机构：[1]Department of Intervention,Second Affiliated Hospital of SoochowUniversity, Suzhou, China[2]Department of Oncology,Second Affiliated Hospital of SoochowUniversity, Suzhou, China[3]Department of Vascular Surgery, Second Affiliated Hospital of SoochowUniversity, Suzhou, China[4]Department of Oncology, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China
To compare ultrasound-guided right brachiocephalic vein (BCV) central venous catheter (CVC) placement to right subclavian vein (SCV) CVC insertion in terms of the puncture success rate and complications.
A retrospective review was performed for all adult patients who received an ultrasound-guided CVC via the right BCV or right SCV access route between January 2016 and March 2018. The puncture success rates and procedure-related complications were analyzed.
Data were analyzed from 755 adult patients who underwent 915 CVC insertions. The overall success rate was higher in the BCV group compared to that in the SCV group (98.99% versus 96.87%; P?=?.019). The first-attempt success rate was higher in the BCV group compared to that in the SCV group (96.64% versus 89.34%; P?<?.001). Intraoperative complications were observed in 16 cases in the BCV group (2.68%) and in 12 cases in the SCV group (3.76%). The incidence rates of postprocedure complications were 5.20% in the BCV group and 6.58% in the SCV group and included catheter-related infections and thrombosis.
Ultrasound-guided cannulation of the right BCV is an effective and safe method for CVC placement in adult patients and provides an additional option for catheter access.
? 2019 by the American Institute of Ultrasound in Medicine.
基金：
This study was supported by Science and
Education to Promote Health of Suzhou (grant
KJXW2016034) and the Suzhou Science and
Technology Development Plan Project (grant
SYSD2018146).
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2018]版：
大类|4 区医学
小类|4 区声学4 区核医学
最新[2023]版：
大类|4 区医学
小类|3 区声学4 区核医学
JCR分区：
出版当年[2017]版：
Q3ACOUSTICSQ3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版：
Q2RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ2ACOUSTICS
第一作者机构：[1]Department of Intervention,Second Affiliated Hospital of SoochowUniversity, Suzhou, China
共同第一作者：
通讯作者：
通讯机构：[*1]Department of Oncology, Affiliated Suzhou Hospital of Nanjing Medical University, 242 Guangji Rd, 215008 Suzhou, Jiangsu, China.
推荐引用方式(GB/T 7714)：
Sun Xingwei,Bai Xuming,Cheng Long,et al.Comparison of Ultrasound-Guided Right Brachiocephalic and Right Subclavian Vein Cannulation in Adult Patients.[J].JOURNAL OF ULTRASOUND IN MEDICINE.2019,doi:10.1002/jum.14947.
APA：
Sun Xingwei,Bai Xuming,Cheng Long,Gu Xingshi,Xia Rui...&Jin Yong.(2019).Comparison of Ultrasound-Guided Right Brachiocephalic and Right Subclavian Vein Cannulation in Adult Patients..JOURNAL OF ULTRASOUND IN MEDICINE,,
MLA：
Sun Xingwei,et al."Comparison of Ultrasound-Guided Right Brachiocephalic and Right Subclavian Vein Cannulation in Adult Patients.".JOURNAL OF ULTRASOUND IN MEDICINE .(2019)
