Comparison of the Oblique-axis and Long-axis Approaches for Axillary Vein Catheterization Under Ultrasound Guidance

  • STATUS
    Recruiting
  • End date
    Dec 31, 2024
  • participants needed
    194
  • sponsor
    Guowei Tu
Updated on 27 July 2021

Summary

Ultrasound-guided axillary vein catheterization can be performed via the oblique-axis and long-axis approaches of the axillary vein. The aim of our study is to compare the first puncture success rate and safety between the two approaches of ultrasound-guided axillary vein catheterization in cardiac surgical patients with high bleeding risk

Description

For patients after cardiac surgery, antiplatelet drugs or anticoagulants are usually used for preventing thrombosis. Use of those drugs is associated with increased risk of bleeding. Any invasive procedures may put those patients at additional risk of bleeding. Ultrasound (US) has become widely accepted to guide safe and accurate central venous catheterization. Ultrasound-guided axillary vein catheterization can be performed via the oblique-axis and long-axis approaches of the axillary vein. The aim of our study is to compare the first puncture success rate and safety between the two approaches of ultrasound-guided axillary vein catheterization in cardiac surgical patients with high bleeding risk

Details
Condition central venous catheterization, central vein catheterization
Treatment Oblique-axis approach group, Long-axis approach group
Clinical Study IdentifierNCT04962945
SponsorGuowei Tu
Last Modified on27 July 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Cardiac surgical patients in Cardiac Surgery Intensive Care Unit
Axillary vein catheterization is needed according to the clinical practice

Exclusion Criteria

the proximal and/or distal axillary vein was not clearly visualized or potentially unavailable for catheterization
did not receive or had not received oral antiplatelet drugs and/or anticoagulants for less than 3 days
already had presence of subclavian or axillary vein catheter
required an emergency axillary vein catheterization
had fracture of the ipsilateral clavicle or anterior proximal ribs
had subclavian and/or axillary vein thrombosis
had local infection of the puncture area
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