What are the contraindications for the subclavian approach of 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 the subclavian approach are as follows:

  • Trauma to the ipsilateral clavicle, anterior proximal rib, or subclavian vessels
  • Coagulopathy (direct pressure to stop bleeding cannot be applied to the subclavian vein or artery, because of their location beneath the clavicle)

Relative contraindications for the subclavian approach are as follows:


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