{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:55:13Z","timestamp":1770742513425,"version":"3.49.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T00:00:00Z","timestamp":1637884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To explore the application of ECG\u2010guided localization technology in PICC catheterization and the clinical significance of different maps of intracavitary ECG in PICC tip localization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the process of catheter placement under the guidance of ultrasound, the technique of intracavitary ECG location was used. The length of the catheter was measured on the body's surface. The amplitude of the P\u2010wave and the QRS\u2010wave groups of electrocardiograms before and during catheter placement was recorded. Nine hundred sixty\u2010one patients who underwent X\u2010ray chest film examination after catheterization were imaged on the chest film at the tip of the catheter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight hundred four cases had a characteristic P wave, 83.66%, of which, 331 cases (50% &lt; P\/R \u226480%) had 99.09%; 425 cases (80% &lt; P\/R \u2264100%) had 99.29%; 48 cases (P\/R &gt;100%) had 100%. One hundred eighteen cases of non\u2010specific P wave accounted for 12.28% and 79.66% of chest radiographs, of which 72 cases of P\/R &lt;50% were 100%; 46 cases of unchanged P wave were 47.83%; 34 cases of special cases accounted for 3.54% and 55.88% of chest radiographs; five cases of interference wave accounted for 0.25%, and the chest radiographs were self\u2010control. The in\u2010place rate of the body contrast catheter was 80%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The accuracy of the ECG characteristic map in guiding the location of the PICC tip is higher than that of the non\u2010characteristic P wave, and it has more clinical significance in locating the best position of the PICC tip.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12904","type":"journal-article","created":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T12:13:23Z","timestamp":1637928803000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Clinical significance of different atlas of intracavitary electrocardiogram for PICC localization in 961 cases"],"prefix":"10.1111","volume":"27","author":[{"given":"Hui\u2010Min","family":"Dong","sequence":"first","affiliation":[{"name":"Oncology Department \u2163 Shijiazhuang People's Hospital Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3090-7194","authenticated-orcid":false,"given":"Yu\u2010Xin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Central Venous Catheter Clinic Shijiazhuang People's Hospital Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin\u2010Xin","family":"Yin","sequence":"additional","affiliation":[{"name":"Oncology Department \u2163 Shijiazhuang People's Hospital Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Oncology Department \u2163 Shijiazhuang People's Hospital Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,26]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"27","article-title":"The changes and role of intracavitary electrocardiogram in the placement of peripherally inserted central venous catheters","volume":"45","author":"Feng B. 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X.","year":"2019","journal-title":"Chinese Journal of Practical Nursing"},{"key":"e_1_2_9_14_1","first-page":"1374","article-title":"The specific P\u2010waveform of intracavitary ECG method for positioning the tip of valved peripherally inserted central catheters","volume":"50","author":"Zhao L. F.","year":"2015","journal-title":"Chinese Journal of Nursing"},{"key":"e_1_2_9_15_1","first-page":"1015","article-title":"ECG\u2010guided central venous catheter placement tip positioning in the superior vena cava","volume":"27","author":"Zhao W.","year":"2015","journal-title":"Chinese Critical Care Emergency Medicine"},{"key":"e_1_2_9_16_1","first-page":"36","article-title":"Effects of type\u2010B ultrasonography combined with electrocardiography on PICC insertion in patients with hematological diseases","volume":"30","author":"Zhao J.","year":"2015","journal-title":"Journal of Nursing"},{"key":"e_1_2_9_17_1","first-page":"4208","article-title":"Study on clinical application of endovascular electrocardiogram technique in location of PICC catheter tip position","volume":"30","author":"Zheng C. 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