CClinicalTrials.gg
CompletedNCT03656978UGVPCUpdated Sep 18, 2020

Ultrasound-Guided Vascular Puncture and Catheterization

An interventional study of dynamic and Regular-triangle in Vascular Access Complication, Ultrasound Therapy; Complications and Perioperative/Postoperative Complications, sponsored by Peking Union Medical College Hospital. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-09-18.

Sponsored by Peking Union Medical College Hospital · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Jun 2017, registered Aug 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
134
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To assess and improve the safety and success rate of vascular puncture and catheterization using ultrasound-guided methods.

Read the detailed description

Investigators hypothesized that (1) various ultrasound-guided methods had different performances of vascular puncture and catheterization, (2) certain risk factors influenced safety and success rate of vascular puncture and catheterization (3) implementation of protocols could improve the performances of ultrasound-guided vascular puncture and catheterization.

02

Conditions studied

  • Vascular Access Complication
  • Ultrasound Therapy; Complications
  • Perioperative/Postoperative Complications
  • Cardiovascular Abnormalities

Keywords

  • vascular access
  • vascular catheterization
  • ultrasound-guided
  • ultrasonography
  • perioperative
  • anesthesia
  • cardiovascular abnormalities
03

In context

Cardiovascular Abnormalities

59 studies on the registry are indexed under Cardiovascular Abnormalities; 14 are open to participants now.

This study's enrollment of 134 is above the median of 60 across 33 interventional studies indexed under Cardiovascular Abnormalities.

Browse Cardiovascular Abnormalities studies →

Lead sponsor

Peking Union Medical College Hospital is the lead sponsor of 1,115 studies on the registry; 463 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age above 18 years old.
  • Scheduled for selective surgery.
  • Requirement of perioperative vascular puncture and catheterization.
  • American standard of anesthesia level I-IV.

Exclusion criteria

Exclusion Criteria:

  • Contraindication to vascular puncture or catheterization.
  • Occlusion or thrombosis of target vessel evaluated by ultrasound.
  • Refuse or disagreement from participants.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
134 participants (actual)

Study arms

  • Active comparator
    Dynamic

    Keep moving the probe for needle tip visualization during the puncture procedure.

    Behavioral: dynamic

  • Placebo comparator
    Regular-triangle

    Needle access along the hypotenuse of the regular triangle formed by the vascular depth and puncture point.

    Behavioral: Regular-triangle

Interventions

  • Behavioraldynamic

    Use the according methods in dynamic arm descriptions.

  • BehavioralRegular-triangle

    Use the according methods in regular-triangle arm descriptions.

06

What researchers measure

Primary outcomes

  1. Successful rate without extra vascular damage

    Percentages of successful catheterization without vascular damage of posterior wall.

    Time frame: Through study completion, an average of 1 year.

Secondary outcomes

  1. Successful rate at first attempt.

    Percentage of successful catheterization at first attempt without needle withdraw.

    Time frame: Through study completion, an average of 1 year.

  2. Time duration of catheterization.

    From beginning of needle puncture to finishing or failing catheterization.

    Time frame: Through study completion, an average of 1 year.

  3. Relative factors of successful catheterization without posterior wall damage.

    Relationship between independent variables (gender, age, BMI, BP, depth and so on) and successful catheterization without posterior wall damage.

    Time frame: Through study completion, an average of 1 year.

  4. The effect of depth to the successful catheterization without posterior wall puncture.

    The relationships between different depth of vascular anterior wall and successful catheterization without posterior wall puncture.

    Time frame: Through study completion, an average of 1 year.

