Accurate Central Venous Port-A Catheter Placement: Intravenous Electrocardiography and Surface Landmark Techniques Compared by Using Transesophageal Echocardiography

Chu, Koung Shing; Hsu, Jong Hau; Wang, Shie Shan; Tang, Chaohua; Cheng, Kuang Hung; Wang, Chien-Kuo; Wu, Jiunn Ren

doi:10.1213/01.ane.0000105865.94157.4c

Cited by 78 publications

(70 citation statements)

References 21 publications

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“…Many centers systematically verify position by fluoroscopy after implantation; recently, an electrocardiographyderived method has been proposed as a radiationfree alternative, with initial encouraging results. 52 …”

Section: Catheter Tip Positionmentioning

confidence: 99%

Vascular Access in Oncology Patients

Gallieni

Pittiruti

Biffi

2008

CA: A Cancer Journal for Clinicians

257

166

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Adequate vascular access is of paramount importance in oncology patients. It is important in the initial phase of surgical treatment or chemotherapy, as well as in the chronic management of advanced cancer and in the palliative care setting. We present an overview of the available vascular access devices and of the most relevant issues regarding insertion and management of vascular access. Particular emphasis is given to the use of ultrasound guidance as the preferred technique of insertion, which has dramatically decreased insertion-related complications. Vascular access management has considerably improved after the publication of effective guidelines for the appropriate nursing of the vascular device, which has reduced the risk of late complications, such as catheter-related bloodstream infection. However, many areas of clinical practice are still lacking an evidence-based background, such as the choice of the most appropriate vascular access device in each clinical situation, as well as prevention and treatment of thrombosis. We suggest an approach to the choice of the most appropriate vascular access device for the oncology patient, based on the literature available to date. (CA Cancer J Clin 2008;58:323-346.)

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Section: Catheter Tip Positionmentioning

confidence: 99%

Vascular Access in Oncology Patients

Gallieni

Pittiruti

Biffi

2008

CA: A Cancer Journal for Clinicians

257

166

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“…Although in several centers, US guide is often also used to verify the exact position of a CVC device; to the best of our knowledge, the use of US has not been described in literature as carried out during the procedure but only after the procedure itself to verify correct positioning of the catheter. The superiority of echocardiography in detecting the correct CVC placement compared with the portable supine chest radiograph has been described [17].…”

Section: Discussionmentioning

confidence: 99%

An Entirely Echo-Guided Technique for Totally Implantable Access Port Positioning

Arzu¹,

Catena

Rossi³

et al. 2012

Indian J Surg

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Percutaneous central vascular venous access to allow positioning of a totally implantable access port (TIAP) is a widely employed procedure. An open issue is the need to find an ionizing radiation free technique which allows a safe and correct positioning of the device. Echoguided vein puncture is currently accepted as the best method for decreasing major immediate complications. We describe an entirely echo-based method for the insertion and assessment of correct placement of the totally implantable access ports (TIAP). 20 TIAPs with the described technique have been placed. TIAP can be safely positioned by entirely echo-guided technique avoiding ionizing radiation imaging.

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“…The usual route for PAC insertion includes the brachiocephalic, cephalic, subclavian, internal jugular, and external jugular vein [1][2][3][4][5][6][7][8][9][10]. However, even under imaging guidance for the insertion of the catheter (with a risk of radiation exposure), there was still a 2-4% major complication rate (pneumothorax), and nearly 50 min were required to complete the work.…”

Section: Discussionmentioning

confidence: 99%