Advertisement
< Vol. 17 Issue 5 | Sep-Oct 2016 | pp. 373 - 452, e143 - e152

Ultrasound-guided supraclavicular central venous catheter tip positioning via the right subclavian vein using a microconvex probe

Ultrasound-guided supraclavicular central venous catheter tip positioning via the right subclavian vein using a microconvex probe

J Vasc Access 2016; 17(5): 435 - 439

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/jva.5000518

Authors

Se-Chan Kim, Ingo Gräff, Alexandra Sommer, Andreas Hoeft, Stefan Weber

Abstract

The ultrasound-guided central venous catheter (CVC) guidewire tip positioning has been demonstrated for catheterization of the right internal jugular vein. We explored the feasibility of an ultrasound-guided right subclavian vein (RScV) CVC tip positioning via a right supraclavicular approach using a microconvex probe.

Twenty patients scheduled for elective surgery were consecutively included in this observational feasibility study following written informed consent. Exclusion criteria were emergency procedure, thrombosis and obstacle to guidewire advancement. Following an ultrasound pre-scan of the superior vena cava (SVC), the RScV and the right pulmonary artery (RPA) via the right supraclavicular fossa view, a sterile ultrasound-guided venipuncture was performed. The guidewire J-tip was advanced to the distal SVC with subsequent introduction of the CVC. The final CVC tip position was confirmed with ultrasound and postoperative chest radiograph.

In all patients, SVC, RScV and RPA were visualized in the pre-scan. Guidewire positioning and final ultrasound CVC tip confirmation in the distal SVC was successful in all patients. In two patients, needle insertion of the RScV failed and insertion site was converted to a right internal jugular vein insertion. No misplacement, arterial puncture, pneumo- or hematothorax occurred. Time for pre-scan to venipuncture was 9 min 25 sec ± 5 min 24 sec and 1 min 05 sec ± 59 sec from venipuncture until guidewire positioning (mean ± SD, n = 18).

Ultrasound-guided CVC tip confirmation following catheterization of the right subclavian vein via a right supraclavicular approach with a microconvex probe is feasible.

Article History

  • • Accepted on 26/12/2015
  • • Available online on 22/03/2016
  • • Published in print on 21/09/2016

Disclosures

Financial support: This work was supported by the Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Germany.
Conflict of interest: No authors have any conflict of interest to declare.

This article is available as full text PDF.

  • If you are a Subscriber, please log in now.

  • Article price: Eur 36,00
  • You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under "My PayPerView". You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal.
  • If you are not a Subscriber you may:
  • Subscribe to this journal
  • Unlimited access to all our archives, 24 hour a day, every day of the week.

Authors

  • Kim, Se-Chan [PubMed] [Google Scholar] 1, * Corresponding Author (Se-Chan.Kim@ukb.uni-bonn.de)
  • Gräff, Ingo [PubMed] [Google Scholar] 1
  • Sommer, Alexandra [PubMed] [Google Scholar] 2
  • Hoeft, Andreas [PubMed] [Google Scholar] 1
  • Weber, Stefan [PubMed] [Google Scholar] 1

Affiliations

  • Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn - Germany
  • Department of Radiology, University Hospital Bonn, Bonn - Germany

Article usage statistics

The blue line displays unique views in the time frame indicated.
The yellow line displays unique downloads.
Views and downloads are counted only once per session.

This article has supplementary materials available to download.

  • If you are a Subscriber, please log in now.

  • Article price: Eur 36,00
  • You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under "My PayPerView". You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal.
  • If you are not a Subscriber you may:
  • Subscribe to this journal
  • Unlimited access to all our archives, 24 hour a day, every day of the week.