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Central venous catheter placement for intravenous digital subtraction angiography: an assessment of technical problems and success rate

Department of Cardio-Vascular Radiology, Catheterization Laboratory, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India

This excerpt was created in the absence of an abstract.

I read the article by Barber (1989) with great interest. I compliment the author for highlighting the frequently encountered but rarely reported problems related to central venous catheterization. Venous spasm in the arm is, indeed, a problem in catheterizing the cephalic vein, especially if J-guide wire is used. Some time ago, I switched over to using Radiofocus^TM guide wire M (Terumo Corp., Tokyo) for catheterization of the right atrium by upper extremity venous route. In the last 100 consecutive unselected patients who underwent intravenous digital subtraction angiography (IV-DSA) by this route, I have used this guide wire and have seen no instance of dissection and only two instances of venous spasm, both related to the cephalic venous puncture.

Received for publication September 1, 1990.