title: Ultrasound-guided central vascular interventions, comments on the European Federation of Societies for Ultrasound in Medicine and Biology guidelines on interventional ultrasound.
abstract: Central venous access has traditionally been performed on the basis of designated anatomical landmarks. However, due to patients' individual anatomy and vessel pathology and depending on individual operators' skill, this landmark approach is associated with a significant failure rate and complication risk. There is substantial evidence demonstrating significant improvement in effectiveness and safety of vascular access by realtime ultrasound (US)-guidance, as compared to the anatomical landmark-guided approach. This review comments on the evidence-based recommendations on US-guided vascular access which have been published recently within the framework of Guidelines on Interventional Ultrasound (InVUS) of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) from a clinical practice point of view.
authors.affiliation: Medical Department, Caritas-Krankenhaus Bad Mergentheim, Academic Teaching Hospital of the University of Würzburg, Würzburg, Germany;; Sino-German Research Center of Ultrasound in Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China.
authors.forename: Christoph F
authors.initials: CF
authors.lastname: Dietrich
authors.affiliation: Notfallstation, Kantonsspital Glarus, Glarus, Switzerland.
authors.forename: Rudolf
authors.initials: R
authors.lastname: Horn
authors.affiliation: Intensivmedizin Kantonsspital Graubünden, Chur, Switzerland.
authors.forename: Susanne
authors.initials: S
authors.lastname: Morf
authors.affiliation: Department of Medical Imaging, des Cévennes Clinic, Annonay, France.
authors.forename: Liliana
authors.initials: L
authors.lastname: Chiorean
authors.affiliation: Translational Gastroenterology Unit, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, UK.
authors.forename: Yi
authors.initials: Y
authors.lastname: Dong
authors.affiliation: Medical Department, Caritas-Krankenhaus Bad Mergentheim, Academic Teaching Hospital of the University of Würzburg, Würzburg, Germany;; Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430074, China.
authors.forename: Xin-Wu
authors.initials: XW
authors.lastname: Cui
authors.affiliation: Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Nathan S S
authors.initials: NS
authors.lastname: Atkinson
authors.affiliation: Department of Internal Medicine, Krankenhaus Märkisch Oderland Strausberg, Wriezen, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Jenssen
keywords: Guidelines; anatomic landmarks; central venous catheters; intervention; ultrasound-guidance (US-guidance); vascular access