Expert consensus on the establishment and maintenance of central vascular access under electrocardiography Doppler ultrasound guidance / 中国介入影像与治疗学

ABSTRACT

Central vascular access is an important tool for patients with clinically severe condition, tumor, and long-term need for intravenous infusion. The placement and indwelling of vascular access in the appropriate vessels and the correct position of the catheter tip can maintain long-term patency and reduce complications such as infection, thrombosis and catheter displacement, etc. The application of ultrasound Doppler combined with electrocardiography to guide the operation and maintenance of vascular access, instead of the traditional blind venipuncture and chest X-ray post-procedural location, is able to avoid radiation exposure damage to patients, especially pregnant women, newborns and children. The device of ultrasound Doppler combined with electrocardiography is called electrocardiography Doppler ultrasound guiding (EDUG), which has been widely used in clinical practice and accepted a new method of minimally invasive surgery, interventional treatment, emergency rescue and nursing clinical operation of vascular access in China. The experts from Cardiovascular Equipment Technical Committee of China Medical Equipment Association, China Interventional Medical Industry Technology Innovation Alliance Percutaneous Vascular Access Innovation Center, Interventional Medical Engineering and Biotechnology Committee on Interventional Physician of Chinese Medical Association discussed the expert consensus together, combined with the clinical practice and scientific questions, which would be a reference for clinical physicians and nurses.