178 results match your criteria Central Venous Access Subclavian Vein Subclavian Approach


Feasibility and safety of exclusive echocardiography-guided intravenous temporary pacemaker implantation.

J Echocardiogr 2018 Nov 13. Epub 2018 Nov 13.

Department of Cardiology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 151, 84101, Beer Sheva, Israel.

Background: The standard approach for urgent trans-venous temporary cardiac pacemaker (TVTP) implantation is fluoroscopy guidance. The delay in activation of the fluoroscopy-room and the transfer of unstable patients may be life-threatening. Echocardiography-guided TP implantation may increase the safety of the patients by obviating the need for in-hospital transfer. Read More

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http://link.springer.com/10.1007/s12574-018-0406-4
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http://dx.doi.org/10.1007/s12574-018-0406-4DOI Listing
November 2018
7 Reads

Femoral Access for Central Venous Port System Implantation.

Cureus 2018 Mar 14;10(3):e2327. Epub 2018 Mar 14.

Thoracic Surgery, Saint-Petersburg State University.

Totally implanted venous access port (TIVAP) systems provide adequate quality of care and life, especially for oncology patients. Long-term vascular access is very important and easy to perform, but in some clinical situations, if patients have a superior caval system occlusion, femoral insertion may be the only option. We present a case of a 70-year-old colorectal adenocarcinoma patient diagnosed with subclavian vein hypoplasia. Read More

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https://www.cureus.com/articles/10610-femoral-access-for-cen
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http://dx.doi.org/10.7759/cureus.2327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951597PMC
March 2018
4 Reads

Obtaining central access in challenging pediatric patients.

Pediatr Surg Int 2018 May 26;34(5):529-533. Epub 2018 Mar 26.

Section of Pediatric Surgery, Department of Surgery, Michigan Medicine, C.S. Mott Children's and Von Voigtlander Women's Hospital, Ann Arbor, MI, 48109, USA.

Purpose: Central catheter placement is one of the most commonly performed procedures by pediatric surgeons. Here, we present a case series of patients where central access was obtained at our institution with the utilization of a novel ultrasound-guided technique. This series represents the first of its kind where the native, parent vessels were inaccessible, resulting in a challenging situation for providers. Read More

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http://dx.doi.org/10.1007/s00383-018-4251-3DOI Listing
May 2018
17 Reads

Percutaneous Cut-Down Technique for Indwelling Port Placement.

Am Surg 2017 Dec;83(12):1336-1342

The superiority of surgical cut-down of the cephalic vein versus percutaneous catheterization of the subclavian vein for the insertion of totally implantable venous access devices (TIVADs) is debated. To compare the safety and efficacy of surgical cut-down versus percutaneous placement of TIVADs. This is a single-institution retrospective cohort study of oncologic patients who had TIVADs implanted by 14 surgeons. Read More

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December 2017
23 Reads

[Complications analysis of subcutaneous venous access port for chemotherapy in patients with gastrointestinal malignancy].

Zhonghua Wei Chang Wai Ke Za Zhi 2017 Dec;20(12):1393-1398

Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China.

Objective: To describe and analyze the complications of subcutaneous venous access port for patients with gastrointestinal malignancy.

Methods: Data of 1 912 patients with gastrointestinal malignancy who accepted chemotherapy in our department via subcutaneous venous access ports, including 127 cases in upper arm, 865 cases in subclavicular vein and 920 cases in internal jugular vein, from June 2007 to April 2016 were analyzed retrospectively. Associated complications and risk factors were emphatically investigated. Read More

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December 2017
12 Reads

Visualization Improves Supraclavicular Access to the Subclavian Vein in a Mixed Reality Simulator.

Anesth Analg 2018 Jul;127(1):83-89

From the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida.

Background: We investigated whether visual augmentation (3D, real-time, color visualization) of a procedural simulator improved performance during training in the supraclavicular approach to the subclavian vein, not as widely known or used as its infraclavicular counterpart.

Methods: To train anesthesiology residents to access a central vein, a mixed reality simulator with emulated ultrasound imaging was created using an anatomically authentic, 3D-printed, physical mannequin based on a computed tomographic scan of an actual human. The simulator has a corresponding 3D virtual model of the neck and upper chest anatomy. Read More

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http://dx.doi.org/10.1213/ANE.0000000000002572DOI Listing
July 2018
14 Reads

The correlation between ATLS and junior doctors' anatomical knowledge of central venous catheter insertion at a major trauma centre in South Africa.

Injury 2018 Feb 7;49(2):203-207. Epub 2017 Nov 7.

Pietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu-Natal, Durban, South Africa; Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Objective: To review the ability of junior doctors (JDs) in identifying the correct anatomical site for central venous catheterization (CVC) and whether prior Advanced Trauma Life Support (ATLS) training influences this.

Design: We performed a prospective, observational study using a structured survey and asked a group of JDs (postgraduate year 1 [PGY1] or year 2 [PGY2]) to indicate on a photograph the exact site for CVC insertion via the internal jugular (IJV) and the subclavian (SCV) approach. This study was conducted in a large metropolitan university hospital in South Africa. Read More

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http://dx.doi.org/10.1016/j.injury.2017.11.004DOI Listing
February 2018
5 Reads

Supraclavicular Approach to Ultrasound-Guided Brachiocephalic Vein Cannulation in Children and Neonates.

