Cephalad origin of the superior vena cava and the level of the central venous catheter tip on chest radiographs
Summary Background : There are suggested radiographic landmarks for the lower margin of the superior vena cava (SVC), but none for the cephalad origin of the SVC in children. Therefore, we determined the cephalad origin of the SVC in relation to the level of thoracic vertebrae in children. Methods :...
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| Veröffentlicht in: | Pediatric anesthesia 2005-01, Vol.15 (1), p.47-49 |
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| creator | ARAI, TOSHIMI YAMASHITA, MASAO |
| description | Summary
Background : There are suggested radiographic landmarks for the lower margin of the superior vena cava (SVC), but none for the cephalad origin of the SVC in children. Therefore, we determined the cephalad origin of the SVC in relation to the level of thoracic vertebrae in children.
Methods : Sixty‐five patients (2–96 months) scheduled for routine diagnostic cardiac catheterization were the subjects of the study. Vena cavogram was obtained. The crossing point between the SVC and the innominate vein was considered as the cephalad origin of the SVC, then this point was related to the level of the thoracic vertebra as a radiographic landmark.
Results : In approximately 90% of the patients studied the proximal origin of the SVC was situated above the level of Th4/5 interspace.
Conclusion : We would like to suggest that the position of the tip of central venous line, when inserted via the right internal jugular vein, should optimally be at the level of Th4/5 interspace on the postoperative chest radiograph. |
| doi_str_mv | 10.1111/j.1460-9592.2004.01392.x |
| format | Article |
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Background : There are suggested radiographic landmarks for the lower margin of the superior vena cava (SVC), but none for the cephalad origin of the SVC in children. Therefore, we determined the cephalad origin of the SVC in relation to the level of thoracic vertebrae in children.
Methods : Sixty‐five patients (2–96 months) scheduled for routine diagnostic cardiac catheterization were the subjects of the study. Vena cavogram was obtained. The crossing point between the SVC and the innominate vein was considered as the cephalad origin of the SVC, then this point was related to the level of the thoracic vertebra as a radiographic landmark.
Results : In approximately 90% of the patients studied the proximal origin of the SVC was situated above the level of Th4/5 interspace.
Conclusion : We would like to suggest that the position of the tip of central venous line, when inserted via the right internal jugular vein, should optimally be at the level of Th4/5 interspace on the postoperative chest radiograph.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1111/j.1460-9592.2004.01392.x</identifier><identifier>PMID: 15649163</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; cannulation monitoring ; Catheterization, Central Venous - methods ; Child ; Child, Preschool ; Conscious Sedation ; Female ; Heart Defects, Congenital - diagnostic imaging ; Heart Defects, Congenital - surgery ; Humans ; Infant ; Male ; Medical sciences ; Phlebography ; Posture ; Radiography, Thoracic - methods ; Thoracic Vertebrae - diagnostic imaging ; vascular ; veins ; vena cava ; Vena Cava, Superior - diagnostic imaging</subject><ispartof>Pediatric anesthesia, 2005-01, Vol.15 (1), p.47-49</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4352-5aadfff8121d63532394861b82254bbb65dc4f76606fc8d8d35906ce6ba70d093</citedby><cites>FETCH-LOGICAL-c4352-5aadfff8121d63532394861b82254bbb65dc4f76606fc8d8d35906ce6ba70d093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1460-9592.2004.01392.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1460-9592.2004.01392.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,4024,27923,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16559460$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15649163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ARAI, TOSHIMI</creatorcontrib><creatorcontrib>YAMASHITA, MASAO</creatorcontrib><title>Cephalad origin of the superior vena cava and the level of the central venous catheter tip on chest radiographs</title><title>Pediatric anesthesia</title><addtitle>Paediatr Anaesth</addtitle><description>Summary
Background : There are suggested radiographic landmarks for the lower margin of the superior vena cava (SVC), but none for the cephalad origin of the SVC in children. Therefore, we determined the cephalad origin of the SVC in relation to the level of thoracic vertebrae in children.
Methods : Sixty‐five patients (2–96 months) scheduled for routine diagnostic cardiac catheterization were the subjects of the study. Vena cavogram was obtained. The crossing point between the SVC and the innominate vein was considered as the cephalad origin of the SVC, then this point was related to the level of the thoracic vertebra as a radiographic landmark.
Results : In approximately 90% of the patients studied the proximal origin of the SVC was situated above the level of Th4/5 interspace.
