The subclavian vein approach for central venous catheter insertion

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In this report, we describe a patient with a chemotherapy port placed in the subclavian vein that underwent spontaneous fracture” Sun and Soares (2018).

Introduction:

Central venous catheters (CVCs) are commonly used and have a range of outpatient and inpatient indications. A subclavian vein approach has traditionally been used for placement of these catheters; however, this method exposes the patient to the high risk of subclavian stenosis as well as an increased risk for catheter fracture. In this report, we describe a patient with a chemotherapy port placed in the subclavian vein that underwent spontaneous fracture. We therefore advocate for the use of an internal jugular approach for CVCs.

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Reference:

Sun, K. and Soares, G.M. (2018) Central Venous Catheters: A Closer Look at the Subclavian Vein Approach. Rhode Island Medical J. 101(4), p.31-33.

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