rate, the number of attempts, the time to catheterization, and catheterization-related mechanical complications were recorded. (biomedcentral.com)
Since the introduction of central venous catheterization for monitoring of the venous pressure, fluid infusion and hyperalimentation, the literature has been full of serious life-threatening complications. (biomedcentral.com)
Secondary outcomes include between-group comparisons of (I) the patients' experience of discomfort and pain, (II) any dysfunction of the tCDC during use, (III) catheterisation success rate and (IV) the number of mechanical complications. (lu.se)
Complications and failures of subclavian-vein catheterization. (ac.ir)
Supraclavicular approach of central vein cannulation is an alternative approach to central vein cannulation due to fewer anatomical variance, good longitudinal vein view, better visualization of needle during procedure, clear demarcation of landmarks, larger target area, better patient comfort, and fewer complications. (asianinstituteofresearch.org)
Nevertheless, preference of the subclavian site may contribute to limit the risk of intravascular complications, in particular among ventilated patients with high CVC-IN score. (springeropen.com)

it is a continuation of the popliteal vein and becomes the external iliac vein. (lookformedical.com)

This is a rare and completely avoidable complication of central venous catheterization. (ispub.com)

A morphological study of the thoracic duct at the jugulo-subclavian junction. (medscape.com)
Shimada K, Sato I. Morphological and histological analysis of the thoracic duct at the jugulo-subclavian junction in Japanese cadavers. (medscape.com)
Upper extremity DVT occasionally occurs as part of superior vena cava (SVC) syndrome (compression or invasion of the superior vena cava by a tumor and causing symptoms such as facial swelling, dilated neck veins, and facial flushing) or results from a hypercoagulable state or subclavian vein compression at the thoracic outlet. (merckmanuals.com)

The aim of this study was to evaluate whether US-guided catheterization of SV improves the procedural success rate of the traditional landmark method in ICU patients. (biomedcentral.com)
We prospectively and randomly evaluated an US-guided method in 35 patients undergoing SV catheterization (Group US) and compared the results with 35 patients in whom a landmark-guided technique was used (Group LM). (biomedcentral.com)
Compared with the landmark technique, real-time two-dimensional US did not increase the overall or first attempt success rate in subclavian vein catheterization in ICU patients. (biomedcentral.com)
The time to catheterization was significantly longer with real-time two-dimensional US guidance than with landmark guidance. (biomedcentral.com)
A left subclavian approach using the landmark technique was chosen. (biomedcentral.com)
Those who are intimately familiar with the subclavian approach usually swear by the landmark technique, due to the constant anatomy of the subclavian vein as it courses underneath the clavicle. (sinaiem.org)

Revealing a normal anteroposterior chest radiograph before subclavian catheterization (panel A) . chest X-ray performed after catheterization revealing massive left sided pleural effusion with mediastinal shift to the left side. (biomedcentral.com)
This figure shows the blood vessel (subclavian vein) in the chest that can be used for central venous catheterization. (msdmanuals.com)

This case study presents an ultrasound guided central vein cannulation using supraclavicular approach in 30 year old male patient diagnosed with septic shock, anemia, trombcytopenia, and electrolyte imbalance post laparotomy. (asianinstituteofresearch.org)
Supraclavicular Approach Is an Easy and Safe Method of Subclavian Vein Catheterization Even in Mechanically Ventilated Patients. (asianinstituteofresearch.org)

A subclavian vein thrombus can occur from a tumor causing hypercoagulability, such as Trousseau syndrome. (amazingposting.com)
The formation or presence of a blood clot (THROMBUS) within a vein. (lookformedical.com)

This prospective, controlled, randomised, non-inferiority study aims to compare the incidence of post-catheterisation central vein stenosis between the right subclavian and the right internal jugular routes. (lu.se)
The primary outcome is the incidence of post-catheterisation central vein stenosis detected by a CT venography performed 1.5 to 3 months after removal of the tCDC. (lu.se)
Furthermore, the ability to detect central vein stenosis by a focused ultrasound examination will be evaluated using the CT venography as golden standard. (lu.se)

