Ultrasound-guided femoral vascular access in pediatric cardiac catheterization
Ultrasound-guided femoral vascular access in pediatric cardiac catheterization
复制标题
超声引导下股骨血管通路在小儿心导管术中的应用
DOI：
10.1111/ped.15446
复制
发表时间：
2023
影响因子：
1.4
通讯作者：
Fumio Watanabe
中科院分区：
文献类型：
--
作者：
Kiyotaka Go;Taiki Kojima;Fumio Watanabe
背景在儿科导管插入术中，触诊和标志（PL）技术广泛用于股动脉和静脉（FAV）插管。在过去的十年中，超声引导（US）技术已经取代了 PL 技术。本研究旨在评估应用超声技术对儿童心导管术中 FAV 插管成功率和完成时间的临床影响。方法这是一项对 2016 年 4 月至 2022 年 3 月在三级儿童医院接受心导管术的连续儿科患者的回顾性观察研究。程序细节。结果总共分析了 749 名患者（PL，378；US，371）。 FAV 插管的美国技术成功率的比值比 (OR) 为 2.03，95% 置信区间 (CI) 为 1.10–3.73；p= 0.02。 1 岁以下儿童插管成功率的 OR 为 0.16（95% CI，0.03-0.97；p=0.046）。 结论 与 PL 技术相比，US 引导技术与 FAV 插管成功率提高相关。此外，年龄<1岁是FAV插管成功率较低的独立因素。超声引导技术可能是儿童心导管插入术中 FAV 插管的有效方法。
BackgroundIn pediatric catheterization, the palpation and landmark (PL) technique is widely used for femoral arterial and venous (FAV) cannulation. Over the past decade, the ultrasound‐guided (US) technique has replaced the PL technique. This study aimed to assess the clinical impact of application of the US technique on the success rate and completion time of FAV cannulation during cardiac catheterization in children.MethodsThis is a retrospective observational study of consecutive pediatric patients who underwent cardiac catheterization in a tertiary care children's hospital from April 2016 to March 2022. The association between FAV cannulation success rate and the US technique was analyzed using multiple logistic regression analysis by adjusting for potential confounders, including patient and operator characteristics and procedural details.ResultsA total of 749 patients (PL, 378; US, 371) were analyzed. The odds ratio (OR) of the US technique success rate for FAV cannulation was 2.03, 95% confidence interval (CI), 1.10–3.73;p= 0.02. The OR of the cannulation success rate of children aged <1 year was 0.16 (95% CI, 0.03–0.97;p= 0.046).ConclusionsThe US‐guided technique was associated with an increased success rate of FAV cannulation, compared with the PL technique. Moreover, age < 1 year was an independent factor associated with a lower success rate of FAV cannulation. The US‐guided technique might be an effective procedure in FAV cannulation during cardiac catheterization in children.