Eur J Anat, 12 (3): 153-158 (2008)

Doppler ultrasound-guided brachiocephalic central line insertion in cardiac surgery: An overlooked approach revisited

Massad I.M., Alhadidy A.M., Elsmady M.M., Abu-Abeeleh M.M., Attyat B.A., Abu-Ali H.M., Abder-Rahman H., Abu-Ghaida J.H., Badran D.H.

Department of Anesthesia and Intensive Care, Faculty of Medicine, University of Jordan, Amman 11942, Jordan; Department of Radiology, Faculty of Medicine, University of Jordan, Amman 11942, Jordan; Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, University of Jordan, Amman 11942, Jordan; Department of Anatomy and Histology, Faculty of Medicine, University of Jordan, Amman 11942, Jordan; Department of Pathology Microbiology and Forensic Medicine, Faculty of Medicine, University of Jordan, Amman 11942, Jordan

ABSTRACT The insertion of central venous lines is sometimes challenging for both the physician and the patient. In a previous work from our institute, Badran et al. described brachiocephalic central line insertion as an overlooked approach and recommended its use in clinical practice. The aim of this study is to evaluate ultrasound-guided brachiocephalic central line insertion in patients undergoing cardiac surgery. Twenty-six low-risk patients undergoing coronary bypass surgery consented to participate in the study (14 male, 12 female). Ultrasound-guided brachiocephalic central line insertion was performed, and the main outcomes measured were the success rate and the ease of cannulation. The procedure was successful in 24 patients (92-3VO, while it failed in two (7.7916). The single-puncture success rate was 79.3% (19 out of 24), with no acute or late complications. Using Doppler ultrasound guidance, the brachiocephalic vein is a suitable site for central venous catheter insertion in cardiac surgery.

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