title: [Technical difficulties of puncture and the functional anatomy of the subclavian vein].
abstract: The difficulties occurring during puncture subclavian catheterization (PSC) are discussed. The results of 4559 PSC in 4007 patients are analysed. The results of ultrasonic examination (198 patients) and postmortem X-ray studies (34 cases) of the subclavian vein anatomy are presented. A great variability in the subclavian vein anatomy has been observed, this is associated with a likelihood of technical difficulties, failures and complications in standard PSC technique. An ultrasonic examination prior to PSC is recommended.
authors.forename: R N
authors.initials: RN
authors.lastname: Kalashnikov
authors.forename: E V
authors.initials: EV
authors.lastname: Nedashkovskiĭ
authors.forename: P P
authors.initials: PP
authors.lastname: Savin
authors.forename: A V
authors.initials: AV
authors.lastname: Smirnov
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011677:Punctures; D011859:Radiography; D012189:Retrospective Studies; D013350:Subclavian Vein / Q000033:anatomy & histology* / Q000000981:diagnostic imaging / Q000648:ultrastructure
vernacular_title: Tekhnicheskie oslozhneniia punktsii i funktsional'naia anatomiia podkliuchichnoĭ veny.