Optimal skin surface landmark for the SVC-RA junction in cancer patients requiring the implantation of permanent central venous catheters

J. H. Hsu, S. S. Wang, D. V. Lu, Kuang I. Cheng, C. K. Wang, J. R. Wu

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We compared four different skin surface landmarks, the lower margin of the right 2nd costo-sternal junction (point A); the upper margin of the right 3rd costo-sternal junction (point B); the lower margin of the right 3rd costo-sternal junction (point C); and a point 5 cm below the manubrio-sternal junction (point D), in 20 cancer patients undergoing insertion of permanent central venous catheters whose tips were placed near the superior vena cava - right atrium (SVC-RA) junction under transoesophageal echocardiography guidance. The landmark was satisfactory if it was located within 1 cm of the SVC-RA junction. Points C and D were closer to the SVC-RA junction than points A and B (p < 0.0001). However, point C had the highest incidence (C: 70%, A: 0%, B: 20%, D: 30%, p < 0.0001) of being within 1 cm of the SVC-RA junction.

Original languageEnglish
Pages (from-to)818-823
Number of pages6
JournalAnaesthesia
Volume62
Issue number8
DOIs
Publication statusPublished - 2007 Aug 1

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Superior Vena Cava
Central Venous Catheters
Heart Atria
Skin
Neoplasms
Transesophageal Echocardiography
Incidence

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Hsu, J. H. ; Wang, S. S. ; Lu, D. V. ; Cheng, Kuang I. ; Wang, C. K. ; Wu, J. R. / Optimal skin surface landmark for the SVC-RA junction in cancer patients requiring the implantation of permanent central venous catheters. In: Anaesthesia. 2007 ; Vol. 62, No. 8. pp. 818-823.
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Optimal skin surface landmark for the SVC-RA junction in cancer patients requiring the implantation of permanent central venous catheters. / Hsu, J. H.; Wang, S. S.; Lu, D. V.; Cheng, Kuang I.; Wang, C. K.; Wu, J. R.

In: Anaesthesia, Vol. 62, No. 8, 01.08.2007, p. 818-823.

Research output: Contribution to journalArticle

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AU - Wang, C. K.

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