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Position optimale de l'extrémité des systèmes d'accès veineux central

La position correcte des cathéters veineux centraux est essentielle pour un fonctionnement optimal du cathéter. Une position incorrecte de l'extrémité du cathéter est associée à un risque accru de complications. Ces complications peuvent survenir au moment de l'insertion ou après l'insertion.

Position de l'extrémité avec l'ECG intra-auriculaire

Déterminer la position de l'extrémité en vidéo

Références

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  2. M. Pittiruti, A. La Greca, G. Scoppettuolo. The Electrocardiographic Method for Positioning the Tip of Central Venous Catheters. undefined 2011. 
  3. Graham AS, Ozment C, Tegtmeyer K, Lai S, Braner DAV. Videos in clinical medicine. Central venous catheterization. N Engl J Med 2007; 356: e21. https://doi.org/10.1056/NEJMvcm055053. 
  4. Gibson F, Bodenham A. Misplaced central venous catheters: applied anatomy and practical management. British journal of anaesthesia 2013; 110: 333–46. https://doi.org/10.1093/bja/aes497. 
  5. Schutz JCL, Patel AA, Clark TWI, et al. Relationship between chest port catheter tip position and port malfunction after interventional radiologic placement. Journal of vascular and interventional radiology: JVIR 2004; 15: 581–87. https://doi.org/10.1097/01.rvi.0000127890.47187.91. 
  6. Caers J, Fontaine C, Vinh-Hung V, et al. Catheter tip position as a risk factor for thrombosis associated with the use of subcutaneous infusion ports. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer 2005; 13: 325–31. https://doi.org/10.1007/s00520-004-0723-1. 
  7. Kornbau C, Lee KC, Hughes GD, Firstenberg MS. Central line complications. International Journal of Critical Illness and Injury Science 2015; 5: 170–78. https://doi.org/10.4103/2229-5151.164940. 
  8. McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med 2003; 348: 1123–33. https://doi.org/10.1056/NEJMra011883. 
  9. Rossetti F, Pittiruti M, Lamperti M, Graziano U, Celentano D, Capozzoli G. The intracavitary ECG method for positioning the tip of central venous access devices in pediatric patients: results of an Italian multicenter study. The journal of vascular access 2015; 16: 137–43. https://doi.org/10.5301/jva.5000281. 
  10. Pelagatti C, Villa G, Casini A, Chelazzi C, Gaudio AR de. Endovascular electrocardiography to guide placement of totally implantable central venous catheters in oncologic patients. The journal of vascular access 2011; 12: 348–53. https://doi.org/10.5301/JVA.2011.8380. 
  11. Parienti J-J, Mongardon N, Mégarbane B, et al. Intravascular Complications of Central Venous Catheterization by Insertion Site. N Engl J Med 2015; 373: 1220–29. https://doi.org/10.1056/NEJMoa1500964. 
  12. Wang L, Liu Z-S, Wang C-A. Malposition of Central Venous Catheter: Presentation and Management. Chin Med J (Engl) 2016; 129: 227–34. https://doi.org/10.4103/0366-6999.173525. 
  13. Smit JM, Raadsen R, Blans MJ, Petjak M, van de Ven PM, Tuinman PR. Bedside ultrasound to detect central venous catheter misplacement and associated iatrogenic complications: a systematic review and meta-analysis. Critical care (London, England) 2018; 22: 65. https://doi.org/10.1186/s13054-018-1989-x. 
  14. Roldan CJ, Paniagua L. Central Venous Catheter Intravascular Malpositioning: Causes, Prevention, Diagnosis, and Correction. West J Emerg Med 2015; 16: 658–64. https://doi.org/10.5811/westjem.2015.7.26248. 
    Fletcher SJ, Bodenham AR. Safe placement of central venous catheters: where should the tip of the catheter lie? British journal of anaesthesia 2000; 85: 188–91. https://doi.org/10.1093/bja/85.2.188. 
  15. Stas M, Mulier S, Pattyn P, Vijgen J, Wever I de. Peroperative intravasal electrographic control of catheter tip position in access ports placed by venous cut-down technique. European journal of surgical oncology: the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology 2001; 27: 316–20. https://doi.org/10.1053/ejso.2000.1047. 
    Venugopal AN, Koshy RC, Koshy SM. Role of chest X-ray in citing central venous catheter tip: A few case reports with a brief review of the literature. Journal of anaesthesiology, clinical pharmacology 2013; 29: 397–400. https://doi.org/10.4103/0970-9185.117114. 
  16. Pittiruti M, Bertollo D, Briglia E, et al. The intracavitary ECG method for positioning the tip of central venous catheters: results of an Italian multicenter study. The journal of vascular access 2012; 13: 357–65. https://doi.org/10.5301/JVA.2012.9020.
  17. Venugopal AN, Koshy RC, Koshy SM. Role of chest X-ray in citing central venous catheter tip: A few case reports with a brief review of the literature. Journal of anaesthesiology, clinical pharmacology 2013; 29: 397–400. https://doi.org/10.4103/0970-9185.117114. 
  18. Pittiruti M, Bertollo D, Briglia E, et al. The intracavitary ECG method for positioning the tip of central venous catheters: results of an Italian multicenter study. The journal of vascular access 2012; 13: 357–65. https://doi.org/10.5301/JVA.2012.9020.