What is not recommended for use with patients who have chronic kidney disease?

Patients with chronic kidney disease often face heightened risks related to their vascular access options due to the complications associated with their condition. Subclavian vein access is not recommended for these patients primarily because it is associated with a higher rate of complications, particularly vascular injury and thrombosis. This access site can also contribute to long-term issues such as subclavian vein stenosis, which complicates future access.

Furthermore, the anatomy of patients with chronic kidney disease may be altered, and the presence of collateral circulation can become more pronounced. This makes other access sites, such as internal jugular or femoral, preferable due to their relative safety and lesser risk of complications.

Chronic kidney disease patients may require more frequent vascular access for treatments like dialysis, and the potential risks of subclavian vein puncture outweigh its benefits. Therefore, selecting alternative access points is crucial to enhance patient safety and the effectiveness of vascular interventions.