Spinowitz B S, Galler M, Golden R A, Rascoff J H, Schechter L, Held B, Charytan C
Arch Intern Med. 1987 Feb;147(2):305-7.
Thirteen patients had placement of a subclavian vein catheter for temporary vascular access for hemodialysis. Peripheral venography was performed within two to six weeks of catheter placement. Forty-six percent (six of 13 patients) developed subclavian vein narrowing, which resolved in two patients. The duration of catheter placement had no impact on the incidence of this complication. Subclavian vein catheterization can frequently lead to subclavian vein stenosis, which often will resolve spontaneously. Consideration should be given to placement of subclavian lines on the contralateral side of a planned permanent vascular access.
13名患者为进行血液透析的临时血管通路而置入了锁骨下静脉导管。在导管置入后的两到六周内进行了外周静脉造影。46%(13名患者中的6名)出现了锁骨下静脉狭窄,其中2名患者的狭窄情况得到缓解。导管置入的持续时间对该并发症的发生率没有影响。锁骨下静脉置管经常会导致锁骨下静脉狭窄,而这种狭窄通常会自行缓解。对于计划进行永久性血管通路的患者,应考虑在对侧置入锁骨下静脉导管。