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Letter to the Editor| Volume 194, ISSUE 5, P699, November 2007

Cephalic vein cut-down verses percutaneous access: A retrospective study of complications of implantable venous access devices

      We have read with interest the paper by Jablon et al [
      • Jablon L.K.
      • Ugolini K.R.
      • Nahmias N.C.
      Cephalic vein cut-down verses percutaneous access: a retrospective study of complications of implantable venous access devices.
      ]. They concluded that the cut-down technique should be considered the safest initial approach for placement of venous access devices. We agree with their conclusion based on the data presented.
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      References

        • Jablon L.K.
        • Ugolini K.R.
        • Nahmias N.C.
        Cephalic vein cut-down verses percutaneous access: a retrospective study of complications of implantable venous access devices.
        Am J Surg. 2006; 192: 63-67
        • National Institute for Clinical Excellence
        Guidance on the Use of Ultrasound Locating Devices for Central Venous Catheters (NICE Technology Appraisal, No. 49.).
        NICE, London, UK2002
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        • Fisher R.
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        • et al.
        A comparative analysis of radiological and surgical placement of central venous catheters.
        Cardiovasc Intervent Radiol. 1997; 20: 17-22
        • Sharma A.
        • Bodenham A.R.
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        Br J Anaesth. 2004; 93: 188-192

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