S Iwashima1, T Ishikawa, T Ohzeki. 1. Department of Pediatrics, Hamamatsu University School of Medicine, Handayama 1-20-1, Hamamatsu City, 431-3192, Japan. iwashima@hama-med.ac.jp
Abstract
BACKGROUND: This study aimed to evaluate whether an ultrasound-guided technique can improve upon a landmark-guided technique in achieving femoral vein access in pediatric cardiac catheterization. METHODS: This study examined 87 consecutive subjects with a median age of 2 years (range, 1 month to 19 years) who had congenital or other heart disease. Femoral vein puncture was attempted using either an ultrasound-guided technique (US group, n = 43) or a landmark-guided technique (LM group, n = 44). The patients were assigned alternately to either an ultrasound- or landmark-guided group. Overall success and traumatic complication rates were compared between the two groups, as well as the influence of patient size and age. RESULTS: The overall rate of success in achieving femoral vein access did not differ between the two groups. Among the successful cases in the two groups, there were no significant differences in patient size or age. Inadvertent femoral artery puncture occurred with 3 (7%) of 43 patients in the US group and with 14 (31.8%) of 44 patients in the LM group, for a significantly higher complication rate in the LM group (p < 0.01). CONCLUSIONS: Ultrasound-guided access to the femoral vein minimizes the complication of inadvertent arterial puncture as compared with the landmark-guided approach.
RCT Entities:
BACKGROUND: This study aimed to evaluate whether an ultrasound-guided technique can improve upon a landmark-guided technique in achieving femoral vein access in pediatric cardiac catheterization. METHODS: This study examined 87 consecutive subjects with a median age of 2 years (range, 1 month to 19 years) who had congenital or other heart disease. Femoral vein puncture was attempted using either an ultrasound-guided technique (US group, n = 43) or a landmark-guided technique (LM group, n = 44). The patients were assigned alternately to either an ultrasound- or landmark-guided group. Overall success and traumatic complication rates were compared between the two groups, as well as the influence of patient size and age. RESULTS: The overall rate of success in achieving femoral vein access did not differ between the two groups. Among the successful cases in the two groups, there were no significant differences in patient size or age. Inadvertent femoral artery puncture occurred with 3 (7%) of 43 patients in the US group and with 14 (31.8%) of 44 patients in the LM group, for a significantly higher complication rate in the LM group (p < 0.01). CONCLUSIONS: Ultrasound-guided access to the femoral vein minimizes the complication of inadvertent arterial puncture as compared with the landmark-guided approach.
Authors: B Toursarkissian; B T Allen; D Petrinec; R W Thompson; B G Rubin; J M Reilly; C B Anderson; M W Flye; G A Sicard Journal: J Vasc Surg Date: 1997-05 Impact factor: 4.268
Authors: Massimo Lamperti; Andrew R Bodenham; Mauro Pittiruti; Michael Blaivas; John G Augoustides; Mahmoud Elbarbary; Thierry Pirotte; Dimitrios Karakitsos; Jack Ledonne; Stephanie Doniger; Giancarlo Scoppettuolo; David Feller-Kopman; Wolfram Schummer; Roberto Biffi; Eric Desruennes; Lawrence A Melniker; Susan T Verghese Journal: Intensive Care Med Date: 2012-05-22 Impact factor: 17.440
Authors: J M López Álvarez; O Pérez Quevedo; L Santana Cabrera; C Rodríguez Escot; T Ramírez Lorenzo; J M Limiñana Cañal; J F Loro Ferrer Journal: J Med Ultrason (2001) Date: 2017-12-18 Impact factor: 1.314
Authors: Ignacio Oulego-Erroz; Rafael González-Cortes; Patricia García-Soler; Mónica Balaguer-Gargallo; Manuel Frías-Pérez; Juan Mayordomo-Colunga; Ana Llorente-de-la-Fuente; Paula Santos-Herraiz; Juan José Menéndez-Suso; María Sánchez-Porras; Daniel Palanca-Arias; Carmen Clavero-Rubio; Mª Soledad Holanda-Peña; Luis Renter-Valdovinos; Sira Fernández-De-Miguel; Antonio Rodríguez-Núñez Journal: Intensive Care Med Date: 2017-12-01 Impact factor: 17.440