Abstract

To the Editor:— The passage of polyethylene catheters into the superior vena cava via the subclavian vein is a useful procedure for monitoring central venous pressure (CVP) in the management of a patient in circulatory failure,1as well as a route for extended intravenously administered therapy.2Some physicians find the antecubital vein just as suitable as the subclavian. Complications, such as pneumothorax, hemothorax, arterial puncture, intrapleural infusion, infection, and hematoma, have all been reported.3To the best of our knowledge, local thrombosis of the brachial, axillary, and subclavian vein unaccompanied by an evidence of thrombophlebitis have not been reported. The following case report is an example of such complication of a CVP catheter inserted into the left cubital vein. Report of a Case:— A 63-year-old Negro man was admitted to the Medical College of Virginia Hospital with diabetic ketoacidosis, upper-respiratory tract infection, and elevated serum amylase value.

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