Perry E P, Nash J R, Klidjian A M
Leicester Royal Infirmary, UK.
J R Coll Surg Edinb. 1990 Aug;35(4):218-20.
Over a 2-year period we have successfully inserted 70 subclavian catheters in 68 patients from 76 attempts by cephalic vein cutdown. There were no complications of catheter insertion although 40% were inserted by junior surgeons (mean survival of catheters was 16.5 days) and in 30% of patients the catheter was removed before the completion of treatment for both infective and other complications. From our results, we recommend that direct cephalic vein cutdown is the route of choice for elective subclavian access because of its safety.
在两年的时间里，我们通过头静脉切开术，在76次尝试中成功为68例患者插入了70根锁骨下导管。尽管40%的导管由初级外科医生插入（导管平均存活时间为16.5天），且30%的患者因感染及其他并发症在治疗结束前拔除了导管，但导管插入过程中并无并发症发生。根据我们的结果，我们建议，由于直接头静脉切开术的安全性，它是选择性锁骨下穿刺的首选途径。
