Why the study?
What is the success rate and safety of percutaneous catheterisation of the axillary and proximal basilic veins?
What is the success rate and safety of percutaneous catheterisation of the axillary and proximal basilic veins?
Percutaneous catheterisation of the axillary and proximal basilic veins is a simple technique with low failure rates and minimal acute life-threatening complications.
Should not yet change central access practice; leaves open the role of these sites pending prospective validation.
Percutaneous catheterisation techniques for the axillary vein and proximal portion of the basilic vein based on venepuncture on a visible or palpable vein are described. Results are presented on 73 catheterisation attempts on axillary veins and 68 on proximal basilic veins, in which the failure rate was 4-9% and 6-9% respectively. The advantages of the techniques include simplicity and the absence of acute life-threatening complications. The incidence of phlebitis from indwelling catheters maintained for an average of 5 days (range 1-28 days) is less than 2%. Several aspects of the techniques including background anatomy and anticipated risks are discussed.
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E N Ayim (1977) studied this question.
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