Carrick MM, Morrison CA, Pham HQ, Norman MA, Marvin B, Lee J, Wall MJ, Mattox KL " Modern management of traumatic subclavian artery injuries: a single institution's experience in the evolution of endovascular repair. . (bcm.edu)
For venous access via the neck, common carotid and subclavian artery injuries have been reported. (hkmj.org)

However, there are few data on the potential advantages of the use of US guidance for subclavian vein (SV) catheterization. (biomedcentral.com)
Whereas ultrasonographic (US) guidance has proved to be a useful adjunct for internal jugular vein cannulation , its use for subclavian routes has not been as commonly studied. (medscape.com)
Ultrasound guidance during subclavian vein cannulation is a valuable tool in performing this procedure. (amazingposting.com)
Cannulation of the subclavian vein is easier and less traumatic when performed under ultrasound guidance. (amazingposting.com)
For example, anaesthesia was more expensive than a standard catheterization, and Doppler guidance significantly reduced the need for IV fluids. (amazingposting.com)
Should ultrasound guidance be used for central venous catheterisation in the emergency department? (sinaiem.org)
As it is, current evidence still favors ultrasound (2D) guidance in subclavian and femoral vein approaches. (sinaiem.org)
Dynamic guidance implies real time sonographic imaging of the cannulation process, while static guidance uses ultrasound to first mark out the location of the vein before 'blind' cannulation. (sinaiem.org)

Ultrasound visualization facilitates the advancement of the needle through the vein using real-time images obtained from an ultrasound probe. (amazingposting.com)
Radiographic visualization or recording of a vein after the injection of contrast medium. (lookformedical.com)
Enhancing visualization of vein by using tourniquet, transilluminator with any available light source. (sjrhem.ca)

Peripheral Vein Catheterization A number of procedures are used to gain vascular access. (merckmanuals.com)
Portacaths (Bard Medical Division, Georgia, USA) are routinely used for central venous access in patients with poor peripheral veins who require chemotherapy, either in the adjuvant or metastatic disease setting. (biomedcentral.com)

Traditionally, anatomical landmarks of the sternocleidomastoid muscle provide a pathway to catheterise the internal jugular vein (IJV). (hkmj.org)
For traumatologists, intensivists, vascular surgeons, interventional radiologists, and cardiologists, the AIS and the pubic tubercle provide a relatively constant set of landmarks by which to gauge the course of the femoral artery or vein when central vascular access is required. (medscape.com)

Pulmonary Embolism (PE) Pulmonary embolism (PE) is the occlusion of pulmonary arteries by thrombi that originate elsewhere, typically in the large veins of the legs or pelvis. (merckmanuals.com)

the distal J-end was located in the right iliac vein just above the iliac bifurcation. (ispub.com)
Iliac vein. (lookformedical.com)
A compression of ILIAC VEIN that results in a decreased flow in the vein and in the left LOWER EXTREMITY due to a vascular malformation. (lookformedical.com)
Compression of the left common ILIAC VEIN by the right common ILIAC ARTERY against the underlying fifth LUMBAR VERTEBRA is the typical underlying malformation. (lookformedical.com)

Different veins can be used for PIVC starting with dorsal veins of the hand, then the feet and then proceeding to other choices including scalp vein in infants, external jugular vein, antecubital and the great saphenous vein as in Figure-2. (sjrhem.ca)
The suggested veins are the cephalic vein in the forearm or the saphenous vein at the medial malleolus, while the antecubital vein might be an easy approach but the risk of brachial artery cannulation and the elbow bending make it less favorable. (sjrhem.ca)

Calf vein DVT is less likely to be a source of large emboli but can propagate to the proximal thigh veins and from there cause PE. (merckmanuals.com)

