COMPARISON OF LANDMARK-GUIDED SUBCLAVIAN VERSUS ULTRASOUND-GUIDED INNOMINATE VEIN CANNULATION IN CHILDREN: A RETROSPECTIVE ANALYSIS OF COMPLICATIONS AND OUTCOMES

jpedsurg.org

Central venous access remains critical in pediatric care. While the landmark-guided subclavian vein (LT-SCV) approach has been historically common, ultrasound-guided innominate vein (US-IV) cannulation has emerged as a safer alternative.

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Article · Oct 2025 · 1 min read

In brief

This retrospective study compares traditional landmark-based subclavian vein catheterization with ultrasound-guided innominate vein access in pediatric patients. The analysis evaluates complication rates and clinical outcomes to determine which technique offers superior safety for establishing central venous access in children.

Ultrasound-guided innominate vein cannulation shows lower complication rates compared to landmark-guided subclavian approach in children.
US-IV technique reduces risks of pneumothorax and arterial puncture associated with traditional subclavian access.
Real-time ultrasound visualization improves first-pass success rates and procedural safety in pediatric central line placement.
Innominate vein cannulation offers anatomical advantages with larger vessel diameter and more favorable trajectory in pediatric patients.

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