Front Pediatr 2017 5;5:211. Epub 2017 Oct 5.

Pediatric and Neonatal Intensive Care Unit, Paris South University Hospitals, Le Kremlin-Bicêtre, Assistance Publique Hôpitaux de Paris, Paris, France.

The correct choice of intra vascular access in critically ill neonates should be individualized depending on the type and duration of therapy, gestational and chronological age, weight and/or size, diagnosis, clinical status, and venous system patency. Accordingly, there is an ongoing demand for optimization of catheterization. Recently, the use of ultrasound (US)-guided cannulation of the subclavian vein (SCV) has been described in children and neonates. Read More

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http://journal.frontiersin.org/article/10.3389/fped.2017.002
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http://dx.doi.org/10.3389/fped.2017.00211DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633682PMC
October 2017
18 Reads

Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice.

Crit Care 2017 Aug 28;21(1):225. Epub 2017 Aug 28.

Service de Réanimation Médicale Hôpital de Bicêtre, Hôpitaux Universitaires Paris-Sud, AP-HP, Le Kremlin-Bicêtre, France.

The use of ultrasound (US) has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this review, we describe the rationale for the use of US during CVC placement, the basic principles of this technique, and the current evidence and existing guidelines for its use. In addition, we recommend a structured approach for US-guided central venous access for clinical practice. Read More

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http://dx.doi.org/10.1186/s13054-017-1814-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5572160PMC
August 2017
19 Reads

Indications and outcomes for tunneled central venous line placement via the axillary vein in children.

Pediatr Surg Int 2017 Sep 27;33(9):1001-1005. Epub 2017 Jun 27.

Department of Surgery, Medstar Georgetown University Hospital, 3800 Reservoir Road, NW, Washington, DC, 20007, USA.

Purpose: To assess the indications, safety and outcomes of tunneled central venous catheters (CVCs) placed via a cutdown approach into the axillary vein in children, an approach not well described in this population.

Methods: A retrospective cohort study was performed on pediatric patients who received CVCs via open cannulation of the axillary vein or one of its tributaries between January 2006 and October 2016 at two hospitals.

Results: A total of 24 axillary CVCs were placed in 20 patients [10 male (42%); mean weight 7. Read More

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http://link.springer.com/10.1007/s00383-017-4099-y
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http://dx.doi.org/10.1007/s00383-017-4099-yDOI Listing
September 2017
13 Reads

[Use of ultrasound for placement of central venous catheters in pediatrics: results of a national survey].

Cir Pediatr 2017 Jan 25;30(1):9-16. Epub 2017 Jan 25.

Servicio de Cirugía Pediátrica. Hospital Clínico Universitario Virgen de la Arrixaca. Murcia.

Objectives: To study the variability of techniques used for vascular access of central venous devices, totally implanted and external tunneled, as well as polling the use of ultrasound by pediatric surgeons in Spain.

Material And Methods: Descriptive study of a survey results, conducted by phone, email and online, about 20 items related to the placement of these devices in children and the use of ultrasound in this procedure.

Results: We analyzed 71 surveys from 31 national hospitals. Read More

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January 2017
11 Reads

A comparison of longitudinal and transverse approaches to ultrasound-guided axillary vein cannulation by experienced operators.

J Thorac Dis 2017 Apr;9(4):1133-1139

Department of Intensive Care Unit, Zhongshan Hospital, Fudan University, Shanghai 200032, China.

Background: The axillary vein is an easily accessible vessel that can be used for ultrasound-guided central vascular access and offers an alternative to the internal jugular and subclavian veins. The objective of this study was to identify which transducer orientation, longitudinal or transverse, is better for imaging the axillary vein with ultrasound.

Methods: We analyzed 236 patients who had undergone central venous cannulation of axillary vein in this retrospective study. Read More

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http://jtd.amegroups.com/article/view/12958/10944
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http://dx.doi.org/10.21037/jtd.2017.03.137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5418287PMC
April 2017
9 Reads

Complications after implantation of subcutaneous central venous ports (PowerPort).

Ann Med Surg (Lond) 2017 May 10;17:1-6. Epub 2017 Mar 10.

Department of Surgery, Kitasato University School of Medicine, Japan.

Background: The aim of our study was revised as follows: to clarify the postoperative complications of multifunctional central venous ports and the risk factors for such complications to promote the safe use of the PowerPort system in the hospital.

Methods: The study group comprised 132 patients in whom implantable central venous access ports (PowerPort) were placed in our hospital from March 2014 through December 2015. The approach used for port placement was the subclavian vein in 43 patients (33%), the internal jugular vein in 87 patients (66%), and the femoral vein in 2 patients (1%). Read More

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http://dx.doi.org/10.1016/j.amsu.2017.03.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358939PMC
May 2017
8 Reads

Response to: Central venous catheterization in fragile patients: which is the best approach?

J Vasc Access 2017 03 21;18(2):e25. Epub 2017 Mar 21.

Department of Diagnostic Science - Radiology and Interventional Radiology Unit, ASST Santi Paolo and Carlo - San Carlo Borromeo Hospital, Milan - Italy.

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http://dx.doi.org/10.5301/jva.5000667DOI Listing
March 2017
4 Reads

Ultrasound-Guided Subclavian Vein Cannulation in Low Birth Weight Neonates.

Pediatr Crit Care Med 2017 02;18(2):172-175

1Pediatric and Neonatal Intensive Care Unit, Paris South University Hospitals, Assistance Publique Hôpitaux de Paris, Le Kremlin-Bicêtre, Paris, France. 2School of Medicine, Paris South University, Le Kremlin-Bicêtre, Paris, France. 3Institute of Integrative Biology of the Cell-UMR 9198, Paris Saclay University, Gif-sur-Yvette, Paris, France. 4Espace Ethique/IDF, Saint Louis University Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.

Objectives: Central venous access in critically ill, small infants remains technically challenging even in experienced hands. Several vascular accesses exist, but the subclavian vein is often preferred for central venous catheter insertion in infants where abdominal malformation and/or closure of the vein preclude the use of umbilical venous catheters, as catheterization of the subclavian vein is easier in very short necks than the internal jugular vein for age-related anatomical reasons. The subclavian vein approach is yet relatively undescribed in low birth weight infants (i. Read More

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http://dx.doi.org/10.1097/PCC.0000000000001028DOI Listing
February 2017
10 Reads

Analysis of the Outcomes in Central Venous Access Port Implantation Performed by Residents via the Internal Jugular Vein and Subclavian Vein.

J Surg Educ 2017 May - Jun;74(3):443-449. Epub 2016 Dec 5.

Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Objective: The central venous access port (CVAP) has played an important role in the safe administration of chemotherapy and parenteral nutrition. The aim of the present study was to clarify the optimal access vein for CVAP implantation when performed by residents rather than attending surgeons.

Methods: A consecutive cases of CVAP implantation via the subclavian vein (SV) using a landmark-guided technique or via the internal jugular vein (JV) using an ultrasound-guided technique were divided into 2 groups according to whether the intervention was performed by a resident or an attending surgeon. Read More

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http://dx.doi.org/10.1016/j.jsurg.2016.11.005DOI Listing
April 2018
12 Reads

Infraclavicular access to the axillary vein - new possibilities for the catheterization of the central veins in the intensive care unit.

Anaesthesiol Intensive Ther 2016 21;48(5):360-366. Epub 2016 Nov 21.

Department of Anesthesiology and Critical Care, PS ZOZ Wojewodzkie Centrum Medyczne w Opolu, Poland.

Central vein cannulation is one of the most commonly performed procedures in intensive care. Traditionally, the jugular and subclavian vein are recommended as the first choice option. Nevertheless, these attempts are not always obtainable for critically ill patients. Read More

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https://journals.viamedica.pl/anaesthesiology_intensivethera
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http://dx.doi.org/10.5603/AIT.a2016.0055DOI Listing
March 2017
15 Reads

A novel "shrug technique" for totally implantable venous access devices via the external jugular vein: A consecutive series of 254 patients.

J Surg Oncol 2017 Mar 4;115(3):291-295. Epub 2016 Nov 4.

Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

Background: The external jugular vein (EJV) approach for totally implantable venous access devices (TIVADs) is safe. However, the success rate is unsatisfactory because of the difficulty in catheterization due to the acute angle between the EJV and the subclavian vein (SCV). A novel "shrug technique" to overcome this difficulty was developed, and its efficacy was assessed in a consecutive case series. Read More

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http://dx.doi.org/10.1002/jso.24504DOI Listing
March 2017
10 Reads

A Novel Technique of Subclavian Artery Cannulation for Venoarterial Extracorporeal Membrane Oxygenation.

Exp Clin Transplant 2017 Dec 14;15(6):658-663. Epub 2016 Oct 14.

From the Department of Cardiovascular Surgery, Turkey Yuksek Ihtisas Hospital, Ankara, Turkey.

Objectives: The common femoral artery is the standard site for immediate vascular access when initiating adult venoarterial extracorporeal membrane oxygenation. However, this approach is fraught with problems such as femoral artery occlusion, distal limb ischemia, reperfusion injury resulting in compartment syndrome, retroperitoneal hemorrhage, thrombosis, embolization, and most importantly, pulmonary edema. Here, we show our preference of using the subclavian artery with a side graft as a different cannulation technique for outflow of extracorporeal membrane oxygenation, which can avoid complications associated with different access techniques. Read More

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http://dx.doi.org/10.6002/ect.2016.0002DOI Listing
December 2017
29 Reads

Novel experience of laser-assisted 'inside-out' central venous access in a patient with bilateral subclavian vein occlusion requiring pacemaker implantation.

Europace 2017 Oct;19(10):1750-1753

Department of Cardiology, The James Cook University Hospital, South Tees Hospitals NHS Foundation Trust, Marton Road, Middlesbrough TS4 3BW, UK.

Aim: This new laser facilitated 'inside-out' technique was used for transvenous pacemaker insertion in a pacemaker-dependent patient with bilateral subclavian occlusion and a failed epicardial system who is not suitable for a transfemoral approach.

Method And Results: Procedure was undertaken under general anaesthesia with venous access obtained from right femoral vein and left axillary vein. 7F multipurpose catheter was used to enter proximal edge of the occluded segment of subclavian vein via femoral approach, which then supported stiff angioplasty wires and microcatheters to tunnel into the body of occlusion. Read More

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http://dx.doi.org/10.1093/europace/euw239DOI Listing
October 2017
18 Reads

Application and comparison of different implanted ports in malignant tumor patients.

