Central Venous Catheterization in Children: Jugulo-subclavian Venous Confluence Versus Internal Jugular Vein

NCT07459088 | Completed

• 1 other identifier: 072025
• Study Type: interventional
• Target: 88
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study was to compare ultrasound-guided central venous catheterization via the IJV to the JSVC using the supraclavicular approach in children. The main questions it aims to answer are:

1. 1.Are ultrasound-guided central venous catheterization via the internal jugular vein (IJV) and via the jugular-supraclavicular vein (JSVC) using the supraclavicular approach equivalent in terms of procedural efficacy (e.g., success rate, time to cannulation) in children?
2. 2.Are these two techniques comparable in terms of safety (e.g., complication rates, adverse events) in pediatric patients?

Conditions

Catheterization, Central Venous

Keywords

Central venous catheterization; jugular veins; subclavian vein; ultrasound; pediatric anesthesia

Outcome Measures

Primary Outcomes (1)

• first-attempt Success rate

  Obtaining blood reflux from the target vein on the first attempt

  From the day of randomization until radiographic confirmation of central venous catheter position, assessed up to 6 hours.

Study Arms (2)

IVJ group

OTHER

Group undergoing catheterization of the internal jugular vein using an out-of-plane technique

Procedure: central venous catheterization

JSVC group

OTHER

Group undergoing catheterization of the jugulosubclavian confluent via the supraclavicular in-plane technique

Procedure: central venous catheterization

Interventions

central venous catheterization PROCEDURE

ultrasound guided central venous catheterization in children

IVJ group; JSVC group

Eligibility Criteria

• Age: 1 Month - 14 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children aged 1 month to 14 years, admitted to the pediatric intensive care unit of the anesthesiology and critical care department at Béchir Hamza Children's Hospital in Tunis, or scheduled for major elective surgery under general anesthesia requiring central venous catheter placement.

You may not qualify if:

• Patients in whom ultrasound revealed a thrombotic formation in the vein.
• Patients for whom the vein could not be adequately visualized on ultrasound

Sponsors & Collaborators

• Tunis University: lead

Study Sites (1)

Bechir Hamza Children Hospital

Tunis, Tunisia

Location

MeSH Terms

Interventions

Catheterization, Central Venous

Intervention Hierarchy (Ancestors)

Catheterization; Therapeutics; Endovascular Procedures; Vascular Surgical Procedures; Cardiovascular Surgical Procedures; Surgical Procedures, Operative; Minimally Invasive Surgical Procedures; Investigative Techniques

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: February 9, 2026
• First Posted: March 9, 2026
• Study Start: December 17, 2023
• Primary Completion: April 30, 2025
• Study Completion: April 30, 2025
• Last Updated: March 9, 2026

Record last verified: 2025-07

Locations

TU (1)