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.
CITATION STYLE
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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