Related Experiment Video
Updated: May 9, 2025
Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Published on: May 26, 2015
Intracavitary electrocardiogram guidance for peripherally inserted central catheter placement: A systematic review
Mao Zhou1,2, Wen-Li Zeng2,3, Charles Damien Lu2,3
1School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Intracavitary electrocardiogram (IC-ECG) placement significantly increases the success rate of peripherally inserted central catheter (PICC) placement on the first attempt. This method also reduces overall complications, making it a preferred choice for accurate catheter tip localization.
Area of Science:
- Medical Devices
- Interventional Cardiology
- Catheterization Techniques
Background:
- Intracavitary electrocardiogram (IC-ECG) is a common technique for peripherally inserted central catheter (PICC) placement.
- The accuracy and complication rates of IC-ECG for PICC tip localization are debated.
- This study evaluates the clinical effectiveness and safety of IC-ECG in PICC procedures.
Purpose of the Study:
- To assess the clinical efficacy of IC-ECG for PICC placement.
- To evaluate the safety profile of IC-ECG compared to traditional methods.
- To determine the impact of IC-ECG on PICC tip localization accuracy and related complications.
Main Methods:
- A systematic review and meta-analysis of randomized controlled trials (RCTs) were conducted.
- Searched major databases (PubMed, Web of Science, Cochrane, EMBASE, CNKI) for studies published before October 30, 2024.
- Assessed trial quality using Cochrane Risk of Bias tool v2 and certainty of evidence with GRADEpro.
Main Results:
- Sixteen studies with 6707 patients were analyzed.
- IC-ECG significantly improved the first-attempt success rate (RR=1.23, p<0.00001).
- IC-ECG reduced total complications and phlebitis; no significant differences in procedure time, thrombogenesis, infection, or arrhythmia were found.
Conclusions:
- IC-ECG guidance enhances first-attempt success and lowers complication rates for PICC placement.
- The findings suggest IC-ECG is a preferred method for accurate PICC tip localization.
- The study provides robust evidence supporting IC-ECG in clinical practice.
More Related Videos
09:13Remote Magnetic Navigation for Accurate, Real-time Catheter Positioning and Ablation in Cardiac Electrophysiology Procedures
Published on: April 21, 2013
07:47The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
Related Concept Videos
01:28Electrocardiogram Fundamentals
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...