Comparisons of Complications Related to Two Approaches of Ultrasonography-guided Subclavian Venous Catheterization

Seoul National University

Status: Completed

Conditions: Complication of Treatment; Catheterization

Treatments: Procedure: Supra- vs Infraclavicular approach using ultrasonography

Study type: Interventional

Funder types: Other

Identifiers

NCT03677765

US_SVC: SC vs IC

Details and patient eligibility

About

For performing subclavian venous catheterization, two approaches (supraclavicular and infraclavicular) have been used successfully in various clinical practice. However, there remains controversy concerning which approach is safer and causes less complications during ultrasonography-guided subclavian venous catheterization. In this context, the investigators sought to compare supraclavicular approach with infraclavicular approach in terms of post-procedural complications during ultrasonography-guided subclavian venous catheterization.

Enrollment: 416 patients

Sex: All

Ages: 20 to 79 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who require subclavian venous catheterization
• adult patients aged 20-79

Exclusion criteria

• patient's refusal
• patients with contraindication of subclavian venous catheterization (skin infection at puncture site, tumor or thrombus in the course of subclavian vein, vegetation at tricuspid valve, patients on anticoagulation)
• patients with chemoport or pacemaker in subclavian vein
• patients with right-sided breast cancer operation or with right-sided pneumonectomy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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416 participants in 2 patient groups

Infraclavicular group

Active Comparator group

Description:

In the infraclavicular group, subclavian venous catheterization using ultrasonography is performed beneath the clavicle.

Treatment:

Procedure: Supra- vs Infraclavicular approach using ultrasonography

Supraclavicular group

Active Comparator group

Description:

In the supraclavicular group, subclavian venous catheterization using ultrasonography is performed over the clavicle.

Treatment:

Procedure: Supra- vs Infraclavicular approach using ultrasonography