278 results match your criteria: "Central Venous Access Subclavian Vein Subclavian Approach"
Our Experience of 500 Chemo Port Placements with Cephalic Vein Cut Down Technique-A Saviour for Cancer Treatment.
Indian J Surg Oncol
December 2024
Department of Surgical Oncology and Anaesthesiology, Bharath Cancer Hospital, Mysore, India.
Article Synopsis
The utilization of guidewires for adjusting the intraoperative catheter malposition during the venous access port implantation: A retrospective study.
Medicine (Baltimore)
November 2024
Department of General Surgery, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.
Article Synopsis
Echogenic needles versus non-echogenic needles for in-plane ultrasound-guided infraclavicular axillary vein cannulation, a randomized controlled trial.
Sci Rep
September 2024
Division of Emergencies and Critical Care, Department of Anesthesiology, Oslo University Hospital, Nydalen, P.O. Box 4850, 0424, Oslo, Norway.
Article Synopsis
- - The study compared the effectiveness of echogenic needles versus non-echogenic standard needles for ultrasound-guided cannulation of the infraclavicular axillary vein in adult patients needing central venous catheters.
- - The primary outcome measured was access time, which showed no significant difference between the two needle types (21 minutes for echogenic versus 26 minutes for standard).
- - Other secondary outcomes, including success rates and adverse events, revealed no major advantages for echogenic needles, suggesting that standard needles remain suitable for this procedure in perioperative care.
Innominate Vein Thrombosis: A Case Report and Literature Review.
Cureus
July 2024
Electrophysiology and Cardiology, Brookdale University Hospital and Medical Center, Brooklyn, USA.
Article Synopsis
- * BCV thrombosis (BCVT) is rare but can lead to severe complications like superior vena cava syndrome, especially in patients with risk factors such as previous cancers or central venous access.
- * A case involving an 82-year-old woman with multiple health issues highlighted the need for careful pre-procedural imaging and consideration of new technologies to mitigate risks when dealing with BCVT.
Safety and Efficiency of Cephalic Vein Puncture by Modified Seldinger Technique Compared to Subclavian Vein Puncture for Cardiac Implantable Electronic Devices.
Clin Cardiol
August 2024
Department of Cardiology, Helios Klinikum Pirna, Pirna, Germany.
Article Synopsis
- The study introduces a new method for accessing the cephalic vein (CVP) for implanting cardiac devices, which may lead to fewer complications and easier learning for healthcare providers.
- It analyzed data from 229 patients, with a focus on CVP as the main access route and found a 90% success rate for lead implantation using this method.
- The results show that CVP is as efficient as the traditional subclavian vein puncture (SVP) while having lower complication rates, suggesting it could become the preferred approach for these procedures.
Article Synopsis
- This study compares two techniques for ultrasound-guided subclavian vein catheterization: supraclavicular (above the clavicle) and infraclavicular (below the clavicle), aiming to identify their differences in success rates and complications.
- Involving 276 patients undergoing elective surgeries requiring ICU care, the researchers randomly assigned participants to either approach and measured various outcomes like procedural time and complication rates.
- Results indicated that the supraclavicular method was faster, with mean procedure times of about 2 minutes for this approach compared to approximately 3 minutes for the infraclavicular method, suggesting potential advantages of using the supraclavicular technique for central venous access.
The Study of the Feasibility of Ultrasound-guided Catheterization of the Right Brachiocephalic Vein in Adult Patients: A Prospective Observational Study.
J Med Ultrasound
September 2023
Department of Anesthesiology, Pain Medicine and Critical Care, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
Article Synopsis
- The brachiocephalic vein (BCV) is emerging as a safe option for central venous access in both pediatric and adult patients, particularly through ultrasound-guided supraclavicular cannulations.
- In a study involving 80 adult patients, the catheter placement was successful in all cases, with a high success rate on the first attempt (92.5%) and no reported complications.
- The study suggests that this method is effective and efficient, but further research is necessary to validate the findings and assess its long-term safety.
Comparison of the Ultrasound-Guided Supraclavicular and Infraclavicular Approaches for Subclavian Vein Cannulation in Children With Congenital Heart Disease.
J Cardiothorac Vasc Anesth
July 2024
Cardiac Intensive Care Unit, Department of Cardiovascular and Thoracic Surgery, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address:
Article Synopsis
Comparison of ultrasound guided supraclavicular subclavian vein versus infraclavicular subclavian/axillary vein catheterization: A systematic review and meta analysis.
J Vasc Access
March 2024
Department of Anaesthesiology, Pain Medicine and Critical Care Medicine AIIMS, New Delhi, India.
Article Synopsis
- Subclavian vein cannulation is crucial for central venous access, and this study compares two ultrasound-guided techniques: supraclavicular and infraclavicular approaches.
