A detailed description is given of a technique for the introduction of cardiac pacing catheters using a percutaneous supraclavicular route through the subclavian vein. In 91 attempts there was only one failure and the frequency of complications was low. Surface landmarks for the procedure were easy to define precisely, and stable pacing could usually be established rapidly without distress to t...

Dear Editor, Upper extremity deep vein thrombosis (UEDVT) refers to thrombosis of the subclavian (18% to 69%), axillary (5% to 42%) or brachial vein (4% to 13%).1 It accounts for 4% to 10% of all cases of deep vein thrombosis1 and can result in pulmonary embolism (PE) or post-thrombotic syndrome (PTS) of the arm and even death in severe cases.1 We describe a case of UEDVT in a healthy young Chi...

Paediatric cardiac surgical patients need safe intravenous access for hemodynamic monitoring, drug infusion, parenteral nutrition, post operative difficult peripheral venous access, blood withdrawal for lab investigations for post operative period, blood product transfusion. Internal Jugular vein insertion caused discomfort and pain to patients while femoral venous cannulation causes increased ...

A 42-year-old woman with a history of breast cancer and hepatic metastatic disease underwent insertion of an implantable venous access catheter into the right subclavian vein (Seldinger technique). After eight months of treatment it was decided to remove the catheter due to reported possible thrombosis and obstruction. The patient was totally asymptomatic. A preoperative chest X-ray was consist...