{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:05:28Z","timestamp":1777935928364,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,12,31]],"date-time":"2018-12-31T00:00:00Z","timestamp":1546214400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The intracavitary electrocardiographic method is recommended for assessing the location of the tip of central venous catheter when there is an identifiable P wave. Previous reports suggested that intracavitary electrocardiographic method might also be applied to patients with atrial fibrillation, considering the so-called f waves as a surrogate of the P wave.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We studied 18 atrial fibrillation patients requiring simultaneously a central venous catheter and a trans-esophageal echocardiography. An intracavitary electrocardiographic trace was recorded with the catheter tip in three different positions defined by trans-esophageal echocardiography imaging: in the superior vena cava, 2\u2009cm above the cavo-atrial junction; at the cavo-atrial junction; and in the right atrium, 2\u2009cm below the cavo-atrial junction. Three different criteria of measurement of the f wave pattern in the TQ tract were used: the mean height of f waves (method A); the height of the highest f wave (method B); the difference between the highest positive peak and the lowest negative peak (method C).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were no complications. With the tip placed at the cavo-atrial junction, the mean value of the f waves was significantly higher than in the other two positions. All three methods were effective in discriminating the tip position at the cavo-atrial junction, though method B proved to be the most accurate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A modified intracavitary electrocardiographic technique can be safely used for detecting the location of the tip of central venous catheters in atrial fibrillation patients: the highest activity of the f waves is an accurate indicator of the location of the tip at the cavo-atrial junction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1129729818819422","type":"journal-article","created":{"date-parts":[[2018,12,31]],"date-time":"2018-12-31T08:45:51Z","timestamp":1546245951000},"page":"516-523","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["A modified intracavitary electrocardiographic method for detecting the location of the tip of central venous catheters in atrial fibrillation patients"],"prefix":"10.1177","volume":"20","author":[{"given":"Maria","family":"Calabrese","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, \u201cA. Gemelli\u201d University Hospital Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Montini","sequence":"additional","affiliation":[{"name":"Department of Intensive Care and Anesthesia, \u201cA. Gemelli\u201d University Hospital Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriella","family":"Arlotta","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, \u201cA. Gemelli\u201d University Hospital Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"La Greca","sequence":"additional","affiliation":[{"name":"Department of Surgery, \u201cA. Gemelli\u201d University Hospital Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele G","family":"Biasucci","sequence":"additional","affiliation":[{"name":"Department of Intensive Care and Anesthesia, \u201cA. Gemelli\u201d University Hospital Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Bevilacqua","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, \u201cA. Gemelli\u201d University Hospital Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrica","family":"Antoniucci","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, \u201cA. Gemelli\u201d University Hospital Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Scapigliati","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, \u201cA. Gemelli\u201d University Hospital Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Cavaliere","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, \u201cA. Gemelli\u201d University Hospital Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Pittiruti","sequence":"additional","affiliation":[{"name":"Department of Surgery, \u201cA. Gemelli\u201d University Hospital Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,12,31]]},"reference":[{"key":"bibr1-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000250224.02440.fe"},{"key":"bibr2-1129729818819422","doi-asserted-by":"publisher","DOI":"10.5301\/JVA.2012.9020"},{"key":"bibr3-1129729818819422","doi-asserted-by":"publisher","DOI":"10.5301\/JVA.2011.8381"},{"key":"bibr4-1129729818819422","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000281"},{"key":"bibr5-1129729818819422","first-page":"S1","volume":"39","author":"Gorski LA","year":"2016","journal-title":"J Infus Nurs"},{"key":"bibr6-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2009.03.015"},{"issue":"9","key":"bibr7-1129729818819422","first-page":"476","volume":"38","author":"Engelhardt W","year":"1989","journal-title":"Anaesthesist"},{"key":"bibr8-1129729818819422","volume-title":"Oral presentation at the annual conference of the infusion nursing society","author":"Pittiruti M"},{"key":"bibr9-1129729818819422","volume-title":"Poster presented at the annual conference of the association for vascular access","author":"Pittiruti M"},{"key":"bibr10-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818757976"},{"issue":"5","key":"bibr11-1129729818819422","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.1097\/ALN.0b013e3181c51e90","volume":"112","author":"Task Force on Transesophageal Echocardiography","year":"2010","journal-title":"Anesthesiology"},{"key":"bibr12-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2013.02.015"},{"issue":"2","key":"bibr13-1129729818819422","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1093\/bja\/85.2.188","volume":"85","author":"Fletcher SJ","year":"2000","journal-title":"Br J Anaesth"},{"key":"bibr14-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-004-0723-1"},{"key":"bibr15-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)00124-5"},{"key":"bibr16-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2006.01025.x"},{"key":"bibr17-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1007\/BF03022525"},{"key":"bibr18-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2008.12.003"},{"key":"bibr19-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.18.2370"},{"key":"bibr20-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2012.07.003"},{"key":"bibr21-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.008201"},{"key":"bibr22-1129729818819422","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-5-201303051-00001"},{"key":"bibr23-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1016\/j.java.2014.02.001"},{"key":"bibr24-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199907000-00012"},{"key":"bibr25-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002188"},{"key":"bibr26-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-018-1989-x"},{"key":"bibr27-1129729818819422","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000042"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729818819422","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1129729818819422","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729818819422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:13:55Z","timestamp":1777691635000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1129729818819422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,31]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1177\/1129729818819422"],"URL":"https:\/\/doi.org\/10.1177\/1129729818819422","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,31]]}}}