07

Study locations

1 site
  • Peking Union Medical College Hospital
    Beijing, Beijing 100730, China
08

References and documents

Publications

  • Sethi S, Maitra S, Saini V, Samra T, Malhotra SK. Comparison of short-axis out-of-plane versus long-axis in-plane ultrasound-guided radial arterial cannulation in adult patients: a randomized controlled trial. J Anesth. 2017 Feb;31(1):89-94. doi: 10.1007/s00540-016-2270-6. Epub 2016 Oct 19. PubMed 27761661 ↗
  • Goh G, Tan C, Weinberg L. Dynamic ultrasound-guided, short axis, out-of-plane radial artery cannulation: the 'follow the tip' technique. Anaesth Intensive Care. 2013 May;41(3):431-2. No abstract available. PubMed 23659411 ↗
  • Powell JT, Mink JT, Nomura JT, Levine BJ, Jasani N, Nichols WL, Reed J, Sierzenski PR. Ultrasound-guidance can reduce adverse events during femoral central venous cannulation. J Emerg Med. 2014 Apr;46(4):519-24. doi: 10.1016/j.jemermed.2013.08.023. Epub 2014 Jan 22. PubMed 24462032 ↗
  • Nakayama Y, Nakajima Y, Sessler DI, Ishii S, Shibasaki M, Ogawa S, Takeshita J, Shime N, Mizobe T. A novel method for ultrasound-guided radial arterial catheterization in pediatric patients. Anesth Analg. 2014 May;118(5):1019-26. doi: 10.1213/ANE.0000000000000164. PubMed 24781571 ↗
  • Ward F, Faratro R, McQuillan RF. Ultrasound-Guided Cannulation of the Hemodialysis Arteriovenous Access. Semin Dial. 2017 Jul;30(4):319-325. doi: 10.1111/sdi.12603. Epub 2017 May 9. PubMed 28486776 ↗
  • Fragou M, Gravvanis A, Dimitriou V, Papalois A, Kouraklis G, Karabinis A, Saranteas T, Poularas J, Papanikolaou J, Davlouros P, Labropoulos N, Karakitsos D. Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: a prospective randomized study. Crit Care Med. 2011 Jul;39(7):1607-12. doi: 10.1097/CCM.0b013e318218a1ae. PubMed 21494105 ↗
  • Reusz G, Csomos A. The role of ultrasound guidance for vascular access. Curr Opin Anaesthesiol. 2015 Dec;28(6):710-6. doi: 10.1097/ACO.0000000000000245. PubMed 26539789 ↗
  • Gao YB, Yan JH, Ma JM, Liu XN, Dong JY, Sun F, Tang LW, Li J. Effects of long axis in-plane vs short axis out-of-plane techniques during ultrasound-guided vascular access. Am J Emerg Med. 2016 May;34(5):778-83. doi: 10.1016/j.ajem.2015.12.092. Epub 2016 Jan 6. PubMed 26830218 ↗
  • Flumignan RL, Trevisani VF, Lopes RD, Baptista-Silva JC, Flumignan CD, Nakano LC. Ultrasound guidance for arterial (other than femoral) catheterisation in adults. Cochrane Database Syst Rev. 2021 Oct 12;10(10):CD013585. doi: 10.1002/14651858.CD013585.pub2. PubMed 34637140 ↗
  • Bai B, Tian Y, Zhang Y, Yu C, Huang Y. Dynamic needle tip positioning versus the angle-distance technique for ultrasound-guided radial artery cannulation in adults: a randomized controlled trial. BMC Anesthesiol. 2020 Sep 14;20(1):231. doi: 10.1186/s12871-020-01152-1. PubMed 32928119 ↗

Individual participant data

Plan to share: Undecided — Performances of vascular manufacture,such as posterior wall puncture,success at first attempt, overall success or failure and so on. Evaluations of vascular sonography, such as depth,diameter and so on.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03656978
Lead sponsor
Peking Union Medical College Hospital
Responsible party
Chunhua Yu (Professor, Peking Union Medical College Hospital) — Principal investigator
First posted
Sep 4, 2018
Start date
Jun 1, 2017
Primary completion
Apr 23, 2018
Completion
Mar 8, 2019
Last update
Sep 18, 2020

Study contacts

Yu
study chair · Peking Union Medical College Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2020. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion