CVC position on chest x-ray (summary)

Chest x-ray CVC (central venous catheter) position should be assessed following initial placement and on subsequent radiographs.

Reference article

This is a summary article; we do not have a more in-depth reference article.

Summary

  • insertion
    • may be inserted via
      • internal jugular vein (left or right)
      • subclavian vein (left or right)
  • assessing position
    • window the image to best visualise the line
    • trace the line from its insertion towards the heart
    • visualise the tip of the line
      • tip should be at the cavoatrial junction
    • document the position of the line
  • potential malposition
    • tip too high: proximal SVC
      • increased risk of thrombus formation
    • tip too low: distal right atrium or right ventricle
      • increased risk of arrhythmia
    • coiled or displaced in another vein​
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Article information

rID: 51430
System: Chest
Section: Approach
Synonyms or Alternate Spellings:

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