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[Caval catheterization via the innominate vein (author's transl)]
Praktische Anasthesie, Wiederbelebung Und Intensivtherapie
|June 1, 1979
Summary
The indirect technique for supraclavicular innominate vein puncture offers a safe and effective method for superior vena cava catheterization. This approach minimizes risks like thrombosis and false positions, with a low complication rate of 1.4% pneumothorax.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiology
Context:
- Superior vena cava (SVC) catheterization is a common procedure.
- Accessing the SVC can be challenging, requiring precise techniques.
- The supraclavicular approach to the innominate vein offers an alternative route.
Purpose:
- To evaluate the safety and efficacy of the indirect technique for supraclavicular innominate vein puncture.
- To assess complication rates and advantages compared to other methods.
- To provide insights from extensive experience (3500 procedures).
Summary:
- The indirect technique for supraclavicular innominate vein puncture was utilized in 3500 cases for SVC catheterization.
- The innominate vein's accessibility, wide lumen, and straight course reduce thrombosis risk.
- Key advantages include minimal puncture trauma and elimination of false positions.
Impact:
- This technique provides a reliable option for SVC access, particularly in challenging circulatory states.
- The low complication rate, including 1.4% pneumothorax, supports its clinical utility.
- Findings contribute to best practices in central venous catheterization procedures.