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Tarbiat M, Manafi B, Davoudi M, et al. Comparison of the Complications between Left Side and Right Side Subclavian Vein Catheter Placement in Patients Undergoing Coronary Artery Bypass Graft Surgery. J Cardiovasc Thorac Res. 2014;6(3):147-51doi: 10.15171/jcvtr.2014.003.
Tarbiat, M., Manafi, B., Davoudi, M., & Totonchi, Z. (2014). Comparison of the Complications between Left Side and Right Side Subclavian Vein Catheter Placement in Patients Undergoing Coronary Artery Bypass Graft Surgery. Journal of cardiovascular and thoracic research, 6(3), 147-51. https://doi.org/10.15171/jcvtr.2014.003
Tarbiat, Masoud, et al. "Comparison of the Complications between Left Side and Right Side Subclavian Vein Catheter Placement in Patients Undergoing Coronary Artery Bypass Graft Surgery." Journal of cardiovascular and thoracic research vol. 6,3 (2014): 147-51. doi: https://doi.org/10.15171/jcvtr.2014.003
Tarbiat M, Manafi B, Davoudi M, Totonchi Z. Comparison of the Complications between Left Side and Right Side Subclavian Vein Catheter Placement in Patients Undergoing Coronary Artery Bypass Graft Surgery. J Cardiovasc Thorac Res. 2014;6(3):147-51. doi: 10.15171/jcvtr.2014.003. Epub 2014 Sep 30. PMID: 25320661; PMCID: PMC4195964.
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J Cardiovasc Thorac Res. 2014;6(3):147-51. doi: 10.15171/jcvtr.2014.003. Epub 2014 Sep 30.

Comparison of the Complications between Left Side and Right Side Subclavian Vein Catheter Placement in Patients Undergoing Coronary Artery Bypass Graft Surgery.

Journal of cardiovascular and thoracic research

Masoud Tarbiat, Babak Manafi, Maryam Davoudi, Ziae Totonchi

Affiliations

  1. Ekbatan Cardiovascular Surgery Center, Department of Anesthesiology, Hamedan University of Medical Sciences, Hamedan, Iran.
  2. Department of Anesthesiology, Rajaei Heart Hospital, Iran University of Medical Sciences, Tehran, Iran.

PMID: 25320661 PMCID: PMC4195964 DOI: 10.15171/jcvtr.2014.003

Abstract

INTRODUCTION: Percutaneous subclavian vein catheterization is one of the most common invasive procedures performed in cardiac surgery. The aim of this study was to compare left and right subclavian vein catheter placement via the infraclavicular approach in patients who undergo coronary artery bypass graft (CABG) surgery.

METHODS: This prospective, randomized clinical trial was performed in193 patients. The technique applied for cannulation was infraclavicular approach for both the right and the left sides. Subclavian vein of other side was attempted only when catheterization at initial side was unsuccessful at two attempts. The success and complication rates were compared for the two sides.

RESULTS: On193 patients, catheterization attempts were performed. Overall 177 catheterizations (91.7%) were successful during the first attempt, 105 (92.1%) on the right side and 72 (91.1%) on the left side. There was no significant difference between success rate and side of catheterization. Malposition of the catheter tip on the right side (9.6%) was significantly more than the left side (0%) (P= 0.003). The differences in other complications on two sides were statistically insignificant.

CONCLUSION: Compared with the right side, insertion of the cannula on the left side resulted in fewer catheter tip misplacements. Incidence of cannulation failure and other complications were similar on both sides.

Keywords: CABG; Infraclavicular Approach; Subclavian Vein Catheter

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