Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Jan 7;13(1):e12561.
doi: 10.7759/cureus.12561.

Biplane Imaging Using Portable Ultrasound Devices for Vascular Access

Affiliations
Case Reports

Biplane Imaging Using Portable Ultrasound Devices for Vascular Access

David Convissar et al. Cureus. .

Abstract

The use of ultrasound guidance for the placement of difficult IVs, arterial lines, and central venous access has become the standard of care. While imaging quality has improved over the last two decades, the lack of affordability, availability, and training have been major limitations in its routine clinical use. We detail the first reported use of biplane imaging using a portable ultrasound probe for difficult vascular access to increase first past success, efficiency, safety, and sterility during the coronavirus disease 2019 (COVID-19) pandemic.

Keywords: arterial line; biplane; biplane imaging; critical care; multiple plane; pocus; ultrasound; vascular access; xpane; xplane imaging.

PubMed Disclaimer

Conflict of interest statement

D.C. received a Butterfly iQ+ for evaluation which was used in this case report.

Figures

Figure 1
Figure 1. Views of the radial artery during sequential stages of arterial line access and insertion with the Butterfly IQ+ handheld ultrasound device
A: The vessel in short-axis view. B: The vessel in biplane view, both long and short. C: The vessel in biplane view with needle entering the vessel. D: The vessel in biplane view with a needle within the vessel.

References

    1. Ultrasound-guided vascular access in critical illness. Schmidt GA, Blaivas M, Conrad SA, et al. Intensive Care Med. 2019;45:434–446. - PubMed
    1. Ultrasound-guided peripheral intravenous access in the intensive care unit. Gregg SC, Murthi SB, Sisley AC, Stein DM, Scalea TM. J Crit Care. 2010;25:514–519. - PubMed
    1. 3D xplane echocardiographic technique for validation of mitral leaflet separation to assess severity of mitral stenosis. Gokhroo RK, Ranwa BL, Kishor K, et al. https://onlinelibrary.wiley.com/doi/full/10.1111/echo.13183?casa_token=h.... Echocardiography. 2016;33:896–901. - PubMed
    1. Transthoracic two-dimensional xPlane and three-dimensional echocardiographic analysis of the site of mitral valve prolapse. McGhie JS, de Groot-de Laat L, Ren B, et al. Int J Cardiovasc Imaging. 2015;31:1553–1560. - PMC - PubMed
    1. Handheld ultrasound devices: An emerging technology to reduce viral spread during the Covid-19 pandemic. Gibson LE, Bittner EA, Chang MG. Am J Infect Control. 2020;48:968–969. - PMC - PubMed

Publication types

LinkOut - more resources