Approaches to Caval Vein

  • Caius Burri
  • Friedrich Wilhelm Ahnefeld


Reliable estimation of the CVP and the possibility of safe administration of hyperosmolar substances demand a central position of the catheter tip in the valveless superior caval vein system. In contrast to other authors (Eastridge, 138, 139; Jaikaran 256; Saegesser 406) and the now very rare advocates of the lower approach from the femoral vein we consider the superior caval vein immediately before its entry into the right atrium as the ideal catheter position. If the tip enters the right atrium, complications such as perforations, conduction disturbances, and flat wall injuries may result. Access to the caval vein can be made by puncture or exposure of peripheral veins, namely:
  1. 1.

    The basilic vein or the superficial veins of the arm

  2. 2.

    The external jugular vein

  3. 3.

    The internal jugular vein

  4. 4.

    The subclavian or anonymous vein

  5. 5.

    The femoral vein



Jugular Vein Internal Jugular Vein Subclavian Vein External Jugular Vein Great Saphenous Vein 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 1978

Authors and Affiliations

  • Caius Burri
    • 1
  • Friedrich Wilhelm Ahnefeld
    • 2
  1. 1.Abteilung für Unfallchirurgie des Zentrums für Operative Medizin der UniversitätUlm (Donau)Germany
  2. 2.Department für Anästhesiologie des Zentrums für Interdisziplinäre Medizinische Einheiten der UniversitätUlm (Donau)Germany

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