Abstract
To the Editor.— In a letter to the Editor (217:78, 1971) Goldman et al cautioned against the use of subclavian vein puncture because of the reported occurrence of subclavian artery laceration. A precaution I find helpful in performing this useful procedure is to bend the needle about 15° in the direction of the open surface of the bevel. This allows the needle point to be introduced more nearly parallel to the course of the vein and lessens the likelihood of a deep thrust into the vicinity of the artery. The thin-walled needle is not difficult to bend with the gloved hands. Avoidance of the use of an instrument prevents crimping the needle; the gentle curve which results does not impede passage of the catheter.
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