Leena Aziz, Muhammad Ayub, Omar Farooq, Khalid Javaid Butt.
Central venous catheterization: internal jugular versus supraclavicular approach to subclavian vein puncture.
J Cardiovascular Dis Jan ;11(1):20-3.

BACKGROUND AND OBJECTIVE: BACKGROUND AND OBJECTIVE: Central venous catheterization can be performed through BACKGROUND AND OBJECTIVE: subclavian (supraclavicular or infraclavicular), internal jugular or femoral route, each having its advantages and disadvantages. This study was designed to compare success rate and complications of supraclavicular approach for subclavian puncture with the internal jugular vein puncture. METHODS: METHODS: One hundred twenty six consecutive patients, 63 in each group, requiring central METHODS: venous catheterization were enrolled. Alternate patients were placed in internal jugular (IJ) and subclavian (SC) groups. Both groups were compared with respect to difficulty in threading and procedural success in three attempts and frequency of complications like catheter malposition, catheter kinking, arterial puncture and pneumothorax. RESULTS: IJ Group (21 men and 42 women) had a mean age of 41.77 + 15.05 years and SC group (17 men and 46women) 38.67+ 17.14 years. The procedure was successful in 55 (87.3%) patients in IJ versus 53 (84.1%) patients in SC group. Difficulty in threading, catheter malposition and catheter kinking had almost similar frequency in both groups. The procedure was complicated by arterial puncture in 5(7.93%) patients in IJ and 3(4.76%) patients in SC group. Pneumothorax occurred in 2 (3.33%) patients in IJ group and 1 (1.59%) patient in SC group. Both groups were equal with respect to all these findings. CONCLUSIONS: CONCLUSIONS: Supraclavicular approach to subclavian puncture has similar success rate CONCLUSIONS: and complication rate as internal jugular vein puncture for central venous catheterization.

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