Pipe-Cleaning Plugged Portacaths: How to Unclog an Implanted Port After Development of a Fibrin Sheath
| Autor: | Saeed Bashir, Sean Hagaman, Rebecca Le, Travis Meyer, Joanna Kee-Sampson, Jerry Matteo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Catheter Obstruction
Male medicine.medical_specialty Vascular catheter Radiography Interventional Fibrin 030218 nuclear medicine & medical imaging 03 medical and health sciences Catheters Indwelling 0302 clinical medicine Port (medical) Catheterization Peripheral medicine Humans Foreign Bodies biology business.industry Equipment Design General Medicine Middle Aged Indwelling catheters Surgery Venous access Catheter Treatment Outcome 030220 oncology & carcinogenesis biology.protein Equipment Failure Female Cardiology and Cardiovascular Medicine business Vascular Access Devices |
| Zdroj: | Vascular and Endovascular Surgery. 54:233-239 |
| ISSN: | 1938-9116 1538-5744 |
| DOI: | 10.1177/1538574419900054 |
| Popis: | Industry has long fought the battle to design a vascular catheter that is less thrombogenic. Indwelling catheters provide long-term central venous access, but they develop fibrin sheaths as the vascular system recognizes them as foreign bodies. Peripheral catheters and central catheters can be changed over a guidewire when they form a fibrin sheath or otherwise malfunction. However, totally implantable venous access devices such as a port cannot be easily exchanged over a wire. Therefore, when a port malfunctions, thrombolytics are usually the only option attempted before the port is explanted and a new site is prepared for access. We present a minimally invasive technique demonstrating port salvage that does not require explant. |
| Databáze: | OpenAIRE |
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