Ultrasound-guided Femoral Arterial Puncture for Interventional Neuro-radiology in Children
- Conditions
- Retrograde Femoral Catheterism
- Interventions
- Device: Ultrasound guided femoral puncture
- Registration Number
- NCT02878915
- Lead Sponsor
- Fondation Ophtalmologique Adolphe de Rothschild
- Brief Summary
Using ultrasound to guide vascular catheterism in children is highly recommended for central venous access. It has been proven that central venous line is inserted faster, with fewer attempts and complications. Its interest in central arterial line insertion is less obvious. It seems to have benefits in adults, both for radial and femoral arterial insertion. But there is no study assessing the interest of ultrasound guided arterial puncture in children,.
- Detailed Description
The use of ultrasound to guide vascular catheterization in children is strongly recommended for central venous vascular access by several international learned societies. In fact, studies have found a reduction in the time it takes to install the central venous line, in the number of attempts and in complications.The benefit of ultrasound to guide catheterization of the arterial network is less documented.
In children, there is an inventory of the traditional approach guided by palpation, in children in intensive care (11). The analysis of 77 femoral puncture attempts in 74 children was carried out. Arterial cannulation was successful in 73 of 77 cases (95%), but only in 60% of cases at the first attempt. Ultrasound guidance appears beneficial in adults for both arterial sites, radial and femoral. On the other hand, in children, unlike radial catheterization, there is no study evaluating the contribution of ultrasound guidance for femoral catheterization.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 150
- requirement of retrograde femoral arterial catheterism
- none
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Ultrasound guided femoral puncture Ultrasound guided femoral puncture Ultrasound guided femoral puncture
- Primary Outcome Measures
Name Time Method Demonstrate that ultrasound guidance improves the success rate at the 1st attempt immediate The success rate of catheterisation in the 1st trial will be analysed as the main criterion and compared between the two groups.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Fondation Ophtalmologique Adolphe de Rothschild
🇫🇷Paris, France