Monday, March 30, 2020

L SC vein CVC advantage

Q: Access of which side of the subclavian (SC) vein is preferred when cardiac access is desired?

A) right
B) Left


Answer: B

Left subclavian vein is a better approach when cardiac access is desired as when temporary transvenous pacer or pulmonary artery catheter (Swan-Ganz) placement is to be done. Left SC is more easily directed into the superior vena cava and right heart.



#procedures


Reference: 


1. Land RE. The relationship of the left subclavian vein to the clavicle: practical considerations pertinent to the percutaneous catheterization of the subclavian vein. J Thorac Cardiovasc Surg 1972; 63:564.

2. Mansfield PF, Hohn DC, Fornage BD, Gregurich MA, Ota DM. Complications and failures of subclavian-vein catheterization. N Engl J Med. 1994 Dec 29. 331 (26):1735-8.

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