What are the contraindications for central venous access via the subclavian vein?

Updated: Aug 07, 2018
  • Author: E Jedd Roe, lll, MD, MBA, FACEP, FAAEM, MSF, CPE; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

Absolute contraindications for central venous access are as follows:

  • Distorted local anatomy (eg, from vascular injury, prior surgery, or previous irradiation)
  • Infection at insertion site

Relative contraindications for central venous access are as follows:

  • Presence of anticoagulation or bleeding disorder
  • Patient who is excessively underweight or overweight
  • Uncooperative patient
  • Current or possible thrombolysis

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