- A meta-analysis of seven studies involving 1,812 patients showed that the supraclavicular method had a higher first-pass success rate and shorter catheterization time than the infraclavicular method.
- Both approaches had similar complication rates, indicating that the supraclavicular approach is a more effective option for subclavian vein catheterization.
Transvenous Pacemaker Placement: A Review for Emergency Clinicians.
J Emerg Med
April 2024
Department of Emergency Medicine, Rush University, Chicago, Illinois.
Article Synopsis
- Transvenous pacemaker placement is a critical skill in emergency medicine, used for treating severe heart rhythm issues like bradycardia and tachydysrhythmias.
- The procedure involves placing a pacing wire through a central venous catheter into the right ventricle, with guidance from ultrasound to ensure correct positioning.
- While it can be life-saving, clinicians must be aware of potential complications during the procedure and develop troubleshooting strategies if the pacemaker doesn’t work immediately.
Precise Terminology and Specified Catheter Insertion Length in Ultrasound-Guided Infraclavicular Central Vein Catheterization.
Medicina (Kaunas)
December 2023
Department of Anesthesiology, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
Article Synopsis
- The study investigates the ultrasound-guided infraclavicular central venous approach compared to the traditional anatomical landmark technique for catheter insertion, highlighting the need to reassess both the catheter length and naming of the puncture site.
- Results show that the optimal catheter insertion length is about 1.5 cm longer than what is suggested by Pere's formula and can be accurately determined using patient measurements and data.
- Findings indicate that even with ultrasound guidance, catheterization may not always lead to subclavian vein access; therefore, the term "infraclavicular central venous access" may be more appropriate as it encompasses potential access to both subclavian and axillary veins.
Comparing the Utility of Landmark-Palpation Guided to Ultrasound-Guided Teaching Methodologies for Subclavian Central Venous Access Using a Formalin-Embalmed Cadaver Model.
Adv Med Educ Pract
November 2023
Rocky Vista University College of Osteopathic Medicine - Southern Utah, Ivins, UT, 84738, USA.
Article Synopsis
- The study evaluates two teaching methods—landmark-guided palpation and ultrasound-guided techniques—for training medical students on subclavian central venous access using formalin-embalmed cadavers.
- After training, students' confidence improved significantly in both groups, with those trained using ultrasound showing better performance with fewer skin punctures and failures compared to the palpation group.
- The conclusion emphasizes that using cadavers for practice enhances confidence in procedural skills, potentially leading to better outcomes and fewer complications in real clinical settings.
Long-term patency of bypass to the right atrium as a last resort in two hemodialysis patients: case report.
Ann Med Surg (Lond)
October 2023
Departments of Vascular Surgery.
Article Synopsis
Use of a Novel Three-Dimensional Model to Teach Ultrasound-guided Subclavian Vein Cannulation.
ATS Sch
September 2023
Department of Anesthesiology and Pain Medicine, Sinai Health System, Toronto, Ontario, Canada.
Article Synopsis
- Central venous cannulation, crucial in critical care, often sees low competency in ultrasound-guided subclavian vein access due to perceived difficulty and insufficient training resources.
- A new educational curriculum was developed that included lectures and hands-on practice with a low-cost 3D model to improve ultrasound-guided subclavian vein access skills.
- Feedback from 28 participants through focus groups allowed for iterative improvements, resulting in a finalized curriculum that effectively met training objectives in advanced vascular access skills.
Inadvertent catheter misplacement into the subclavian artery during ultrasound-guided internal jugular venous catheterization: a case report.
JA Clin Rep
September 2023
Department of Anesthesiology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo, 181-8611, Japan.
Article Synopsis
- Ultrasound-guided central venous catheterization is a common procedure, but mechanical complications can still occur.
- An 85-year-old woman underwent procedure for difficult venous access, but the guidewire was misplaced, leading to the catheter being incorrectly inserted into the right subclavian artery instead of the internal jugular vein.
- The case highlights the importance of accurately locating the guidewire during the procedure, suggesting that the needle insertion site should be positioned away from the clavicle to avoid complications.
Effect of insertion site on tunnelled haemodialysis catheter outcomes: an observational study of 967 catheters.
Intern Med J
April 2024
Department of Nephrology, Cairns Hospital, Cairns, Queensland, Australia.
Article Synopsis
Veno-Venous Surgical Bypass for Central Vein Occlusion in a Child: The First in the Literature.
EJVES Vasc Forum
May 2023
Department of Vascular Surgery, Hospital Serdang, Ministry of Health Malaysia, Kajang, Selangor, Malaysia.
Article Synopsis
- The incidence of chronic kidney disease (CKD) in children has increased over the past two decades, with arteriovenous fistulas (AVF) preferred for dialysis access, but maintaining them is often complicated by central venous occlusions caused by prior use of central venous devices.
