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A novel supraclavicular approach to the right subclavian vein based on three-dimensional computed tomography
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Jung, Chul-Woo | - |
dc.contributor.author | Seo, Jeong-Hwa | - |
dc.contributor.author | Lee, Whal | - |
dc.contributor.author | Bahk, Jae-Hyon | - |
dc.date.accessioned | 2010-01-07T02:06:24Z | - |
dc.date.available | 2010-01-07T02:06:24Z | - |
dc.date.issued | 2007-06-21 | - |
dc.identifier.citation | Anesth Analg. 2007 Jul;105(1):200-4. | en |
dc.identifier.issn | 1526-7598 (Electronic) | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17578976 | - |
dc.identifier.uri | https://hdl.handle.net/10371/27825 | - |
dc.description.abstract | BACKGROUND: We used three-dimensional (3-D) computed tomography to develop a novel supraclavicular approach to the subclavian vein that minimizes the distance from insertion site to the vein. METHODS: Forty-five adult patients with normal body build were retrospectively included in the 3-D computed tomography investigation. Assuming that the clavisternomastoid angle was the skin entry point, and that the subclavian vein on the first rib was a target, the optimal angle of approach was measured on the simulated 3-D images. A 3-D video was developed from these images to explain the approach. In a pilot study, we prospectively tested this approach in 60 adult patients with normal body build requiring central venous catheterization. The number of attempts, success rate, and complications were noted. RESULTS: The optimal angle of approach was 10.6 degrees +/- 5.3 degrees medially and 35.4 degrees +/- 12.5 degrees posteriorly from the skin entry point. The estimated depth of the subclavian vein was 13.7 +/- 3.1 mm. During the pilot study, the first trial with a finder needle was successful in 87% of patients and the overall success rate of catheterizations was 100% without complications. CONCLUSIONS: The proposed supraclavicular approach to the subclavian vein is a simple method of central venous catheterization. The pilot study suggests the method is reasonably safe. The video explaining the approach graphically is available in the supplementary material. | en |
dc.language.iso | en | - |
dc.publisher | Lippincott, Williams & Wilkins | en |
dc.subject | Adolescent | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Aged, 80 and over | en |
dc.subject | Catheterization, Central Venous/*methods | en |
dc.subject | Clavicle/radiography | en |
dc.subject | Female | en |
dc.subject | Humans | en |
dc.subject | Imaging, Three-Dimensional/*methods | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Pilot Projects | en |
dc.subject | Prospective Studies | en |
dc.subject | Retrospective Studies | en |
dc.subject | Subclavian Vein/*radiography | en |
dc.subject | Tomography, X-Ray Computed/*methods | en |
dc.title | A novel supraclavicular approach to the right subclavian vein based on three-dimensional computed tomography | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 정철우 | - |
dc.contributor.AlternativeAuthor | 서정화 | - |
dc.contributor.AlternativeAuthor | 이활 | - |
dc.contributor.AlternativeAuthor | 박재현 | - |
dc.identifier.doi | 10.1213/01.ane.0000266469.63098.38 | - |
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