Transfemoral repositioning of malpositioned central venous catheters
| Autor: | Julia Gates, James Suojanen, Melvin E. Clouse, George G. Hartnell |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
medicine.medical_specialty
Catheterization Central Venous Surgical approach Rotation business.industry Surface Properties Femoral vein Equipment Design Femoral Vein Radiography Interventional Surgery Malpositioned Catheter medicine.anatomical_structure Fluoroscopy cardiovascular system Medicine Humans Radiology Nuclear Medicine and imaging Equipment Failure Cardiology and Cardiovascular Medicine business Vein Retrospective Studies |
| Zdroj: | Cardiovascular and interventional radiology. 19(5) |
| ISSN: | 0174-1551 |
| Popis: | To determine the efficacy of the transfemoral vein approach to repositioning malpositioned central venous catheters.During a 4(1/2)-year period, malpositioned central venous catheters were repositioned 91 times in 83 patients via the transfemoral vein approach. All repositioning was initially attempted with a Grollman catheter or other pigtail catheter and a tip-deflecting wire. If these techniques failed or the venous anatomy was unfavorable, gooseneck or long loop snares were used.During 48 repositionings, rotating a pigtail-type catheter alone was used successfully in 39 (81%). In 6 of 9 failures, the addition of a tip-deflecting wire also failed. A Grollman catheter and tip-deflecting wire were used initially in 39 repositionings (6 failures; 85% success). Successful repositioning required a snare in 8 (4 as the primary repositioning technique) and a long-loop technique in 5. All repositionings were ultimately successful and there were no complications.Central venous catheters can be repositioned consistently by the transfemoral route. Pigtail catheters or tip-deflecting wires alone are successful in over 80% of cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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