What are the complication rates of central venous access catheterization approaches?

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

Complication rates for internal jugular, subclavian, and femoral approaches to central venous access are listed in Table 2 below. [6, 7, 16]

Table 2. Complication Rates of Central Venous Catheterization Approaches [6, 16, 7] (Open Table in a new window)

Complication

Internal Jugular Approach (%)

Subclavian Approach (%)

Femoral Approach (%)

Arterial puncture

6.3-9.1

3.1-4.9

9.0-15.0

Hematoma

< 0.1-2.2

1.2-2.1

3.8-4.4

Hemothorax

N/A

0.1-0.6

N/A

Pneumothorax

< 0.1-0.2

1.5-3.1

N/A

Thrombosis

7.6

1.9

21.5

Total

6.3-11.8

6.2-10.7

12.8-19.4


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