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        <div id="content-top1">Page 7 - SIAARTI - Accessi Vascolari</div>
        <div id="content-top2">P. 7</div>
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    <pre style="white-space:pre-line"><code>Accessi Vascolari

         di ecoguida. Vena basilica (I scelta): abitualmente distante dal fascio vascolo-
         nervoso; vene brachiali (II scelta) contenute nel fascio vascolo-nervoso; vena
         cefalica (III scelta) con innesto a 90Â° in vena ascellare.
    	 ECO: asse lungo in-plane, asse corto out of plane.
PiÃ¹ in generale, secondo la classificazione WoCoVA basata sulla regione di inserzione,
si puÃ² parlare di:
â€¢	 CICC (Centrally Inserted Central Catheter) = Cateteri Venosi Centrali con ingresso
    in regione del collo o toracica superiore (Vene giugulare esterna ed interna,
    anonima, succlavia, ascellare);
â€¢	 FICC (Femorally Inserted Central Catheter) = Cateteri Venosi Centrali con ingresso
    in vena femorale;
â€¢	 PICC (Periferally Inserted Central Catheter) = Cateteri Venosi Centrali ad
    inserimento periferico (Vene basilica, brachiali, cefalica).

   Vena        Rischi             Vantaggi          Lato            Dialisi Temporanea

   Giugulare &gt; Rischio infettivo &lt; Complicanze Se patologie         Prima scelta
   Interna     in UTI             meccaniche        polmonari       (se BMI &gt;28,4)
                                                    -&gt; Approccio
   Anonima     Non comprimi-      Non collassa-     omolaterale           Possibile             T
               bile (approccio           bile                       (Considerare non            O
                                                       Se PM -&gt;     compromibilitÃ )
                  SOLO USG)

C  Ascellare   Approccio SOLO     &lt; Rischio infet-  preferire lato   Considerare rischio  N     T
I                       USG               tivo      controlaterale  trombotico e stenosi  O     A
C                                                                                         N     L
C                                                      Destro -&gt;            vascolare           M
                                                     decorso piÃ¹                                E
                                                       rettilineo                            T
                                                      Se insuffi-                         T  U  N
                                                    cienza renale                         U  N  T
   Succlavia   Sovraclaveare eco  &lt; Rischio infet-                   Considerare rischio  N  N  E
                  Infraclaveare           tivo                      trombotico e stenosi  N  E
                        Blind                                                                L
                                                                            vascolare

                                                    Preferire                             EL    I
                                                    Sinistra
                                                                                          L IM
                                                                                          LZP
                                                                                          IZI
F &gt; Rischio Infettivo                                 Destro -&gt;     Prima scelta          ZAA
I                                                   decorso piÃ¹     (se BMI &lt;28,4)        ZTN
C  Femorale &gt; Rischio trom-       Emergenza                                               AI T
                                                       rellineo                           TA
C botico

                                                                                          IB
                                                                                                I
                                  &lt; Rischio infet- No lato paret-                               L
                                           tivo ico/plegico                                     I
P  Vene Pro-   Approccio SOLO      Basilica e bra- Ponderare
I  fonde Arto           USG       chiale &lt; rischio indicazione in   NO
C  Superiore                      trombtico/mec- pz con Insuff.
C

                                  canico            Renale

Tabella 3: Criteri di scelta</code></pre>
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