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Direct cephalic vein cannulation for safe subclavian access.
E P Perry1, J R Nash, A M Klidjian
1Leicester Royal Infirmary, UK.
Journal of the Royal College of Surgeons of Edinburgh
|August 1, 1990
Summary
Direct cephalic vein cutdown offers a safe method for subclavian catheter insertion. This technique proved successful in most cases, with no immediate complications reported during insertion.
Area of Science:
- Vascular Surgery
- Medical Devices
Background:
- Subclavian catheterization is a common procedure for vascular access.
- Complications associated with subclavian catheter insertion necessitate evaluation of alternative techniques.
Purpose of the Study:
- To evaluate the safety and efficacy of direct cephalic vein cutdown for elective subclavian catheter insertion.
Main Methods:
- A retrospective analysis of 76 subclavian catheter insertion attempts over a 2-year period.
- Cephalic vein cutdown was the primary surgical approach utilized.
Main Results:
- Successful insertion was achieved in 70 out of 76 attempts (92.1%).
- No immediate complications were reported during catheter insertion, even when performed by junior surgeons.
- The mean catheter survival was 16.5 days, with 30% removed prematurely due to complications.
Conclusions:
- Direct cephalic vein cutdown is a safe and recommended approach for elective subclavian access.
- The procedure demonstrates a low complication rate during insertion, supporting its clinical utility.