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

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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. © 2007 The Authors Journal compilation 2007 The Association of Anaesthetists of Great Britain and Ireland.

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Hsu, J. H., Wang, S. S., Lu, D. V., Cheng, K. I., Wang, C. K., & Wu, J. R. (2007). Optimal skin surface landmark for the SVC-RA junction in cancer patients requiring the implantation of permanent central venous catheters. Anaesthesia, 62(8), 818–823. https://doi.org/10.1111/j.1365-2044.2007.05139.x

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