The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire

Kim, Se-Chan; Klebach, C.; Heinze, Ingo; Hoeft, Andreas; Baumgarten, Georg; Weber, Stefan

doi:10.3791/52160

Cited by 5 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We therefore believe that fluoroscopy should be considered. As an alternative to fluoroscopy, an ultrasound-guided supraclavicular approach to confirm the guidewire position and the final CVC tip position after insertion is a possibility to be considered [22, 23].…”

Section: Discussionmentioning

confidence: 99%

A Five-Year Data Report of Long-Term Central Venous Catheters Focusing on Early Complications

Lenz

Myre

Drægni

et al. 2019

Anesthesiology Research and Practice

View full text Add to dashboard Cite

Background Long-term venous access has become the standard practice for the administration of chemotherapy, fluid therapy, antibiotics, and parenteral nutrition. The most commonly used methods are percutaneous puncture of the subclavian and internal jugular veins using the Seldinger technique or surgical cutdown of the cephalic vein. Methods This study is based on a quality registry including all long-term central venous catheter insertion procedures performed in patients >18 years at our department during a five-year period. The following data were registered: demographic data, main diagnosis and indications for the procedure, preoperative blood samples, type of catheter, the venous access used, and the procedure time. In addition, procedural and early postoperative complications were registered: unsuccessful procedures, malpositioned catheters, pneumothorax, hematoma complications, infections, nerve injuries, and wound ruptures. The Seldinger technique using anatomical landmarks at the left subclavian vein was the preferred access. Fluoroscopy was not used. Results One thousand one hundred and one procedures were performed. In eight (0.7%) cases, the insertion of a catheter was not possible, 23 (2.1%) catheters were incorrectly positioned, twelve (1.1%) patients developed pneumothorax, nine (0.8%) developed hematoma, and three (0.27%) developed infection postoperatively. One (0.1%) patient suffered nerve injury, which totally recovered. No wound ruptures were observed. Conclusions We have a high success rate of first-attempt insertions compared with other published data, as well as an acceptable and low rate of pneumothorax, hematoma, and infections. However, the number of malpositioned catheters was relatively high. This could probably have been avoided with routine use of fluoroscopy during the procedure.

show abstract

Section: Discussionmentioning

confidence: 99%

A Five-Year Data Report of Long-Term Central Venous Catheters Focusing on Early Complications

Lenz

Myre

Drægni

et al. 2019

Anesthesiology Research and Practice

View full text Add to dashboard Cite

show abstract

“…Ease of learning of this approach needs also to be addressed in further studies. For educational purposes the methodology of the supraclavicular fossa view can be reviewed as an instructional video elsewhere (17).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided Supraclavicular Central Venous Catheter Tip Positioning via the Right Subclavian Vein using a Microconvex Probe

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…The use of the right supraclavicular fossa ultrasound view to confirm correct guidewire J‐tip position in the lower superior vena cava (SVC) during CVC insertion has been demonstrated for right internal jugular vein catheterisation [21] and right supraclavicular subclavian vein catheterisation in a small pilot study [22]. The method requires an ultrasound probe with a scanning depth that exceeds approximately 10 cm (to allow for visualisation of the guidewire J‐tip in the lower SVC, thereby avoiding misplacements into the azygos vein) [23]. A micro‐convex probe couples good image resolution with high scanning depth.…”

Section: Introductionmentioning

confidence: 99%

The right supraclavicular fossa ultrasound view for correct catheter tip positioning in right subclavian vein catheterisation: a prospective observational study

et al. 2021

View full text Add to dashboard Cite

Central venous catheter misplacement is common (approximately 7%) after right subclavian vein catheterisation. To avoid it, ultrasound-guided tip navigation may be used during the catheterisation procedure to help direct the guidewire towards the lower superior vena cava. We aimed to determine the number of central venous catheter misplacements when using the right supraclavicular fossa ultrasound view to aid guidewire positioning in right infraclavicular subclavian vein catheterisation. We hypothesised that the incidence of catheter misplacements could be reduced to 1% when using this ultrasound technique. One -hundred and three adult patients were prospectively included. After vein puncture and guidewire insertion, we used the right supraclavicular fossa ultrasound view to confirm correct guidewire J-tip position in the lower superior vena cava and corrected the position of misplaced guidewires using real-time ultrasound guidance. Successful catheterisation of the right subclavian vein was achieved in all patients. The guidewire J-tip was initially misplaced in 15 patients, either in the ipsilateral internal jugular vein (n = 8) or in the left brachiocephalic vein (n = 7). In 12 patients it was possible to adjust the guidewire J-tip to a correct position in the lower superior vena cava. All ultrasound-determined final guidewire J-tip positions were consistent with the central venous catheter tip positions on chest X-ray. Three out of 103 catheters were misplaced, corresponding to an incidence (95%CI) of 2.9 (0.6-8.3) %. Although the hypothesis could not be confirmed, this study demonstrated the usefulness of the right supraclavicular fossa ultrasound view for real-time confirmation and correction of the guidewire position in right infraclavicular subclavian vein catheterisation.

show abstract

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire

Cited by 5 publications

References 14 publications

A Five-Year Data Report of Long-Term Central Venous Catheters Focusing on Early Complications

A Five-Year Data Report of Long-Term Central Venous Catheters Focusing on Early Complications

Ultrasound-guided Supraclavicular Central Venous Catheter Tip Positioning via the Right Subclavian Vein using a Microconvex Probe

The right supraclavicular fossa ultrasound view for correct catheter tip positioning in right subclavian vein catheterisation: a prospective observational study

Contact Info

Product

Resources

About