Is Supraclavicular Subclavian Venous Catheterization Superior to the Infraclavicular Approach? The Devil Is in the Details.
(2024) Journal of Cardiothoracic and Vascular Anesthesia — Vol. 38, n° 10, p. 2493 (2024)
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- Abstract
- TO THE EDITOR : We read with interest the recent work by Gong et al.1 The authors compared the ultrasound-guided supraclavicular and infraclavicular approaches for subclavian vein cannulation in children with congenital heart disease. Compared with the infraclavicular approach, supraclavicular cannulation of the subclavian vein had a higher success rate (90.6% vs. 71.4%), shorter time to access (median difference of −4.2 seconds), and less frequent catheter malposition. The study's findings may be at least partially explained by the operators’ lack of familiarity with the supraclavicular approach. Byon et al.2 reported lower first attempt successful guidewire insertion rates with both supraclavicular and infraclavicular approaches (65% vs. 49%) by a single operator who had undertaken 50 or fewer previous successful supraclavicular cannulations in a comparison conducted in children. [...]
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Citations
Samara, E., Momeni, M., Tzimas, P. G., & El Tahan, M. R. (2024). Is Supraclavicular Subclavian Venous Catheterization Superior to the Infraclavicular Approach? The Devil Is in the Details. Journal of Cardiothoracic and Vascular Anesthesia, 38(10), 2493. https://doi.org/10.1053/j.jvca.2024.04.043 (Original work published 2024)