World J Surg Oncol 2016 Sep 23;14(1):251. Epub 2016 Sep 23.

Department of Medical Oncology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, 510655, China.

Background: The current study aims to compare the application and convenience of the upper arm port with the other two methods of implanted ports in the jugular vein and the subclavian vein in patients with gastrointestinal cancers.

Methods: Currently, the standard of practice is placement of central venous access via an internal jugular vein approach. Perioperative time, postoperative complications, and postoperative comfort level in patients receiving an implanted venous port in the upper arm were retrospectively compared to those in the jugular vein and the subclavian vein from April 2013 to November 2014. Read More

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http://dx.doi.org/10.1186/s12957-016-1002-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5035459PMC
September 2016
20 Reads

Totally implantable venous access port via the femoral vein in a femoral port position with CT-venography.

J Surg Oncol 2016 Dec 22;114(8):1024-1028. Epub 2016 Sep 22.

Department of Surgery, Asahikawa Medical University, Asahikawa City, Japan.

Background And Purpose: We aimed to determine the success rate and any complications using a percutaneous approach to the femoral vein (FV) for placement of a totally implantable access port (TIVAP), with a preoperative assessment of the femoral and iliac veins using computed tomography-venography (CT-V).

Methods: A prospective study of 72 patients was conducted where placement of a TIVAP was attempted via the right FV, with the port placed in the anterior thigh, when subclavian vein or jugular vein access was contraindicated. Preoperative assessment of the femoral venous plexus was performed with CT-V in 72 patients. Read More

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http://dx.doi.org/10.1002/jso.24441DOI Listing
December 2016
36 Reads

12th WINFOCUS world congress on ultrasound in emergency and critical care.

Authors:
Yahya Acar Onur Tezel Necati Salman Erdem Cevik Margarita Algaba-Montes Alberto Oviedo-García Mayra Patricio-Bordomás Mustafa Z Mahmoud Abdelmoneim Sulieman Abbas Ali Alrayah Mustafa Ihab Abdelrahman Mustafa Bahar Osama Ali H Lester Kirchner Gregor Prosen Ajda Anzic Paul Leeson Maryam Bahreini Fatemeh Rasooli Houman Hosseinnejad Gabriel Blecher Robert Meek Diana Egerton-Warburton Edina Ćatić Ćuti Stanko Belina Tihomir Vančina Idriz Kovačević Nadan Rustemović Ikwan Chang Jin Hee Lee Young Ho Kwak Do Kyun Kim Chi-Yung Cheng Hsiu-Yung Pan Chia-Te Kung Ela Ćurčić Ena Pritišanac Ivo Planinc Marijana Grgić Medić Radovan Radonić Abiola Fasina Anthony J Dean Nova L Panebianco Patricia S Henwood Oliviero Fochi Moreno Favarato Ezio Bonanomi Ivan Tomić Youngrock Ha Hongchuen Toh Elizabeth Harmon Wilma Chan Cameron Baston Gail Morrison Frances Shofer Angela Hua Sharon Kim James Tsung Isa Gunaydin Zeynep Kekec Mehmet Oguzhan Ay Jinjoo Kim Jinhyun Kim Gyoosung Choi Dowon Shim Ji-Han Lee Jana Ambrozic Katja Prokselj Miha Lucovnik Gabrijela Brzan Simenc Asta Mačiulienė Almantas Maleckas Algimantas Kriščiukaitis Vytautas Mačiulis Andrius Macas Sharad Mohite Zoltan Narancsik Hugon Možina Sara Nikolić Jan Hansel Rok Petrovčič Una Mršić Simon Orlob Markus Lerchbaumer Niklas Schönegger Reinhard Kaufmann Chun-I Pan Chien-Hung Wu Sarah Pasquale Stephanie J Doniger Sharon Yellin Gerardo Chiricolo Maja Potisek Borut Drnovšek Boštjan Leskovar Kristine Robinson Clara Kraft Benjamin Moser Stephen Davis Shelley Layman Yusef Sayeed Joseph Minardi Irmina Sefic Pasic Amra Dzananovic Anes Pasic Sandra Vegar Zubovic Ana Godan Hauptman Ana Vujaklija Brajkovic Jaksa Babel Marina Peklic Vedran Radonic Luka Bielen Peh Wee Ming Nur Hafiza Yezid Fatahul Laham Mohammed Zainal Abidin Huda Wan Nasarudin Wan Ismail W Yus Haniff W Isa Hashairi Fauzi Praveena Seeva Mohd Zulfakar Mazlan

Crit Ultrasound J 2016 Sep;8(Suppl 1):12

Anaesthesiology Department, University Science of Malaysia, Kota Bharu, Malaysia.

Table Of Contents: A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization. A novel approach in emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA5 Clinical ultrasound in a septic and jaundice patient in the emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA6 Characterization of the eyes in preoperative cataract Saudi patients by using medical diagnostic ultrasoundMustafa Z. Read More

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http://dx.doi.org/10.1186/s13089-016-0046-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014769PMC
September 2016
47 Reads
2 Citations

Subclavian Vein Central Line Catheter Mistakenly Placed in the Aorta: A Case Report and How to Avoid Complications.

