Skip to main content

Practical US Guided Vascular Access

  • Chapter
  • First Online:
Ultrasound Fundamentals
  • 1518 Accesses

Abstract

Ultrasound (US) technology has made significant contributions to the safety, efficiency, and quality of vascular access in both pre-procedure screening and real-time procedural guidance. The use of US imaging before or during vascular cannulation greatly improves first-pass success rate and reduces complications. In addition, US imaging is helpful to diagnose catheter malposition and procedure related complications, such as thrombosis, hemothorax, and pneumothorax. This chapter aims to provide a comprehensive, yet practical approach for US guided vascular access.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Troianos CA, Hartman GS, Glas KE, Skubas NJ, Eberhardt RT, Walker JD, Reeves ST. Councils on intraoperative echocardiography and vascular US of the American Society of Echocardiography. Guidelines for performing US guided vascular cannulation: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2011;24(12):1291–318. https://doi.org/10.1016/j.echo.2011.09.021.

    Article  PubMed  Google Scholar 

  2. McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348:1123–33.

    Article  Google Scholar 

  3. Schepers M, Vercauteren M, De Bock D, Rodrigus I, Vanderplanken D, Camerlinck M. Case report: inadvertent intrathecal placement of a pulmonary artery catheter introducer. Anesth Analg. 2013;117(1):119–22. https://doi.org/10.1213/ANE.0b013e318269cd55.

    Article  PubMed  Google Scholar 

  4. Fragou M, Gravvanis A, Dimitriou V, et al. Real-time US-guided subclavian vein cannulation versus the landmark method in critical care patients: a prospective randomized study. Crit Care Med. 2011;39:1607–12.

    Article  Google Scholar 

  5. Gu WJ, Tie HT, Liu JC, et al. Efficacy of US-guided radial artery catheterization: a systematic review and meta-analysis of randomized controlled trials. Crit Care. 2014;18:R93.

    Article  Google Scholar 

  6. Vezzani A, Manca T, Vercelli A, et al. Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications. J US. 2013;16:161–70.

    CAS  Google Scholar 

  7. Weiner MM, Geldard P, Mittnacht AJ. US-guided vascular access: a comprehensive review. J Cardiothorac Vasc Anesth. 2013;27(2):345–60. https://doi.org/10.1053/j.jvca.2012.07.007.

    Article  PubMed  Google Scholar 

  8. Garcia R, Labropoulos N. Duplex US for the diagnosis of acute and chronic venous diseases. Surg Clin North Am. 2018;98(2):201–18. https://doi.org/10.1016/j.suc.2017.11.007.

    Article  PubMed  Google Scholar 

  9. Fukazawa K, Aguina L, Pretto EA Jr. Internal jugular valve and central catheter placement. Anesthesiology. 2010;112(4):979. https://doi.org/10.1097/ALN.0b013e3181d436de.

    Article  PubMed  Google Scholar 

  10. Matsuo K, Atsushi Fujita A, Tanaka J, et al. Direct puncture of a surgically-exposed femoral artery graft for simultaneous stenting of coronary, carotid and innominate artery Stenoses. J Neuroendovascul Therapy. 2017;11:409–15.

    Article  Google Scholar 

  11. DiLisio R, Mittnacht AJC. The “medial-oblique” approach to US-guided central venous cannulation—maximize the view, minimize the risk. J Cardiothorac Vasc Anesth. 2012;26:982–4.

    Article  Google Scholar 

  12. Reusz G, Csomos A. The role of US guidance for vascular access. Curr Opin Anaesthesiol. 2015;28(6):710–6. https://doi.org/10.1097/ACO.0000000000000245.

    Article  PubMed  Google Scholar 

  13. Vigna PD, Monfardini L, Bonomo G, et al. Coagulation disorders in patients with cancer: nontunneled central venous catheter placement with US guidance – a single-institution retrospective analysis. Radiology. 2009;253:249–52.

    Google Scholar 

  14. Tercan F, Ozkan U, Oguzkurt L. US-guided placement of central vein catheters in patients with disorders of hemostasis. Eur J Radiol. 2008;65:253–6.

    Article  Google Scholar 

  15. Brown SM, Blaivas M, Hirshberg EL, et al. Comprehensive critical care US. ISBN:978-1-620750-322. Soc Crit Care Med.

    Google Scholar 

  16. Weiner MM, Geldard P, Mittnacht AJC. US-guided vascular access: a comprehensive review. J Cardiothorac Vasc Anesth. 2013;27:345–60.

    Article  Google Scholar 

  17. Iwashima S, Ishikawa T, Ohzeki T. US-guided versus landmarkguided femoral vein access in pediatric cardiac catheterization. Pediatr Cardiol. 2008;29:339–42.

    Article  CAS  Google Scholar 

  18. Shiver S, Blaivas M, Lyon M. A prospective comparison of US guided and blindly placed radial arterial catheters. Acad Emerg Med. 2006;13:1257–79.

    Article  Google Scholar 

  19. Vannucci A, Jeffcoat A, Ifune C, et al. Retained guidewires after intraoperative placement of central venous catheters. Anesth Analg. 2013;117:102–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jiapeng Huang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Clifford, S.P., Huang, J. (2021). Practical US Guided Vascular Access. In: Li, J., Ming-Der Chow, R., Vadivelu, N., Kaye, A.D. (eds) Ultrasound Fundamentals . Springer, Cham. https://doi.org/10.1007/978-3-030-46839-2_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-46839-2_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-46838-5

  • Online ISBN: 978-3-030-46839-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics