Practical Reviews

Making Sure a Central Line Is Accurately Placed


Background: The authors note that 2 prior studies demonstrated that central lines incorrectly laid within the azygos vein 0.7% and 1.2% of the time. These central lines likely have a higher complication rate (eg, perforation, thrombosis, or possible stenosis). Objective: To evaluate how well radiologists can determine whether the tip of a central line is in the superior vena cava (SVC) versus the azygos vein and to determine under which circumstances the lateral view can be omitted more...
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