{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T06:21:16Z","timestamp":1787552476491,"version":"build-2736575974"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":234,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Anesthesiology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Establishing reliable venous access can be particularly challenging in trauma patients with bilateral upper limb fractures, where peripheral cannulation is unfeasible and central venous catheterization may be unnecessary or refused.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>\n                      A 51\u2010year\u2010old woman (BMI 38\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) sustained bilateral elbow fractures requiring staged fixation. Because the patient expressed strong concern and reluctance toward central venous catheterization, and there was no clear indication for it, alternative options were explored. Ultrasound assessment revealed a suitable right great saphenous vein (GSV) with \u2248\u20093.6\u2009mm of diameter. Under sterile and ultrasound\u2010guided conditions, a 10\u2010cm 18\u2010G PowerGlide long peripheral catheter (LPC) was successfully inserted, providing stable access for perioperative management over 10\u2009days, with no complications or malfunction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Midline and LPC are designed for intermediate\u2010term therapy and are typically placed in upper\u2010extremity veins. Their use in the saphenous vein for perioperative care has not been previously described. In this case, ultrasound\u2010guided saphenous LPC placement provided an alternative route for vascular access in a patient with extremely difficult venous access, without catheter\u2010related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ultrasound\u2010guided placement of a 10\u2010cm LPC in the GSV provided perioperative venous access for 10\u2009days without complications in this case. Further case series or prospective registries are needed to define patient selection, dwell time, and complication rates for lower\u2010extremity peripheral vascular access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/cria\/8833164","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T05:57:10Z","timestamp":1787551030000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound\u2010Guided, Guidewire\u2010Assisted Long Peripheral Catheter in the Great Saphenous Vein for Bilateral Upper Limb Fracture Surgery: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8512-5280","authenticated-orcid":false,"given":"Mirco","family":"Leo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9726-7478","authenticated-orcid":false,"given":"Benedetta","family":"Savarese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9112-2705","authenticated-orcid":false,"given":"Gianmaria","family":"Cammarota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,23]]},"reference":[{"key":"e_1_2_8_1_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16727"},{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61082-4"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000532"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820965063"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298221099838"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp2310224"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2023.06.007"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045895"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2021.10.006"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298221085450"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.125847"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir257"}],"container-title":["Case Reports in Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cria\/8833164","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cria\/8833164","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cria\/8833164","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T05:57:11Z","timestamp":1787551031000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cria\/8833164"}},"subtitle":[],"editor":[{"given":"Shashank","family":"Kaushik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cria\/8833164"],"URL":"https:\/\/doi.org\/10.1155\/cria\/8833164","archive":["Portico"],"relation":{},"ISSN":["2090-6382","2090-6390"],"issn-type":[{"value":"2090-6382","type":"print"},{"value":"2090-6390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-11-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"8833164"}}