Central venous catheter insertion- guidewire migration ratio: Right heart to inferior vena cava.

<h4>Background</h4>Central Venous Catheters (CVC) are being used in both intensive care units and general wards for multiple purposes. A previous study Galante et al. (2017) observed that during CVC insertion through Subclavian Vein (SCV) or the Internal Jugular Vein (IJV) the guidewire...

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Autores principales:	Daphna Reichmann-Ariel, Re'em Sadeh, Ori Galante, Yaniv Almog, Lior Fuchs
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4420ca73873948479adb5a0ea8863d9a
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spelling	oai:doaj.org-article:4420ca73873948479adb5a0ea8863d9a2021-12-02T20:07:07ZCentral venous catheter insertion- guidewire migration ratio: Right heart to inferior vena cava.1932-620310.1371/journal.pone.0252726https://doaj.org/article/4420ca73873948479adb5a0ea8863d9a2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252726https://doaj.org/toc/1932-6203<h4>Background</h4>Central Venous Catheters (CVC) are being used in both intensive care units and general wards for multiple purposes. A previous study Galante et al. (2017) observed that during CVC insertion through Subclavian Vein (SCV) or the Internal Jugular Vein (IJV) the guidewire is sometimes advanced to the Inferior Vena Cava (IVC), and at other times to the right atrium. The rate of IVC wire cannulation and the association with side and point of insertion is unknown.<h4>Objective</h4>In this study, we describe guidewire migration location during real time CVC cannulation (right atrium versus IVC) and report the association between the insertion site and side of the CVC and the location of guidewire migration, Right Atrium (RA)/Right Ventricle (RV) versus IVC guidewire migration.<h4>Methods</h4>This is a retrospective study in the medical intensive care unit among patients that have received CVC during the study years 2014-2020. The rate of IVC versus right atrium/right ventricle wire migration during the procedure were analyzed. The association between the side and point of CVC insertion and the wire migration site was analyzed as well.<h4>Results</h4>One hundred and sixty-six patients were enrolled. 33.7% of wires migrated to the IVC and 66.3% to the versus right atrium/right ventricle. The rate of wire migration to the IVC was similar in the IJV site and the SCV site. There was no association between the side of CVC insertion and wire migration to the IVC.<h4>Conclusion</h4>About a third of all wire migrations, during CVC Seldinger technique insertion, were identified in the IVC, with no potential for wire associated arrhythmia. There was no association between CVC insertion point (SCV versus IJV) nor the side of insertion and the site of guidewire migration.Daphna Reichmann-ArielRe'em SadehOri GalanteYaniv AlmogLior FuchsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252726 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Daphna Reichmann-Ariel Re'em Sadeh Ori Galante Yaniv Almog Lior Fuchs Central venous catheter insertion- guidewire migration ratio: Right heart to inferior vena cava.
description	<h4>Background</h4>Central Venous Catheters (CVC) are being used in both intensive care units and general wards for multiple purposes. A previous study Galante et al. (2017) observed that during CVC insertion through Subclavian Vein (SCV) or the Internal Jugular Vein (IJV) the guidewire is sometimes advanced to the Inferior Vena Cava (IVC), and at other times to the right atrium. The rate of IVC wire cannulation and the association with side and point of insertion is unknown.<h4>Objective</h4>In this study, we describe guidewire migration location during real time CVC cannulation (right atrium versus IVC) and report the association between the insertion site and side of the CVC and the location of guidewire migration, Right Atrium (RA)/Right Ventricle (RV) versus IVC guidewire migration.<h4>Methods</h4>This is a retrospective study in the medical intensive care unit among patients that have received CVC during the study years 2014-2020. The rate of IVC versus right atrium/right ventricle wire migration during the procedure were analyzed. The association between the side and point of CVC insertion and the wire migration site was analyzed as well.<h4>Results</h4>One hundred and sixty-six patients were enrolled. 33.7% of wires migrated to the IVC and 66.3% to the versus right atrium/right ventricle. The rate of wire migration to the IVC was similar in the IJV site and the SCV site. There was no association between the side of CVC insertion and wire migration to the IVC.<h4>Conclusion</h4>About a third of all wire migrations, during CVC Seldinger technique insertion, were identified in the IVC, with no potential for wire associated arrhythmia. There was no association between CVC insertion point (SCV versus IJV) nor the side of insertion and the site of guidewire migration.
format	article
author	Daphna Reichmann-Ariel Re'em Sadeh Ori Galante Yaniv Almog Lior Fuchs
author_facet	Daphna Reichmann-Ariel Re'em Sadeh Ori Galante Yaniv Almog Lior Fuchs
author_sort	Daphna Reichmann-Ariel
title	Central venous catheter insertion- guidewire migration ratio: Right heart to inferior vena cava.
title_short	Central venous catheter insertion- guidewire migration ratio: Right heart to inferior vena cava.
title_full	Central venous catheter insertion- guidewire migration ratio: Right heart to inferior vena cava.
title_fullStr	Central venous catheter insertion- guidewire migration ratio: Right heart to inferior vena cava.
title_full_unstemmed	Central venous catheter insertion- guidewire migration ratio: Right heart to inferior vena cava.
title_sort	central venous catheter insertion- guidewire migration ratio: right heart to inferior vena cava.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/4420ca73873948479adb5a0ea8863d9a
work_keys_str_mv	AT daphnareichmannariel centralvenouscatheterinsertionguidewiremigrationratiorighthearttoinferiorvenacava AT reemsadeh centralvenouscatheterinsertionguidewiremigrationratiorighthearttoinferiorvenacava AT origalante centralvenouscatheterinsertionguidewiremigrationratiorighthearttoinferiorvenacava AT yanivalmog centralvenouscatheterinsertionguidewiremigrationratiorighthearttoinferiorvenacava AT liorfuchs centralvenouscatheterinsertionguidewiremigrationratiorighthearttoinferiorvenacava
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Central venous catheter insertion- guidewire migration ratio: Right heart to inferior vena cava.

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