An Italian expert consensus on the choice of the method of tip location for central venous access devices

作者：V. Faraone, Mauro Pittiruti, M. Annetta, G. Barone, F. Brescia, M. Calabrese, Antonella Capasso, Giuseppe Capozzoli, V. D’Andrea, Sonia D’Arrigo, D. Elisei, Stefano Elli, Igor Giarretta, A. Gidaro, Davide Giustivi, E. Iacobone, Rossella Mastroianni, F. Pinelli, G. Scoppettuolo, F. Spagnuolo, G. Zito Marinosci, Gilda Pepe, D. Biasucci · 发表于：Journal of Vascular Access · 年份：2025 · DOI：10.1177/11297298251336809 · 被引用次数：24 · 研究领域：Medicine

Tip location of central venous access devices is considered highly relevant for the purpose of reducing catheter-related complications and prolong the duration of the access. Though, the choice of the method of tip location currently relies upon the operator’s experience, preference, and training, on the local availability of specific resources and technologies, and on local policies. On the contrary, considering the relevance of tip location, such clinical choice should preferably be based on the best available evidence. Though current guidelines recommend intra-procedural rather than post-procedural methods of tip location, many clinicians still adopt the strategy of assessing the position of the tip by radiological methods after the completion of the procedure. Also, though current guidelines and evidence-based documents recommend the intra-cavitary electrocardiography and/or trans-thoracic echocardiography as preferred methods of intraprocedural tip location, many clinicians still adopt fluoroscopy. While the pros and cons of each different method of tip location are well known, there is no evidence-based document that offer robust recommendations about the choice of tip location of different central venous access devices in different population of patients (neonates, children, adults). Therefore, the Italian Group of Long-Term Venous Access Devices (GAVeCeLT) and the Italian Vascular Access Society (IVAS) have developed a national consensus on the choice of the most appr...