{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T02:52:56Z","timestamp":1789786376676,"version":"4.0.1"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Central venous catheter (CVC) tip placement within the lower third of the superior vena cava or at the cavo-atrial junction is vital to avoid complications. Chest radiograph (CXR), the standard for post-procedural confirmation, has limitations, including radiation exposure and delay in malposition diagnosis. Ultrasonography (USG) enables real-time tip confirmation. This review aimed to consolidate evidence on the use of right supraclavicular fossa ultrasound view in CVC tip position confirmation in adult patients using radiographic imaging as a reference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A systematic literature search of Medline via Pubmed, Scopus, Google Scholar, and ResearchGate was conducted from database inception until 14 May 2024. Eligible studies included adults undergoing USG-guided CVC insertion, comparing real-time right supraclavicular fossa ultrasonographic view with CXR or fluoroscopy for optimum CVC tip positioning. Outcomes included correct CVC placement, malposition detection, malposition correction, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>From 1,865 records, five observational studies met the inclusion criteria (sample size: 252). Correct CVC tip positioning was confirmed radiographically in 99.16% of the cases. Three studies reported a pooled malposition rate of 7.89% using the right supraclavicular fossa ultrasound view. Among the pooled malpositions, 87.33% were corrected intra-procedurally using the right supraclavicular fossa ultrasonographic view. No complications occurred during repositioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The right supraclavicular fossa ultrasound view appears to be useful in real-time confirmation of CVC tip position and facilitates intra-procedural correction of malposition. However, the findings are limited by the small overall sample size, heterogeneity among included studies, and the absence of diagnostic accuracy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_1378_25","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T15:08:55Z","timestamp":1789744135000},"page":"S172-S179","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Right supraclavicular fossa ultrasound view for real-time central venous catheter tip positioning in adult patients: A systematic review"],"prefix":"10.4103","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3593-2313","authenticated-orcid":false,"given":"Indubala","family":"Maurya","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Kalyan Singh Super Speciality Cancer Institute, Lucknow, Uttar Pradesh, 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