This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Moran, S. G. Articles by Peoples, J. B. Search for Related Content PubMed PubMed Citation Articles by Moran, S. G. Articles by Peoples, J. B. Social Bookmarking                         What's this?

The Deltopectoral Triangle as a Landmark for Percutaneous Infraclavicular Cannulation of the Subclavian Vein

Department of Surgery, Wright State University School of Medicine, Dayton, Ohio

James B. Peoples

Department of Surgery, Wright State University School of Medicine, Dayton, Ohio

An anatomic landmark is identified and described that simplifies the tech nique of central venous cannulation via the subclavian vein. The commonly used techniques are an approach to the subclavian at the junction of the medial and middle thirds of the clavicle or at the midclavicular line. A described ana tomic landmark, the deltopectoral triangle, is easily identified in virtually all patients and requires no measuring or extensive knowledge of anatomy for lo calization. Penetration of the skin at this landmark facilitates the procedure and produces less patient discomfort. Using this technique, the authors have suc cessfully cannulated the subclavian vein in 92.7% (51/55) of attempts with a 5.5% (3/55) complication rate. The only complications were arterial punctures, which were treated with pressure and were of no consequence to the patient.

Angiology, Vol. 44, No. 9, 683-686 (1993)
DOI: 10.1177/000331979304400902


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?