Open-accessed literature 6,10 (with reference to Pakistan) is available on comparison between HD internal jugular vein (IJV) and subclavian vein
Supraclavicular subclavian vein
catheterisation: the forgotten central line.
Caption: FIGURE 1: Doppler ultrasound showing absence of blood flow in the subclavian vein
The surgical care team should be vigilant for a CL if the surgery involved dissection in the vicinity of the confluence of the IJV and subclavian vein
, on either side of the neck.
Though Wilson and Associates popularised subclavian vein
catheterisation, Shapira et al recommended its discontinuation due to serious complications of pneumothorax and haemothorax.
Triplex color doppler study revealed complete thrombosis of right internal jugular vein, right proximal brachiocephalic vein with partial thrombosis in right subclavian vein
. Partial thrombosis of left brachiocephalic vein, proximal left subclavian vein
, and proximal left internal jugular vein with plaque in left internal jugular vein causing 30%-40% luminal narrowing was also observed [Figure 4].
Second, their target is the subclavian vein
which is located deeper than our target point.
Lymph then flows into the venous circulation via the right subclavian vein
Normally thoracic duct opens into the junction of left internal jugular vein and subclavian vein
. On the right side of the neck, the right lymphatic duct conveys the lymph from the head and neck, the upper extremity and the right side of the thorax to the right innominate vein.
While the Permacath can be place at several sites, including the jurgular veins, the subclavian veins
, or the femoral veins, Dr.
Indeed, good practice dictates that subclavian veins
must be preserved if any possibility of future subcutaneous arm access exists (Guideline 6) due to the risk of central venous stenosis from catheter placement (Guideline 7).
The vein punctures failed in 11 patients, who all received cubital vein angiographies to observe the passage of axillary veins or subclavian veins
. Among them, three patients in the axillary vein group had total occlusion of veins and two had shifting veins; two patients in the subclavian vein
group had total occlusion of veins, one had vein stenosis, and three had shifting veins.