dc.contributor.author |
Hinton, Lucy R |
en |
dc.contributor.author |
Fischer, Nicholas J |
en |
dc.contributor.author |
Taghavi, Kiarash |
en |
dc.contributor.author |
O'Hagan, Lomani |
en |
dc.contributor.author |
Mirjalili, Ali |
en |
dc.date.accessioned |
2020-02-14T03:52:00Z |
en |
dc.date.issued |
2019-09 |
en |
dc.identifier.issn |
0897-3806 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/50052 |
en |
dc.description.abstract |
The aortic valve (AV) has been used as a surrogate marker for the superior vena cava-right atrium (SVC-RA) junction during the placement of central venous catheters. There is a paucity of evidence to determine whether this is a consistent finding in children. Eighty-seven computed tomography scans of the thorax acquired at local children's hospitals from April 2010 to September 2011 were retrospectively collected. The distance between the SVC-RA junction and the AV was measured by dual consensus. The cranio-caudal level of the junction and the AV were referenced to the costal cartilages (CCs) and anterior intercostal spaces (ICSs). The results confirmed that the SVC-RA junction has a variable relationship to the AV. The junction was on average 3.1 mm superior to the AV. This distance increased with age. In the <1-year-old age group, the junction was on average 1.3 mm superior to the AV (range: -6 to 11 mm). In the 1-2 years old age group: 3.5 mm (range: -8 to 15 mm). In the 3-6 years old: 3.8 mm (range: -9 to 13 mm). In the >7 years old age group: 4 mm (range: -11 to 16 mm). The surface anatomy of the SVC-RA junction was variable, ranging from the second ICS to sixth CC. The SVC-RA junction has a predictable relationship to the AV, and this can be used as an adjunct marker for accurate placement of central venous catheters except in the smallest neonates. Clin. Anat. 32:778-782, 2019. © 2019 Wiley Periodicals, Inc. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Clinical anatomy (New York, N.Y.) |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.title |
Pediatric central venous catheterization: The Role of the Aortic Valve in Defining the Superior Vena Cava-Right Atrium Junction. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1002/ca.23399 |
en |
pubs.issue |
6 |
en |
pubs.begin-page |
778 |
en |
pubs.volume |
32 |
en |
dc.rights.holder |
Copyright: The author |
en |
pubs.end-page |
782 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
772020 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Medical Sciences |
en |
pubs.org-id |
Anatomy and Medical Imaging |
en |
pubs.org-id |
Te Kupenga Hauora Maori |
en |
pubs.org-id |
TKHM Teaching |
en |
dc.identifier.eissn |
1098-2353 |
en |
pubs.record-created-at-source-date |
2019-05-07 |
en |
pubs.dimensions-id |
31056789 |
en |