caa a22 4500 475755642 CHVBK 20180406123537.0 cr unu---uuuuu 170329e20000901xx s 000 0 eng 10.1007/s002470000297 doi (NATIONALLICENCE)springer-10.1007/s002470000297 Fluoroscopic landmark for SVC-RA junction for central venous catheter placement in children [Elektronische Daten] [B. Connolly, J. B. Mawson, C. E. MacDonald, P. Chait, H. Mikailian] Background. Vascular access devices are commonly placed under image guidance. The usual aim is to place the tip at the superior vena cava-right atrial juntion (SVC-RA).¶Objective. To identify a radiographic landmark for the SVC-RA junction that would be useful for accurate central venous catheter tip placement in children.¶Materials and methods. Images from 56 children undergoing contrast studies of their upper limb venous systems were examined for location of the SVC-RA in relation to a radiographic landmark.¶Results. Most patients (92.5 %) showed the SVC-RA junction to lie at the sixth thoracic vertebral level or the interspace above or below. The SVC-RA junction lay lower than the right main bronchus and the notch on the right cardiomediastinal contour.¶Conclusion. The vertebral body provides a useful and radiographically visible landmark for accurate central catheter tip placement. Springer-Verlag Berlin Heidelberg, 2000 Connolly B. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada e-mail: bairbre.connolly@sickkids.on.ca Tel.: + 1-4 16-8 13 60 34 Fax: + 1-4 16-8 13 75 91, CA aut Mawson J. B. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada e-mail: bairbre.connolly@sickkids.on.ca Tel.: + 1-4 16-8 13 60 34 Fax: + 1-4 16-8 13 75 91, CA aut MacDonald C. E. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada e-mail: bairbre.connolly@sickkids.on.ca Tel.: + 1-4 16-8 13 60 34 Fax: + 1-4 16-8 13 75 91, CA aut Chait P. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada e-mail: bairbre.connolly@sickkids.on.ca Tel.: + 1-4 16-8 13 60 34 Fax: + 1-4 16-8 13 75 91, CA aut Mikailian H. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada e-mail: bairbre.connolly@sickkids.on.ca Tel.: + 1-4 16-8 13 60 34 Fax: + 1-4 16-8 13 75 91, CA aut https://doi.org/10.1007/s002470000297 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002470000297 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Connolly B. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada e-mail: bairbre.connolly@sickkids.on.ca Tel.: + 1-4 16-8 13 60 34 Fax: + 1-4 16-8 13 75 91, CA aut NATIONALLICENCE 700 1- Mawson J. B. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada e-mail: bairbre.connolly@sickkids.on.ca Tel.: + 1-4 16-8 13 60 34 Fax: + 1-4 16-8 13 75 91, CA aut NATIONALLICENCE 700 1- MacDonald C. E. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada e-mail: bairbre.connolly@sickkids.on.ca Tel.: + 1-4 16-8 13 60 34 Fax: + 1-4 16-8 13 75 91, CA aut NATIONALLICENCE 700 1- Chait P. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada e-mail: bairbre.connolly@sickkids.on.ca Tel.: + 1-4 16-8 13 60 34 Fax: + 1-4 16-8 13 75 91, CA aut NATIONALLICENCE 700 1- Mikailian H. Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada e-mail: bairbre.connolly@sickkids.on.ca Tel.: + 1-4 16-8 13 60 34 Fax: + 1-4 16-8 13 75 91, CA aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer