What does this research mean for the field?

Subclavian vein catheterization is a safe and feasible option for critically ill children that is associated with a lower risk of thrombosis compared to femoral vein access. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate the feasibility and safety of subclavian vein catheterization compared to femoral and internal jugular vein access in a pediatric intensive care setting.

September 2, 2026Acute and Critical CareOpen Access

Subclavian central venous catheterization in critically ill children in Türkiye: a safe and feasible approach in a single-center experience

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Authors

AÖAbdulrahman ÖzelUniversity of Health Science EÖEsma Nur ÖzenBağcılar Eğitim ve Araştırma Hastanesi SYServet YüceBorsa Istanbul (Turkey)

Discussion

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Implication

Retrospective study shows subclavian vein catheterization is safe with lower thrombosis risk than femoral access in critically ill children, highlighting its viability as an alternative access route.

Key Points

To evaluate the feasibility and safety of subclavian vein catheterization compared to femoral and internal jugular vein access in a pediatric intensive care setting.
Retrospective single-center study including all pediatric intensive care unit patients undergoing nontunneled central venous catheter placement at a tertiary hospital in Türkiye from March 2022 to March 2023 (N=174).
Analyzed catheter placements across the subclavian vein (52.9%), femoral vein (23.6%), and internal jugular vein (23.6%) using multivariate logistic regression to identify predictors of thrombosis.
The overall central venous catheter success rate was 99.4%, with no statistically significant differences in mechanical complications or catheter-related bloodstream infections across the three access sites.
Thrombosis occurred most frequently in the femoral vein group (12.2%), with femoral catheterization identified as the only independent predictor of thrombosis risk (OR, 2.75; P=0.016).
Patients receiving subclavian vein catheterization were significantly younger (median age 20 months, IQR 10–63 vs. older cohorts; P<0.001) and presented with higher rates of chronic disease (P=0.02).

Cite This Study

Özel et al. (2026) studied this question.

synapsesocial.com/papers/6a97e2eac562ede874ec753a https://doi.org/10.4266/acc.003975

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Implication

Retrospective study shows subclavian vein catheterization is safe with lower thrombosis risk than femoral access in critically ill children, highlighting its viability as an alternative access route.

Subclavian central venous catheterization in critically ill children in Türkiye: a safe and feasible approach in a single-center experience

Discussion

Member takes

Implication

Key Points

Cite This Study

Subclavian central venous catheterization in critically ill children in Türkiye: a safe and feasible approach in a single-center experience

Discussion

Member takes

Implication

Key Points

Cite This Study

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