Background and rationale {6a}
thrombosis, infection, thrombotic, infectious
THROMBOSIS, INFECTION, COMPLICATIONS
Despite a lower incidence of infectious and thrombotic complications with subclavian vein catheters [There has been conflicting data regarding CVS incidence when comparing the subclavian and internal jugular veins [In addition to the previously described advantages of less infectious and thrombotic complications, the subclavian route may be more comfortable for the patient during insertion and also later on. Secondly, given that the subclavian route is further away from moving body parts compared to the internal jugular and the femoral routes, patient movement is less likely to affect the dialysis blood flow. Thirdly, the internal jugular and femoral routes are sometimes unavailable for catheterisation (e.g. due to local infection, thrombosis or other catheters in situ).The catheter fabrication material (polyurethane vs silicone) may also have an impact on CVS incidence [To summarise, the subclavian route offers several advantages when placing dialysis catheters, but it is rarely used due to previous studies (with some methodological concerns) that have demonstrated a higher incidence of CVS compared to internal jugular catheterisation [