Cephalic Vein Cutdown Periprocedural Care

Updated: Jun 14, 2019
  • Author: Adam S Budzikowski, MD, PhD, FHRS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Periprocedural Care

Equipment

Equipment used for cephalic vein cutdown includes the following:

  • Surgical blade, No. 11
  • Right-angle forceps
  • Metzenbaum curved dissecting scissors
  • Vein pick
  • Right-angle dissecting forceps
  • Two blunt self-retaining retractors (eg, Weitlaner)
  • Vascular forceps
  • Dilator, 5 French, or large-gauge peripheral intravenous cannula
  • Hydrophilic angiographic wire (eg, Glidewire, Zipwire) with angled-tip torquer tool
  • Fluoroscope
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Patient Preparation

Anesthesia

Local anesthesia with lidocaine is usually satisfactory when combined with procedural sedation. (See Local Anesthetic Agents, Infiltrative Administration and Procedural Sedation.) General anesthesia is very rarely necessary.

Positioning

Position the patient supine, in such a manner that his or her arm can be extended if necessary.

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