Why the study?
Does subclavian vein catheterization cause subclavian vein stenosis in patients requiring temporary vascular access for hemodialysis?
Does subclavian vein catheterization cause subclavian vein stenosis in patients requiring temporary vascular access for hemodialysis?
Subclavian vein catheterization frequently leads to subclavian vein stenosis, suggesting that subclavian lines should be placed on the contralateral side of a planned permanent vascular access.
Subclavian catheterization may be linked to vein narrowing in hemodialysis patients; leaves open whether site selection warrants change pending prospective data.
Thirteen patients had placement of a subclavian vein catheter for temporary vascular access for hemodialysis. Peripheral venography was performed within two to six weeks of catheter placement. Forty-six percent (six of 13 patients) developed subclavian vein narrowing, which resolved in two patients. The duration of catheter placement had no impact on the incidence of this complication. Subclavian vein catheterization can frequently lead to subclavian vein stenosis, which often will resolve spontaneously. Consideration should be given to placement of subclavian lines on the contralateral side of a planned permanent vascular access.
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Bruce Spinowitz (1987) studied this question.
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