The subclavian vein is a deep, paired vein that runs along each side of the neck. (amazingposting.com)
Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins. (lookformedical.com)
Computed tomographic angiogram also showed abnormal contrast pooling over the right neck suggestive of a pseudoaneurysm formation from the right subclavian artery. (hkmj.org)

First described by Aubaniac in 1952, central venous catheterization, or central line placement, is a time-honored and tested technique for quickly accessing the major venous system. (medscape.com)
Central vein catheterization is also referred to as central line placement. (medscape.com)
Discussion: The use of the subclavian route for tCDC placement has largely been abandoned due to older studies with various methodological issues. (lu.se)

Central venous catheterization is occasionally used to monitor central venous pressure (pressure in the superior vena cava, the large vein that returns blood to the heart from the upper part of the body). (msdmanuals.com)
A vein on either side of the body which is formed by the union of the external and internal iliac veins and passes upward to join with its fellow of the opposite side to form the inferior vena cava. (lookformedical.com)

Next, the needle should be advanced parallel to the floor and enter the subclavian vein. (amazingposting.com)

The innovative product is a hyper-realistic soft tissue training system for teaching blind or ultrasound-guided vascular access at the Internal Jugular Vein or Subclavian Vein with the Subclavian or Supraclavicular approaches. (simulab.com)

Variations in the anatomical relationship between the common carotid artery and the internal jugular vein. (asianinstituteofresearch.org)
Carotid and Subclavian artery. (sandor.co.in)

The indication of central vein cannulation in the patient was to deliver volume resuscitation, to provide emergency vein access, to provide nutritional support, to deliver chemically caustic agents, and central vein pressure monitoring. (asianinstituteofresearch.org)
Cannulation of the subclavian is an important procedure for central venous access. (amazingposting.com)
This vein can be difficult to access because of its location. (amazingposting.com)
Access to the major veins of the torso allows rapid high-volume fluid resuscitation, administration of concentrated ionic and nutritional solutions, and hemodynamic measurements. (mhmedical.com)
Even the most experienced provider can have difficulty securing rapid and functional access to the venous system in specific situations such as severe dehydration, cardiac arrest, large body habitus, and injection drug users with sclerosed veins. (mhmedical.com)
Central venous catheterisation is a common procedure that allows venous access for delivering medications, infusing fluids or blood products, and monitoring volume status. (hkmj.org)

Different practitioners will have different experiences with internal jugular, subclavian and femoral vein approaches. (sinaiem.org)

Cannulation of the subclavian is an important procedure for patients with heart failure. (amazingposting.com)
The catheterization of a central vein is a routine invasive procedure in medicine. (acquaintpublications.com)
Since its introduction in clinical practice in 1945, catheterization of a central vein has become a routine invasive procedure, especially in acute medicine, but not without risk. (acquaintpublications.com)

A short thick vein formed by union of the superior mesenteric vein and the splenic vein. (lookformedical.com)
the inferior mesenteric vein empties into the splenic vein, the superior mesenteric vein joins the splenic vein to form the portal vein. (lookformedical.com)

Anatomy7

Diseases5

Analytical, Diagnostic and Therapeutic Techniques and Equipment6

Health Care3

Catheter30

Thrombosis10

Insertion6

Cardiac Catheterization1

Brachiocephalic Vein2

Percutaneous4

Catheters4

Cannulation of the internal jugu2

Cannulate4

Axillary vein4

Internal jugular venous1

Arterial3

Complications6

External ilia1

Complication1

Thoracic3

Landmark6

Chest2

Supraclavicular approach2

Thrombus2

Stenosis3

Artery injuries2

Guidance8

Visualization3

Peripheral2

Landmarks2

Pulmonary Embolism1

Iliac vein4

Saphenous Vein2

Proximal1

Neck3

Placement3

Vena cava2

Needle1

Vascular access1

Carotid2

Access6

Approaches1

Procedure3

Superior mese2