Daily point-of-care ultrasound-assessment of central venous catheter-related thrombosis in critically ill patients: a prospective multicenter study

Cai, Jiming; Wu, Chun-Ho; Zhang, Mao; Gu, Wenjie; Liu, Hong; Lu, Qin; Wang, Caimu; Chen, Qijiang; Hong, Wang; Zheng, Xudong; Zhang, Junfeng; Huang, Zhiping; Zhang, Xingwen; Wang, Luping; Lv, Shijin; Lai, Dengpan; He, Xuwei; Zhang, Ning; Chen, Qingli; Shen, Xiaoyuan; Mo, Lujiao; Wei, Wenlong; Shi, Yunchao; Wang, Guotao; Li, Wansheng; Lu, Yingru; Chen, Qin; Shan, Renfei; Qin, Jie; Wang, Lingcong; Chen, Zhu; Wu, Feng; Wu, Binbin; Shen, Ting; Wu, Lifeng; Shao, Xuebo; Tang, Weidong; Wang, Qingyu; Xu, Shanhui; Tao, Fuzheng; Chen, Weiting; Cai, Haiying; Ding, Guojuan; Zhang, Tao; Pan, Qunjie; Tang, Bei; Gao, Jianbo; Kong, Laifa; Fang, Jinyan; Ke, Junzhong; Ji, Zhaohui

doi:10.1007/s00134-023-07006-x

Cited by 22 publications

(10 citation statements)

References 41 publications

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“…More recent publications suggest benefits of subclavian access with lower colonization rate (7, 8). Noticeably, after the publication of our meta-analysis, a large study showed significantly lower incidence of catheter‑related thrombosis in subclavian vein as compared to internal jugular and femoral veins (9).…”

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confidence: 84%

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Zawadka

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Wong

et al. 2023

Critical Care Medicine

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pneumothorax, subclavian artery puncture, subclavian vein laceration, subclavian vein stenosis, hemothorax, thrombosis, air embolism, and catheter misplacement). Therefore, right internal jugular vein under ultrasound guidance should continue to be the preferred first attempt site (6).Finally, in the study by Zawadka et al (1) it is interesting to note that the subgroup analysis did not show any difference in complication rates before or after 2012 (p = 0.97), whereas after 2012 real-time ultrasound guidance for axillary vein cannulation is judged to be the superior technique. However, the reader should be aware that this result referred to real-time ultrasound-guided axillary vein cannulation and not cannulation of the subclavian vein, which still needs to be approached using the landmark technique below the clavicula.

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confidence: 84%

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Zawadka

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Critical Care Medicine

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“…[5][6][7] Although the presence of a central venous catheter is the most common cause of venous thrombosis in children, catheters have not been associated with thrombosis of the IVC. 11 Furthermore, based on the clinical features and later ultrasonography findings, acute Budd-Chiari syndrome may have occurred in this child. The child suffered intestinal infection during chemotherapy, which is also an important factor in thrombosis.…”

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confidence: 84%

Calcified thrombus of the inferior vena cava and hepatic veins in acute promyelocytic leukemia: A case report and literature review

Liu

Cui

Shou-qing

et al. 2023

Pediatric Blood & Cancer

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“…We acknowledge the importance of the catheter to vessel ratio in real condition due to consideration of CRT [ 2 ]. A prospective multicenter study conducted in 28 intensive care units identified 16.9% incidence of CRT, with the internal jugular vein being the most common CRT found in the study [ 3 ]. However, the pathogenesis of CRT is multifactorial and complicated, with risk factors associated with the catheter per se, the vessel selected and the underlying co-morbidities and related treatments.…”

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confidence: 99%