Ultrasound guided axillary vein catheterization versus subclavian vein cannulation with landmark technique: A PRISMA-compliant systematic review and meta-analysis

Zhou, Jinchuan; Wu, Lidong; Zhang, Chunquan; Wang, Jiwei; Liu, Yanna; Ping, Luyi

doi:10.1097/md.0000000000031509

Cited by 2 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Subclavian vein cannulation has a low risk of infection, high patient comfort, and ease of care. However, due to the difficulty displaying the clavicle on ultrasound, subclavian vein cannulation is more difficult than internal jugular vein and femoral vein cannulation and may bring a risk of perforating arteries and pneumothorax [ 14 ]. The axillary vein runs outside the thorax and continues as the subclavian vein.…”

Section: Discussionmentioning

confidence: 99%

“…Although the internal jugular vein is superior to femoral vein access relative to avoid infection, this gives the patient limited head movement, which leads to increased bleeding complications and catheter migration. Subclavian vein cannulation brings the risk of complications such as pneumothorax and arterial perforation [ 14 ]. Percutaneous axillary central venous cannulation can reduce cannulation failure and mechanical complications, is as safe and effective as internal jugular vein cannulation, and is superior to subclavian vein cannulation using landmark technique [ 14 – 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Subclavian vein cannulation brings the risk of complications such as pneumothorax and arterial perforation [ 14 ]. Percutaneous axillary central venous cannulation can reduce cannulation failure and mechanical complications, is as safe and effective as internal jugular vein cannulation, and is superior to subclavian vein cannulation using landmark technique [ 14 – 17 ]. As far, axillary artery access to VA-ECMO has been extensively described in the literature and has shown good results [ 18 , 19 ], while percutaneous axillary vein cannulation for VV-ECMO has been rarely reported.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Axillary vein as an alternative venous access site for VV-ECMO cannulation: a case report

Pan,

Zhou,

Pan

et al. 2024

J Cardiothorac Surg

View full text Add to dashboard Cite

Background Ultrasound-guided percutaneous axillary vein cannulation can reduce cannulation failure and mechanical complications, is as safe and effective as internal jugular vein cannulation, and is superior to subclavian vein cannulation using landmark technique. As far, reports of venovenous extracorporeal membrane oxygenation (VV-ECMO) with percutaneous axillary vein cannulation are rare. Case presentation A 64-year-old man presenting with dyspnea and chest tightness after aspirating sewage was admitted to the emergency department. Computed tomography (CT) showed diffuse exudation of both lungs and arterial blood gas analysis showed an oxygenation index of 86. He was diagnosed with aspiration pneumonia-induced acute respiratory distress syndrome (ARDS) and intubated for deteriorated oxygenation. Despite the combination therapy of protective mechanical ventilation and prone position, the patient’s oxygenation deteriorated further, accompanied with multiple organ dysfunction syndrome, which indicated the requirement of support with VV-ECMO. However, vascular ultrasound detected multiple thrombus within bilateral internal jugular veins. As an alternative, right axillary vein was chosen as the access site of return cannula. Subsequently, femoral-axillary VV-ECMO was successfully implemented under the ultrasound guidance, and the patient’s oxygenation was significantly improved. Unfortunately, the patient died of hyperkalemia-induced ventricular fibrillation after 36 h of VV-ECMO running. Despite the poor prognosis, the blood flow during ECMO run was stable, and we observed no bleeding complication, vascular injury, or venous return disorder. Conclusions Axillary vein is a feasible alternative access site of return cannula for VV-ECMO if internal jugular vein access were unavailable.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%