A comparison of longitudinal and transverse approaches to ultrasound-guided axillary vein cannulation

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

“…In one previous study, a longitudinal orientation of the ultrasound probe was superior to the transverse orientation for visualizing the axially vein (23). All of the results trended in favor of the longitudinal approach.…”

“…Care must be taken to prevent the transducer from sliding over the artery. Limited data exist comparing the longitudinal versus transverse approach for CVC insertion (15,23,25), but most experts of ultrasound-guided procedures recommend learning the transverse approach first. The hand-eye coordination needed to perform a transverse approach is acquired easier than that of the longitudinal method.…”

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

“…The experiments conducted on the simu lation models indicate better visualization of the tip of the needle in the longaxis technique [27]. Sommerkamp et al [28] conducted a comparative evaluation of both catheteri zation techniques and showed the longaxis technique was more effective and secure than the shortaxis technique. Distinct from other types of vascular access, there is a lack of studies comparing both techniques in the cannulation of the axillary vein under clinical conditions.…”

Cardiology registrars and permanent pacemaker complication rates

“…It can be identifi ed using ultrasound (Fig 1d) with a number of papers describing ultrasound guided insertion with up to 100% success rates, short operator learning curves and low complication rates. 2,3 Various fl uoroscopic approaches have been described with very high success rates. 4 We therefore believe that axillary venous access is safe, useful, easy to learn and therefore of use to all physicians performing central venous access techniques.…”