Conclusion : We would like to suggest that the position of the tip of central venous line, when inserted via the right internal jugular vein, should optimally be at the level of Th4/5 interspace on the postoperative chest radiograph.</description><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>cannulation monitoring</subject><subject>Catheterization, Central Venous - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Conscious Sedation</subject><subject>Female</subject><subject>Heart Defects, Congenital - diagnostic imaging</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Phlebography</subject><subject>Posture</subject><subject>Radiography, Thoracic - methods</subject><subject>Thoracic Vertebrae - diagnostic imaging</subject><subject>vascular</subject><subject>veins</subject><subject>vena cava</subject><subject>Vena Cava, Superior - diagnostic imaging</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1z0zAQhjUMDC2Fv8DoAjen-rBk-8ChkylpZ0LhAOSoWUtyo6BYRnJC-u-Rm9Be0UU7u8-7Hy9CmJIZze9yM6OlJEUjGjZjhJQzQnkODy_Q-VPhZY6pEIWQpThDb1LakEwxyV6jM5qTDZX8HIW5HdbgweAQ3b3rcejwuLY47QYbXYh4b3vAGvaAoTePJW_31v_jtO3HCH7Cwi5lMCdHG_HoBhx6rNc2jTiCceE-wrBOb9GrDnyy707_Bfrx-fr7_KZYfl3czq-WhS65YIUAMF3X1ZRRI7ngjDdlLWlbMybKtm2lMLrsKimJ7HRtasNFQ6S2soWKGNLwC_Tx2HeI4fcuL6G2LmnrPfQ2L6pkxSXNozJYH0EdQ0rRdmqIbgvxQVGiJrPVRk2eqslTNZmtHs1Whyx9f5qxa7fWPAtP7mbgwwmApMF3EXrt0jMnhWhy68x9OnJ_nLcP_72A-nZ1N0VZXxz1Lo328KSH-Gu6sxJqdbdQq8XNz9WX5UJV_C-B6Ko6</recordid><startdate>200501</startdate><enddate>200501</enddate><creator>ARAI, TOSHIMI</creator><creator>YAMASHITA, MASAO</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200501</creationdate><title>Cephalad origin of the superior vena cava and the level of the central venous catheter tip on chest radiographs</title><author>ARAI, TOSHIMI ; YAMASHITA, MASAO</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4352-5aadfff8121d63532394861b82254bbb65dc4f76606fc8d8d35906ce6ba70d093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>cannulation monitoring</topic><topic>Catheterization, Central Venous - methods</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Conscious Sedation</topic><topic>Female</topic><topic>Heart Defects, Congenital - diagnostic imaging</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Phlebography</topic><topic>Posture</topic><topic>Radiography, Thoracic - methods</topic><topic>Thoracic Vertebrae - diagnostic imaging</topic><topic>vascular</topic><topic>veins</topic><topic>vena cava</topic><topic>Vena Cava, Superior - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ARAI, TOSHIMI</creatorcontrib><creatorcontrib>YAMASHITA, MASAO</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ARAI, TOSHIMI</au><au>YAMASHITA, MASAO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cephalad origin of the superior vena cava and the level of the central venous catheter tip on chest radiographs</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2005-01</date><risdate>2005</risdate><volume>15</volume><issue>1</issue><spage>47</spage><epage>49</epage><pages>47-49</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>Summary
Background : There are suggested radiographic landmarks for the lower margin of the superior vena cava (SVC), but none for the cephalad origin of the SVC in children. Therefore, we determined the cephalad origin of the SVC in relation to the level of thoracic vertebrae in children.
Methods : Sixty‐five patients (2–96 months) scheduled for routine diagnostic cardiac catheterization were the subjects of the study. Vena cavogram was obtained. The crossing point between the SVC and the innominate vein was considered as the cephalad origin of the SVC, then this point was related to the level of the thoracic vertebra as a radiographic landmark.
Results : In approximately 90% of the patients studied the proximal origin of the SVC was situated above the level of Th4/5 interspace.
Conclusion : We would like to suggest that the position of the tip of central venous line, when inserted via the right internal jugular vein, should optimally be at the level of Th4/5 interspace on the postoperative chest radiograph.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>15649163</pmid><doi>10.1111/j.1460-9592.2004.01392.x</doi><tpages>3</tpages></addata></record> |
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| subjects | Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences cannulation monitoring Catheterization, Central Venous - methods Child Child, Preschool Conscious Sedation Female Heart Defects, Congenital - diagnostic imaging Heart Defects, Congenital - surgery Humans Infant Male Medical sciences Phlebography Posture Radiography, Thoracic - methods Thoracic Vertebrae - diagnostic imaging vascular veins vena cava Vena Cava, Superior - diagnostic imaging |
| title | Cephalad origin of the superior vena cava and the level of the central venous catheter tip on chest radiographs |
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