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- Title
Use of Contrast-Enhanced Ultrasound for Confirmation of Central Venous Catheter Placement: Systematic Review and Meta-analysis.
- Authors
Bou Chebl, Ralph; Kiblawi, Shafeek; El Khuri, Christopher; El Hajj, Nadine; Bachir, Rana; Aoun, Roni; Abou Dagher, Gilbert
- Abstract
Objectives The purpose of this meta-analysis was to determine the sensitivity, specificity, and positive and negative predictive values of contrast-enhanced ultrasound (US) for confirming the tip location and placement of central venous catheters in adult patients. Methods A systematic review was performed using electronic databases, including MEDLINE, , Cochrane, Embase, PubMed, and Scopus. Inclusion criteria were studies conducted on adult patients receiving an internal jugular or a subclavian central venous catheter in the emergency department or intensive care unit. Furthermore, the catheter tip location had to be checked with the use of the agitated saline contrast-enhanced US technique. Results A total of 2245 articles were screened by title and abstract. Seventeen articles were retrieved and assessed for the predefined inclusion criteria. Four articles and 1 abstract were used in the final analysis. Contrast-enhanced US showed pooled sensitivity of 72% (95% confidence interval, 44%-91%), pooled specificity of 100% (95% confidence interval, 99%-100%), a positive predictive value of 92.1%, and a negative predictive value of 98.5% compared with chest radiography for confirming the placement of central venous catheters. Conclusions In the setting of central venous catheter placement, postprocedural contrast-enhanced US imaging is a safe, efficient, and highly specific confirmatory test for the catheter tip location compared with chest radiography.
- Subjects
CONTRAST-enhanced ultrasound; CENTRAL venous catheterization; POSITIONING in surgery; EMERGENCY medicine; META-analysis; SYSTEMATIC reviews; MEDICAL radiography
- Publication
Journal of Ultrasound in Medicine, 2017, Vol 36, Issue 12, p2503
- ISSN
0278-4297
- Publication type
Article
- DOI
10.1002/jum.14296