Ultrasound-Guided Subclavian Vein Catheterization

Lalu, Manoj M.; Fayad, Ashraf; Ahmed, Osman; Bryson, Gregory L.; Fergusson, Dean; Barron, Carly C.; Sullivan, Patrick K.; Thompson, Calvin

doi:10.1097/ccm.0000000000000973

Cited by 120 publications

(92 citation statements)

References 21 publications

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“…3 This advantage is further supported by a recent systematic review and meta-analysis which demonstrated that the use of dynamic two-dimensional US reduces both the number of failed attempts and the complication rate. 7 Despite these potential benefits and recent reports of high success rates in experienced hands, 8 the use of echo-guided subclavian vein cannulation is relatively low.…”

Section: Résumémentioning

confidence: 99%

Subclavian and axillary vessel anatomy: a prospective observational ultrasound study

Lavallée

Ayoub

Mansour

et al. 2017

Can J Anesth/J Can Anesth

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Section: Résumémentioning

confidence: 99%

Subclavian and axillary vessel anatomy: a prospective observational ultrasound study

Lavallée

Ayoub

Mansour

et al. 2017

Can J Anesth/J Can Anesth

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“…These findings are in agreement with the rate of catheter occlusion in the present study; however, technical success and intraprocedural complications in our study did not differ between the two groups. A possible explanation is the use of imaging guidance in our study in contrast with the landmark technique used in the study by Tsai et al [3] The utility of ultrasound guidance to reduce AEs and failed catheterization has been reported [4,5]. Similarly, the high rate of technical success and low rates of intraprocedural AEs were achieved in the current study despite the involvement of various operators, including residents, presumably due to the use of image guidance with ultrasound and fluoroscopy.…”

Section: Discussionmentioning

confidence: 49%

Right-Versus Left-Subclavian Central Venous Port for Patients with Malignant Tumor: A Retrospective Comparison of Adverse Events and Imaging Findings

Sone

Sugawara

Tomita

2018

Interventional Radiology

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Purpose: The optimal side for placement of a central venous port (CVP) remains unclear. The authors aimed to compare adverse events (AEs) and imaging findings according to CVP placement via the right and left subclavian vein (SCV) in patients with malignant tumor(s).Material and Methods: A total of 254 consecutive adult patients, who underwent CVP placement between January and August 2012, were included. Percutaneous ultrasound-guided access was attempted in the right SCV in 134 (59 men, 75 women; median age 61 years) and left SCV in 120 (58 men, 62 women; median age 61 years) patients. The primary tumor was colorectal (right, 17/ left, 71); upper gastrointestinal (33/7); bone and soft tissue (21/9); and others (63/33). A retrospective evaluation of technical success, AEs, and computed tomography findings was performed.Results: Technical success was achieved in 99% of patients in both groups. Median procedure time was 30 min in both groups. There were no statistically significant differences in intraprocedural AEs. In postprocedural AEs during a median follow-up of 347 (right)/530 (left) days, CVP placement in the left SCV was associated with a significantly higher rate of catheter occlusion (right, 0%; left, 5.8%). Both symptomatic venous thrombosis (right, 0.7%; left, 4.2%) and image-confirmed venous thrombosis (right, 4.8%; left, 21.8%) occurred more frequently in the left-CVP group.Conclusion: Left-CVP was associated with significantly higher rates of late AEs and venous thrombosis. Despite the inherent limitations of the retrospective study design and small sample size, re-evaluation of left-CVP may be required in patients with malignant tumor(s).

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“…Hikayesinde maden işçiliği ve KOAH olduğu için hafif yüksek olmasından şüphelenmedik. USG'nin kanülasyona kılavuzluk etmesi günümüzde en iyi uygulama olarak kabul edilmekte ve geleneksel "kör'' yöntem ile karşılaştırıldığında, başarısız kateterizasyonları ve komplikasyonları azaltmaktadır [7] . Kateter yerini doğrulamak için göğüs röntgeni yanında, transtorasik ekokardiyografi (TTE) ile kombine vasküler USG önerilmektedir [2] .…”

Section: Discussionunclassified

Very rare malposition of a central venous catheter into the left internal mammary vein in patient with coronary artery disease

Coşkun¹,

Altinay²,

Okyay³

et al. 2019

GKDA Derg

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Santral venöz kateterizasyon, hastanede yatan hastalarda sıkça kullanılan tanı ve tedavide yardımcı, malpozisyon, rüptür gibi komplikasyonlara neden olabilen girişimsel bir tekniktir. Makalemizde, koroner arter baypas greft cerrahisi preoperatif hazırlıkları yapılan hastada, oldukça ender gözlenen sol iç meme venine olan kateter malpozisyonunu değerlendirmeyi amaçladık. Sol iç meme venine olan bu beklenmedik kateterizasyon literatürde bildirilmiş olmasına rağmen, bu olgu, koroner arter hastasında intraoperatif belirlenen malpozisyonunun ilk raporu gibi görünmektedir.

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Ultrasound-Guided Subclavian Vein Catheterization

Abstract: Ultrasound-guided subclavian catheterization reduced the frequency of adverse events compared with the landmark technique. Our findings support the use of dynamic 2D ultrasound for subclavian catheterization to reduce adverse events and failed catheterization.

Cited by 120 publications

References 21 publications

Subclavian and axillary vessel anatomy: a prospective observational ultrasound study

Subclavian and axillary vessel anatomy: a prospective observational ultrasound study

Right-Versus Left-Subclavian Central Venous Port for Patients with Malignant Tumor: A Retrospective Comparison of Adverse Events and Imaging Findings

Very rare malposition of a central venous catheter into the left internal mammary vein in patient with coronary artery disease

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