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February 1987

Subclavian Vein Stenosis as a Complication of Subclavian Catheterization for Hemodialysis

Author Affiliations

From the Booth Memorial Medical Center, Department of Medicine (Drs Spinowitz, Galler, Golden, Rascoff, and Charytan), and the Department of Radiology (Drs Schechter and Held), Flushing, NY.

Arch Intern Med. 1987;147(2):305-307. doi:10.1001/archinte.1987.00370020123048

• 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.

(Arch Intern Med 1987;147:305-307)