To evaluate the clinical success rate, safety, and usefulness for intraoperative central venous pressure monitoring, and the intravenous access of the supraclavicular subclavian vein approach when compared with the infraclavicular subclavian vein approach and the internal jugular vein approach for central venous catheterization during open-chest cardiac surgery.
A right common femoral vein approach was used and a C2 catheter (Cook Medical, Bloomington, IN, USA) used to catheterise the left renal vein.
Firstly, in humans, the jugular vein approach for access and return cannulae, a pulmonary artery catheter (PAC) and an ICE probe would usually not be used.
Here, we investigated the appropriate intravascular length of a guidewire for right internal jugular vein approach using TEE during cardiac surgery.
Because of bowel gases, adequate IVC visualization was only achieved in 47 out of the other 51 donors with failure rates of 7.9, 11.8 and 41.2 % for the hepatic long axis, hepatic short axis and renal vein approach, respectively.
The Günther Tulip vena cava filter is designed for removal by the internal jugular vein approach with use of a blunted hook placed at the superior aspect of the filter.
All data were fully recorded for a post processing study with an open source software (Image J). 47 donors (27 males, median age 38, median BMI 24.25) had satisfactory IVC visualization in 92.1%, 88.2%, 58.8% of cases for hepatic long-axis, hepatic short-axis and renal vein approach respectively.
Coronary sinus catheters were placed into coronary sinus via a femoral or a jugular vein approach aided by fluoroscopy.
A femoral or right jugular vein approach was used for free floating leads.
The subclavian vein was the preferred site because the enlarged thyroid gland was clinically judged to interfere with the internal jugular vein approach.
