I would like to acknowledge and commend the timely and informative article written by Di Carlo et al1 in the September 2001 issue of the ARCHIVES that described the placement of totally implantable venous access devices using the cephalic vein cutdown approach as the preferred insertion technique. However, I believe that several aspects of their article warrant reflection and discussion.
Povoski SP. Cephalic Vein Cutdown Approach for Long-term Indwelling Central Venous Access. Arch Surg. 2002;137(6):746. doi: