title: Preventing kinking of the peel-away sheath during insertion of a long term central venous catheter using percutaneous subclavicular venipuncture.
abstract: Kinking of the peel-away sheath can prevent placement of catheters by way of percutaneous subclavicular venipuncture. We described a technique for overcoming kinking of the peel-away sheath when changing patient position and repeatedly dilating the catheter insertion tract which do not allow placement of the catheter. This technique has been used successfully in three recent instances.
authors.affiliation: Department of Surgery, Akron General Medical Center, Ohio 44307.
authors.forename: R L
authors.initials: RL
authors.lastname: Heyd
authors.forename: J C
authors.initials: JC
authors.lastname: Rosser
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling; D005069:Evaluation Studies as Topic; D006801:Humans; D011677:Punctures; D013350:Subclavian Vein; D013536:Suture Techniques