Premium
Ultrasound‐Guided Umbilical Venous Catheter Insertion With Alignment of the Umbilical Vein and Ductus Venosus
Author(s) -
Kishigami Makoto,
Shimokaze Tomoyuki,
Enomoto Masahiro,
Shibasaki Jun,
Toyoshima Katsuaki
Publication year - 2020
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.1002/jum.15106
Subject(s) - ductus venosus , medicine , umbilical vein , catheter , vein , portal circulation , ultrasound , umbilicus (mollusc) , surgery , radiology , fetus , pregnancy , in vitro , biology , biochemistry , genetics , chemistry
Previous studies have highlighted the importance of confirming the position of an umbilical venous catheter (UVC) tip by an ultrasound (US) examination. However, methods for preventing insertion into the portal circulation under US guidance have not yet been established. We report 15 cases in which a UVC was successfully passed through the ductus venosus by compressing the upper abdomen near the portal sinus of the liver to align the umbilical vein and ductus venosus under US guidance. The UVC was inserted into the correct position in 14 of the 15 neonates (93%) without complications.