W V Med J 2016 Sep-Oct;112(5):60-4

An 85-year-old female with multiple medical problems presented with a sigmoid volvulus. While in the ICU, the patient required a central line because of poor peripheral access. The central line was mistakenly placed in the aorta while attempting to use the subclavian approach. Read More

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March 2018
22 Reads

A Randomized Controlled Comparison of the Internal Jugular Vein and the Subclavian Vein as Access Sites for Central Venous Catheterization in Pediatric Cardiac Surgery.

Pediatr Crit Care Med 2016 09;17(9):e413-9

1Department of Anesthesiology, Baskent University Faculty of Medicine, Ankara, Turkey. 2Department of Cardiovascular Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.

Objectives: To compare internal jugular vein and subclavian vein access for central venous catheterization in terms of success rate and complications.

Design: A 1:1 randomized controlled trial.

Setting: Baskent University Medical Center. Read More

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http://dx.doi.org/10.1097/PCC.0000000000000878DOI Listing
September 2016
17 Reads

Ultrasound-guided central venous access: which probe is preferred for viewing the subclavian vein using a supraclavicular approach?

Am J Emerg Med 2016 Sep 7;34(9):1761-4. Epub 2016 Jun 7.

Department of Emergency Medicine, University of California Irvine, Irvine, California.

Background: Point-of-care ultrasound guidance using a linear probe is well established as a tool to increase safety when performing a supradiaphragmatic cannulation of the internal jugular central vein. However, little data exist on which probe is best for performing a supradiaphragmatic cannulation of the subclavian vein.

Methods: This was a prospective, observational study at a single-site emergency department, where 5 different physician sonologists evaluate individual practice preference for visualization of the subclavian vein using a supraclavicular approach with 2 different linear probes and 1 endocavitary probe. Read More

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http://search.proquest.com/openview/df9f9840dc499bc238a06932
Web Search
http://linkinghub.elsevier.com/retrieve/pii/S073567571630224
Publisher Site
http://dx.doi.org/10.1016/j.ajem.2016.06.013DOI Listing
September 2016
64 Reads

Trapezius placement of implanted ports: understanding the procedure.

Authors:
Steve Hill

Br J Nurs 2016 Jan 28-Feb 10;25(2):S9-15

Totally implantable vascular access devices (TIVADs) are indicated for intermittent long-term intravenous access. It is widely accepted within medical literature that TIVADs are associated with statistically significant lower infection rates than other central venous access devices. Typical sites for implantation are on the anterior chest wall, using the internal jugular, axillary, cephalic or a subclavian vein. Read More

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May 2016
6 Reads

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

J Vasc Access 2016 Sep 22;17(5):435-9. Epub 2016 Mar 22.

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

Purpose: 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.

Methods: Twenty patients scheduled for elective surgery were consecutively included in this observational feasibility study following written informed consent. Read More

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http://dx.doi.org/10.5301/jva.5000518DOI Listing
September 2016
56 Reads

Wireless Ultrasound-Guided Axillary Vein Cannulation for the Implantation of Cardiovascular Implantable Electric Devices.

J Cardiovasc Electrophysiol 2016 Apr 12;27(4):482-7. Epub 2016 Feb 12.

Cardiology Department, University Hospital Ramon y Cajal, Madrid, Spain.

Introduction: Ultrasound guidance for vascular cannulation seems safer and more effective than an anatomical landmark approach, though it has not gained widespread support partly due to workflow interference of wired probes. A wireless ultrasound transducer (WUST) may overcome this issue. We report the effectiveness, time consumption, and safety of the first-in-human experience in axillary vein cannulation guided with a novel WUST for the implantation of cardiovascular implantable electric devices (CIEDs). Read More

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http://dx.doi.org/10.1111/jce.12917DOI Listing
April 2016
23 Reads

[Reconstructive operations in pathology of central veins, associated with vascular approach].

Angiol Sosud Khir 2015 ;21(4):171-7

Kazan State Medical University, Kazan, Russia.

Presented herein are the results of treatment of 28 patients with stenosis/occlusion of central veins undergoing replacement therapy by means of programmed haemodialysis for terminal renal failure. The clinical symptomatology in all patients manifested itself by chronic lymphovenous insufficiency of the upper limb, dysfunction of the vascular access (14 patients, thrombosis of the vascular approach (5 patients), venous hypertension of the brain (4 patients). 17 patients had aneurysms of the vascular approach in the zone of puncture. Read More

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February 2016
8 Reads

Malpositioning of central venous cannula inserted through internal jugular vein after failed cannulation through ipsilateral subclavian vein.

Anesth Essays Res 2015 May-Aug;9(2):254-6

Department of Anaesthesiology and Critical Care, Era's Lucknow Medical College, Lucknow, Uttar Pradesh, India.

The anesthesiologist is frequently involved in the task of achieving central venous access either for intraoperative uses or postoperative purposes or Intensive Care Unit care. We are usually aware of the common complications of subclavian approach, such as arterial puncture, bleeding, pneumothorax, misplacement in the ipsilateral internal jugular vein (IJV) or contralateral brachiocephalic or subclavian vein. In this case report, we highlight the possibility of malpositioning of central venous cannula inserted through IJV into the anterior extra pleural plane after failed subclavian cannulation attempts. Read More

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http://dx.doi.org/10.4103/0259-1162.153767DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563970PMC
September 2015
5 Reads

Implantation of venous access devices under local anesthesia: patients' satisfaction with oral lorazepam.

Patient Prefer Adherence 2015 7;9:943-9. Epub 2015 Jul 7.

Department of Radiology, University Hospital of Cologne, Cologne, Germany.

Objective: The aim of the study reported here was to evaluate patients' satisfaction with implantation of venous access devices under local anesthesia (LA) with and without additional oral sedation.

Materials And Methods: A total of 77 patients were enrolled in the prospective descriptive study over a period of 6 months. Subcutaneous implantable venous access devices through the subclavian vein were routinely implanted under LA. Read More

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https://pdfs.semanticscholar.org/5cc6/dcdc53288b0b411fd32c9b
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http://www.dovepress.com/implantation-of-venous-access-devic
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http://dx.doi.org/10.2147/PPA.S80330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4501160PMC
July 2015
11 Reads

Evaluation of three different techniques for insertion of totally implantable venous access device: A randomized clinical trial.

J Surg Oncol 2015 Jul 14;112(1):56-9. Epub 2015 Jul 14.

Department of General Surgery of Hospital de Cl, í, nicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.

Background: Although totally implantable venous access devices (TIVAD) are increasingly being used in oncology patients, more robust evidence about the best technique is lacking, especially regarding to ultrasound (US) guided puncture.

Methods: One hundred ten patients with indication of intravenous chemotherapy were randomly assigned to TIVAD implant through US-guided internal jugular vein (USG) puncture (39) or internal jugular vein blindly (IJB) (36) or subclavian vein blindly (SCB) (35). Procedure data and complications were prospectively recorded within 30 days of the procedure. Read More

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http://dx.doi.org/10.1002/jso.23962DOI Listing
July 2015
8 Reads

Dynamic multiplanar real time ultrasound guided infraclavicular subclavian vein catheterization.

Am Surg 2015 Jun;81(6):621-5

Virginia Tech-Carilion School of Medicine, Roanoke VA, USA.

Ultrasound guided vascular access has been well-characterized as a safe and effective technique for internal jugular and femoral vein catheterization. However, there is limited experience with the use of ultrasound to access the infraclavicular subclavian vein. Multiple ultrasound techniques do exist to identify the subclavian vein, but real time access is limited by vessel identification in a single planar view. Read More

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June 2015
7 Reads

Brachiocephalic Vein Stenting and Body-Floss Technique as a Treatment of CVD in Dialysis-Dependent Patient - Case Report and Literature Review.

Pol J Radiol 2015 10;80:247-51. Epub 2015 May 10.

Lower Silesian Centre for Diagnostic Imaging, Hospital to the Wrocław Centre for Research and Development, Wrocław, Poland.

Background: Given the increasing number of elderly hemodialysis-dependent patients with concomitant chronic diseases the successful creation and maintenance of reliable vascular access become a real challenge. In current literature central vein disease (CVD) is defined as at least 50% narrowing up to total occlusion of central veins of the thorax including superior vena cava (SVC), brachiocephalic (BCV), subclavian (SCV) and internal jugular vein (IJV). The incidence of CVD has been reported to be as high as 23% in the total dialysis population and 41% in those with access related complains. Read More

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http://dx.doi.org/10.12659/PJR.893358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432621PMC
May 2015
6 Reads

Innominate vein repair after iatrogenic perforation with central venous catheter via mini-sternotomy-Case report.

Int J Surg Case Rep 2015 18;11:98-100. Epub 2015 Mar 18.

Department of Surgery, University of Arizona Medical Center, University of Arizona, 1501 N Campbell Ave., Tucson, AZ 85719, United States.

Introduction: Iatrogenic damage of the innominate vein is a possible complication with extracorporeal central venous line catheter insertion techniques. When perforation occurs, the catheter is left in place and surgery is required for careful removal and repair of other possible complications, including hemothorax and cardiac tamponade. The traditional approach for innominate vein repair is via a complete median sternotomy. Read More

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http://dx.doi.org/10.1016/j.ijscr.2015.03.025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446665PMC
May 2015
5 Reads

Current use of ultrasound for central vascular access in children and infants in the Nordic countries--a cross-sectional study.

J Vasc Access 2015 Mar-Apr;16(2):148-51. Epub 2015 Jan 17.

1 Department of Anaesthesiology, Innlandet Hospital Trust - Elverum, Elverum - Norway.

Purpose: The use of ultrasound (US) guidance for central vascular access in children has been advocated as a safer approach compared to traditional landmark techniques. We therefore collected data on the current use of US for central vascular access in children and infants in the Nordic countries.

Methods: A cross-sectional survey using an online questionnaire was distributed to one anaesthesiologist at every hospital in the Nordic countries; a total of 177 anaesthesiologists were contacted from July till August 2012. Read More

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http://journals.sagepub.com/doi/10.5301/jva.5000326
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http://dx.doi.org/10.5301/jva.5000326DOI Listing
April 2016
7 Reads

Pneumothorax is a rare complication of thoracic central venous catheterization in community EDs.

Am J Emerg Med 2015 Jan 18;33(1):60-6. Epub 2014 Oct 18.

The Permanente Medical Group, Oakland, CA; Department of Emergency Medicine, Kaiser Permanente Oakland Medical Center, Oakland, CA.

Study Objectives: The rate of iatrogenic pneumothorax associated with thoracic central venous catheterization in community emergency departments (EDs) is poorly described, although such information is vital to inform the procedure's risk/benefit analysis. We undertook this multicenter study to estimate the incidence of immediate catheter-related pneumothorax in community EDs and to determine associations with site of access, failed access, and positive pressure ventilation.

Methods: This was a secondary analysis of 2 retrospective cohort studies of adults who underwent attempted thoracic central venous catheterization in 1 of 21 EDs. Read More

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http://dx.doi.org/10.1016/j.ajem.2014.10.020DOI Listing
January 2015
9 Reads

Comparison of heparin to citrate as a catheter locking solution for non-tunneled central venous hemodialysis catheters in patients requiring renal replacement therapy for acute renal failure (VERROU-REA study): study protocol for a randomized controlled trial.

Trials 2014 Nov 19;15:449. Epub 2014 Nov 19.

Medical Intensive Care Unit, University Hospital of Dijon, 14 rue Paul Gaffarel, 21079 Dijon, France.

Background: The incidence of acute kidney injury (AKI) is estimated at 10 to 20% in patients admitted to intensive care units (ICU) and often requires renal replacement therapy (RRT). ICU mortality in AKI patients can exceed 50%. Venous catheters are the preferred vascular access method for AKI patients requiring RRT, but carry a risk of catheter thrombosis or infection. Read More

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http://dx.doi.org/10.1186/1745-6215-15-449DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4289224PMC
November 2014
55 Reads

[Clinical application of totally implantable central venous port].

Zhonghua Wai Ke Za Zhi 2014 Aug;52(8):608-11

Department of Breast Center, Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China. Email:

Objective: To summarize the disposal methods and the reasons of complications in operation of totally implantable central venous port (TICVP).

Methods: A total of 2 007 patients were enrolled in this observational, single-center study between December 2008 and March 2013. TICVP implantation was performed with one small skin incision and subcutaneous puncture of subclavian or jugular vein. Read More

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August 2014
13 Reads

1000 Port-A-Cath ® placements by subclavian vein approach: single surgeon experience.

World J Surg 2015 Feb;39(2):328-34

Department of Academic Surgery, The Royal Marsden NHS Trust, Fulham Road, London, SW3 6JJ, UK.

Introduction: Totally implantable venous access ports are widely used for the administration of chemotherapy in patients with cancer. Although there are several approaches to implantation, here we describe Port-A-Cath(®) (PAC) placement by percutaneous puncture of the subclavian vein with ultrasonographic guidance.

Patients And Methods: Data on our vascular access service were collected prospectively from June 2004. Read More

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http://dx.doi.org/10.1007/s00268-014-2802-xDOI Listing
February 2015
8 Reads

External jugular vein approach for TIVAD implantation: first choice or only an alternative? A review of the literature.

J Vasc Access 2015 Jan-Feb;16(1):1-4. Epub 2014 Sep 2.

Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University, Rome - Italy.

Purpose: Totally implantable venous access devices (TIVADs) can be implanted by percutaneous approach (to the subclavian or internal jugular vein) or by surgical approach, through cephalic vein or external jugular vein (EJV). The authors present a review of the literature about EJV approach for TIVAD implantation.

Methods: A review of articles indexed in MEDLINE (PubMed) and Cochrane Central Register on "EJV access," "EJV cut-down," and "TIVADs" was performed, even matching the terms. Read More

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http://dx.doi.org/10.5301/jva.5000287DOI Listing
November 2015
6 Reads

A wire transposition technique for recanalization of chronic complex central venous occlusions.

Phlebology 2016 Feb 1;31(1):57-60. Epub 2014 Sep 1.

Department of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg/Saar, Germany.

Purpose: A minimal-invasive interventional technique for recanalization of complex chronic central venous total occlusions is described to overcome difficulties in case of failure of common approaches.

Method: We present a patient with a central venous occlusion that caused severe venous congestion of her upper extremity and significant impairment of her forearm hemodialysis shunt. Since the usual transbrachial and transfemoral attempts for recanalization of occluded right subclavian, brachiocephalic, superior vena cava, and proximal internal jugular veins (IJV) failed, the approach was changed to a transjugular access. Read More

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http://dx.doi.org/10.1177/0268355514550260DOI Listing
February 2016
9 Reads

Femoral approach: an exceptional alternative for permanent pacemaker implantation.

Rev Port Cardiol 2014 May 12;33(5):311.e1-5. Epub 2014 Jun 12.

Serviço de Cardiologia, Hospital de Santa Marta, Centro Hospitalar Lisboa Central, Lisboa, Portugal.

The classic transvenous implantation of a permanent pacemaker in a pectoral location may be precluded by obstruction of venous access through the superior vena cava or recent infection at the implant site. When these barriers to the procedure are bilateral and there are also contraindications or technical difficulties to performing a thoracotomy for an epicardial approach, the femoral vein, although rarely used, can be a viable alternative. We describe the case of a patient with occlusion of both subclavian veins and a high risk for mini-thoracotomy or videothoracoscopy, who underwent implantation of a permanent single-chamber pacemaker via the right femoral vein. Read More

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http://dx.doi.org/10.1016/j.repc.2014.02.008DOI Listing
May 2014
7 Reads
0.525 Impact Factor

Clinical guidelines on central venous catheterisation. Swedish Society of Anaesthesiology and Intensive Care Medicine.

