What is the best peripheral IV site for giving IV contrast dye for chest angiograms?

Answer 1

Generally IV's are started at the most peripheral site that is available and appropriate for the situation. This allows cannulation of a more proximal site if your initial attempt fails. If you puncture a proximal vein first, and then try to start an IV distal to that site, the fluid may leak from the injured proximal vessel. The preferred site in the emergency department is the veins of the forearm, followed by the median cubital vein that crosses the antecubital fossa. In trauma patients, it is common to go directly to the median cubital vein as the first choice because it will accommodate a large bore IV and it is generally easy to catheterize. In circumstances where the veins of the upper extremities are inaccessible, the veins of the dorsum of the foot or the saphenous vein of the lower leg can be used. In circumstances in which no peripheral IV access is possible a central IV can be started.

*** NO NO NO no central line for just IV contrast. You've got to be kidding me!!!

Answer 2

CT/MR angiography or traditional angiography?

CT angio contrast can be given through a regular IV typically inserted into the antecubital fossa.

Some forms of traditional angiography (cerebral and cardiac, for example) require placement of a catheter (central line) for the duration of the procedure.

Answer 3

I always use the median cubital veins. Try not to use veins in hand, as they tend to blow easily.

Answer 4

Isn't it only done using a central line?

Answer 5

arm; forearm