Percutaneous catheterization of the subclavian vein is frequently performed for fluid replacement and central venous pressure monitoring. Serious complications have been encountered, including laceration of the subclavian artery and vein, brachial plexus injury, pneumothorax, and hemomediastinum. Faulty catheter placement is not uncommon when percutaneous catheterization of the subclavian vein is accomplished without radiologic guidance. A method of opacifying the subclavian vein prior to needle puncture and fluoroscopic monitoring of the catheter placement is described. These radiologic procedures are recommended to expedite and diminish the risks of percutaneous subclavian venous catheterization.
Land RE, Garrett JC, Hedberg SE. Television Fluoroscopy and Opacification of the Subclavian VeinAdjuncts to Percutaneous Subclavian Venous Catheterization. Arch Surg. 1970;101(3):429-430. doi:10.1001/archsurg.1970.01340270077020