Acta Anaesthesiol Scand 2014 May 5;58(5):508-24. Epub 2014 Mar 5.

Department of Surgical Sciences, Anaesthesiology and Intensive Care Medicine, University Hospital, Uppsala University, Uppsala, Sweden.

Safe and reliable venous access is mandatory in modern health care, but central venous catheters (CVCs) are associated with significant morbidity and mortality, This paper describes current Swedish guidelines for clinical management of CVCs The guidelines supply updated recommendations that may be useful in other countries as well. Literature retrieval in the Cochrane and Pubmed databases, of papers written in English or Swedish and pertaining to CVC management, was done by members of a task force of the Swedish Society of Anaesthesiology and Intensive Care Medicine. Consensus meetings were held throughout the review process to allow all parts of the guidelines to be embraced by all contributors. Read More

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http://www.precisdanesthesiecardiaque.ch/Pdf/AnnEAnesth/Voie
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http://doi.wiley.com/10.1111/aas.12295
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http://dx.doi.org/10.1111/aas.12295DOI Listing
May 2014
8 Reads

Is ultrasound-guided central venous port placement effective to avoid pinch-off syndrome?

J Vasc Access 2014 Jul-Aug;15(4):311-6. Epub 2014 Jan 27.

1 Department of Radiology, Iwate Medical University School of Medicine, Morioka - Japan.

Purpose: Ultrasound (US)-guided internal jugular vein access has been the standard practice of central venous port (CVP) placement. The subclavian vein (SCV) access has also been preferred, but has potential risk of pinch-off syndrome (POS). The purpose of this study was to examine the effect of US-guided SCV access to avoid POS in patients with CVP. Read More

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http://dx.doi.org/10.5301/jva.5000201DOI Listing
May 2016
4 Reads

Central venous access via external jugular vein with CT-venography using a multidetector helical 16-section CT.

J Invest Surg 2014 Jun 19;27(3):176-82. Epub 2013 Dec 19.

1Department of Surgery, Pippu Clinic, Pippu, Town Kamikawa-Gun , Hokkaido , Japan.

Objective: To determine the success rate and complications of using the external jugular vein (EJV) for central venous access with a preoperative estimate of the detailed anatomical orientation of the cervical venous plexus using computed tomography venography (CT-V).

Design: Prospective, observational human study.

Setting: Surgical intensive care unit. Read More

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http://dx.doi.org/10.3109/08941939.2013.865818DOI Listing
June 2014
23 Reads

Computed tomography (CT) venography using a multidetector CT prior to the percutaneous external jugular vein approach for an implantable venous-access port.

Ann Surg Oncol 2014 Apr 4;21(4):1391-7. Epub 2013 Dec 4.

Department of Surgery, Pippu Clinic, Kamikawa-gun, Hokkaido, Japan,

Background And Purpose: The objective of this study was to determine the success rate and complications of using the percutaneous approach of the external jugular vein (EJV) for placement of a totally implantable venous-access port (TIVAP) with a preoperative estimate of the detailed anatomical orientation of the cervical venous plexus using computed tomography venography (CT-V).

Methods: A prospective cohort study of 45 patients in whom placement of a TIVAP was attempted via the right EJV was conducted. The preoperative anatomical estimation of the cervical venous plexus was performed with CT-V using a Multidetector Helical 16-section CT. Read More

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http://link.springer.com/content/pdf/10.1245/s10434-013-3405
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http://link.springer.com/10.1245/s10434-013-3405-8
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http://dx.doi.org/10.1245/s10434-013-3405-8DOI Listing
April 2014
25 Reads

Systematic review and meta-analysis of percutaneous subclavian vein puncture versus surgical venous cutdown for the insertion of a totally implantable venous access device.

Br J Surg 2014 Jan 26;101(2):8-16. Epub 2013 Nov 26.

Division of Visceral Surgery, Department of Surgery, Geneva University Hospitals and Faculty of Medicine, University of Geneva, 4 Rue Gabrielle-Perret-Gentil, 1211 Geneva 4, Switzerland.

Background: Totally implantable venous access devices (TIVADs) are commonly used in patients with cancer. Although several methods of implantation have been described, there is not enough evidence to support the use of a specific technique on a daily basis. The objective of this study was systematically to assess the literature comparing percutaneous subclavian vein puncture with surgical venous cutdown. Read More

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http://dx.doi.org/10.1002/bjs.9276DOI Listing
January 2014
7 Reads

Right heart catheterization using antecubital venous access: feasibility, safety and adoption rate in a tertiary center.

Catheter Cardiovasc Interv 2014 Jul 9;84(1):70-4. Epub 2013 Nov 9.

Lahey Clinic, 41 Burlington Mall Road, 5 East, Cardiovascular Medicine, Burlington, Massachusetts.

Objectives: To determine feasibility, safety, and adoption rates of right heart catheterization (RHC) using antecubital venous access (AVA) as compared to using the traditional approach of proximal venous access (PVA).

Background: RHC via PVA (i.e. Read More

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http://dx.doi.org/10.1002/ccd.25249DOI Listing
July 2014
9 Reads