- A case study of a 10-year-old girl with end-stage renal failure demonstrated successful surgical intervention to address her venous occlusion by performing a bypass from the axillary vein to the external iliac vein, resolving her venous hypertension.
- The report highlights that rising rates of central venous issues in pediatric patients necessitate innovative solutions, and emphasizes the importance of maintaining high flow in AVFs and using antiplatelet therapy post-surgery
Cephalic Vein Cut-Down Method for Totally Implantable Venous Access Ports: A Single-Institution Experience.
Ann Vasc Surg
January 2024
Department of Surgery, Takeda General Hospital, Fukushima, Japan.
Article Synopsis
- The study evaluated the safety and efficacy of the cephalic vein cut-down method for implanting totally implantable venous access ports (TIVAPs) as a safer alternative to the traditional subclavian puncture approach.
- A total of 221 adult patients were included, with a high technical success rate of 86.4% and very few early complications (1.8%), primarily unrelated to the new technique.
- The findings suggest that the cephalic vein cut-down method may reduce the risk of serious complications like pneumothorax and hemothorax, making it a favorable choice for patients needing chemotherapy.
Ultrasound guided cannulation of the right subclavian vein via a supraclavicular approach for the placement of a ventriculoatrial shunt.
J Vasc Access
July 2024
Department of Anesthesiology and Perioperative Medicine, Orthopädische Klinik Markgröningen GmbH, Markgroningen, Germany.
Article Synopsis
- * Ventriculoatrial (VA) shunts are increasingly used in patients with hydrocephalus, particularly in cases of complications from ventriculoperitoneal (VP) shunts.
- * A recent case highlighted the use of an ultrasound-guided supraclavicular approach for successfully accessing the right subclavian vein in a patient with difficult cervical venous anatomy and an inaccessible right internal jugular vein.
Fluoroscopy and CT Guided Translumbar Tunneled Dialysis Catheter for Hemodialysis Access Failure in a Case of Autosomal Dominant Polycystic Kidney Disease.
Indian J Nephrol
September 2022
Department of Radiology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Article Synopsis
- * Translumbar tunneled dialysis catheters (TLDCs) can be a backup option when normal vascular access routes are unavailable, despite risks such as venous stenosis and higher infection rates with central venous catheters.
- * A hybrid approach using CT-guided access to the inferior vena cava is proposed as a safer alternative for patients, addressing complications like organ perforation while accommodating those with large kidneys due to conditions like polycystic kidney disease.
Iatrogenic cervical arterio-venous fistula.
J Med Vasc
February 2023
Faculty of medicine and pharmacy of Fez, Sidi Mohamed Ben Abdellah University, BP 1893, KM 2.200 Route Sidi Harazem Fès, 30070, Morocco; Vascular surgery department, UHC Hassan II Fez, Morocco.
Article Synopsis
- Arteriovenous fistulas (AVFs) are the preferred method for vascular access in hemodialysis, but many patients still rely on central venous catheters (CVCs), which come with risks like infection and thrombosis.
- A case is presented involving a 53-year-old woman who developed an uncommon iatrogenic fistula between her right subclavian artery and internal jugular vein due to a misplaced catheter.
- The surgical approach involved a median sternotomy and a supraclavicular technique to repair the fistula, successfully closing it without complications, and the patient was discharged safely.
Real-Time Ultrasound Guidance as Compared With Landmark Technique for Subclavian Central Venous Cannulation: A Systematic Review and Meta-Analysis With Trial Sequential Analysis.
Crit Care Med
May 2023
Department of Anaesthesia and Intensive Care, A.O.U. Policlinico-San Marco, Catania, Italy.
Article Synopsis
Impact of central venous port implantation method and access choice on outcomes.
World J Clin Cases
January 2023
Department of General Surgery, Anadolu Medical Center Hospital, Kocaeli 41400, Turkey.
Article Synopsis
Implementation of Ultrasound-Guided Infraclavicular Subclavian Venous Catheterization During Anesthesia and Elective Surgery: A Prospective Observational Study at a Single Center in Lithuania.
Med Sci Monit
January 2023
Department of Anesthesiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Article Synopsis
High success rates of ultrasound-guided distal internal jugular vein and axillary vein approaches for central venous catheterization: A randomized controlled open-label pilot trial.
J Clin Ultrasound
January 2023
Department of Anesthesiology, Intensive Care, Pain and Emergency Medicine, Nîmes University Hospital, Nîmes, France.
Article Synopsis
- The study compares the effectiveness and safety of two ultrasound-guided techniques for central venous catheterization: the internal jugular vein (IJV) approach and the axillary vein (AV) approach.
- Results indicate that the IJV approach has a higher overall success rate of 96% compared to 89% for the AV approach, as well as better first puncture success rates and shorter procedure times.
- Despite both methods being safe with low complication rates, the IJV approach showed slightly higher immediate complications and catheter colonization, with no catheter-related infections reported for the AV approach.