title: Ultrasound-guided brachiocephalic vein catheterization in infants weighing less than five kilograms.
abstract: OBJECTIVE
  To describe our experience with the use of ultrasound-guided supraclavicular brachiocephalic vein approach for central vein catheterization in infants weighing less than 5 kg.
  
  
  METHODS
  A retrospective review was performed for infants who underwent ultrasound-guided central vein catheterization from January 2012 to November 2014. Infants weighing less than 5 kg with supraclavicular brachiocephalic vein access were included in the study. Indications for central venous access, venous access side, catheter type and complications were evaluated.
  
  
  RESULTS
  Thirty-four catheterizations in 34 infants weighing from 1.5 to 4.9 kg (median 3.48 kg) were included in the study (aged 11 days to 7 months and 10 days, weight range 1.5 to 4.9 kg). Technical success rate was 97% (33 of 34 infants). No technical or clinical major complications were observed.
  
  
  CONCLUSIONS
  Ultrasound-guided supraclavicular brachiocephalic vein access is a favorable alternative for central venous catheterization in low-weight infants with regard to high technical success rate and absence of major complications.
authors.affiliation: Department of Radiology, Faculty of Medicine, Baskent University, Ankara - Turkey.
authors.forename: Cüneyt
authors.initials: C
authors.lastname: Aytekin
authors.affiliation: Department of Radiology, Faculty of Medicine, Baskent University, Ankara - Turkey.
authors.forename: Umut
authors.initials: U
authors.lastname: Özyer
authors.affiliation: Department of Radiology, Faculty of Medicine, Baskent University, Ankara - Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Harman
authors.affiliation: Department of Radiology, Faculty of Medicine, Baskent University, Ankara - Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Boyvat
mesh_terms: D000367:Age Factors; D001835:Body Weight; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging*; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional