Percutaneous catheterisation of the axillary vein and proximal basilic vein

Ayim, E N

doi:10.1111/j.1365-2044.1977.tb10076.x

Cited by 13 publications

(3 citation statements)

References 12 publications

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“…Multiple landmark-based approaches to axillary vein access have been described. [2][3][4][5][6] Studies using these techniques found axillary vein catheterization to be equally effective and safe as cannulation at other central vein sites. The reported failure rate ranged from 4 to 11%.…”

Section: History Of Axillary Vein Catheterizationmentioning

confidence: 99%

“…Given the potential complications of subclavian vein cannulation, 1 including pneumothorax and mediastinal hematoma, axillary vein cannulation techniques, have been described as an alternative. [2][3][4][5][6][7][8][9][10][11] The use of ultrasound for axillary vein localization was first described in critical care patients for which the landmark-based technique was deemed suboptimal. 7,8 Real-time ultrasound-guided axillary vein cannulation was first described over a decade ago.…”

Section: Introductionmentioning

confidence: 99%

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Real-time Ultrasound-guided Axillary Vein Cannulation

Khatibi¹,

Sandhu²

2015

Journal of Perioperative Echocardiography

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The axillary vein has been shown to be a safe and effective cannulation site for patients requiring central venous access. Compared to subclavian vein cannulation, axillary vein cannulation may reduce the rate of pneumothorax and hemothorax. Long-term complications, including the rate of infection or deep vein thrombosis, are comparable to internal jugular vein cannulation. The use of ultrasound for cannulation at traditional central vein sites, such as the internal jugular and femoral veins has been shown to aid in successful cannulation and potentially reduce complications. For axillary vein cannulation, however, when ultrasound is used only for localization of the axillary vein precannulation, it has not been shown to improve successful cannulation or decrease the rate of arterial puncture. Real-time ultrasound-guided axillary vein cannulation has been described and may increase the rate of successful cannulation and decrease complications. Various techniques of real-time ultrasound-guided axillary vein cannulation have been studied over the past decade. They differ in various characteristics including technique for needle imaging (in-plane vs out-of-plane) and upper extremity positioning (neutral vs abducted). The in-plane technique, which images the axillary vein in longitudinal view and allows the needle to be visualized at all times, has been found to result in greater first-attempt success and easier overall placement than the transverse view technique. As for upper extremity positioning, 90° abduction may result a decreased risk of catheter misplacement after proximal axillary vein cannulation. Ultrasound-guided axillary vein cannulation has many emerging uses, including use in oncology, cardiology, and nephrology. How to cite this article Khatibi B, Sandhu NP. Real-time Ultrasound-guided Axillary Vein Cannulation. J Perioper Echocardiogr 2015;3(2):42-47.

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Section: History Of Axillary Vein Catheterizationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Real-time Ultrasound-guided Axillary Vein Cannulation

Khatibi¹,

Sandhu²

2015

Journal of Perioperative Echocardiography

View full text Add to dashboard Cite

show abstract

“…However, access to the subclavian vein is associated with a higher incidence of early complications, particularly pneumothorax, compared to other access routes (5). The risk of pneumothorax is theoretically minimal, in the case of axillary vein access via the axillary fossa (6, 7). This technique, however, requires abduction of the arm during cannulation, and has potential difficulties related to catheter care.…”

Section: Introductionmentioning

confidence: 99%