Comparison of Ultrasonography-Guided Central Venous Catheterization Between Adult and Pediatric Populations

The purpose of this study was to compare the technical success and complication rates of ultrasonography-guided central venous catheterization between adult and pediatric patients which have not been reported previously. In a 4-year period, 859 ultrasonography-guided central vein catheterizations in...

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Veröffentlicht in:Cardiovascular and interventional radiology 2008-05, Vol.31 (3), p.575-580
Hauptverfasser: Tercan, Fahri, Oguzkurt, Levent, Ozkan, Ugur, Eker, Hatice Evren
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container_issue 3
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container_title Cardiovascular and interventional radiology
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Oguzkurt, Levent
Ozkan, Ugur
Eker, Hatice Evren
description The purpose of this study was to compare the technical success and complication rates of ultrasonography-guided central venous catheterization between adult and pediatric patients which have not been reported previously. In a 4-year period, 859 ultrasonography-guided central vein catheterizations in 688 adult patients and 247 catheterizations in 156 pediatric patients were retrospectively evaluated. Mean age was 56.3 years (range, 18 to 95 years) for adults and 3.3 years (range, 0.1 to 16.3 years) for children. The preferred catheterization site was internal jugular vein in 97% of adults and 85% of children. The technical success rate, mean number of punctures, and rate of single wall puncture were 99.4%, 1.04 (range, 1–3), and 83% for adults and 90.3%, 1.25 (range, 1–5), and 49% for children, respectively. All the differences were statistically significant ( p   0.05). Major complications such as pneumothorax and hemothorax were not seen in any group. In conclusion, ultrasonography-guided central venous catheterization has a high technical success rate, lower puncture attempt rate, and higher single wall puncture rate in adults compared to children. Complication rates are comparable in the two groups.
doi_str_mv 10.1007/s00270-008-9315-7
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subjects Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
BIOMEDICAL RADIOGRAPHY
Cardiology
Carotid Artery Injuries - diagnostic imaging
Carotid Artery Injuries - etiology
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - methods
Chi-Square Distribution
Child
Child, Preschool
Clinical Investigation
Cohort Studies
Female
Humans
Imaging
Infant
Jugular Veins - diagnostic imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Nuclear Medicine
PEDIATRICS
Probability
Punctures
Radiography
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
Retrospective Studies
Risk Assessment
Sensitivity and Specificity
Subclavian Vein - diagnostic imaging
ULTRASONOGRAPHY
Ultrasonography, Interventional
Ultrasound
VASCULAR DISEASES
VEINS
title Comparison of Ultrasonography-Guided Central Venous Catheterization Between Adult and Pediatric Populations
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