title: Nonsurgical repositioning of central venous catheters.
abstract: Long-term central venous catheters are placed for total parenteral nutrition and/or chemotherapy. These catheters are placed surgically and fixed to the subcutaneous tissues. Complications include infection, venous thrombosis, and mechanical problems. The authors developed a method to percutaneously reposition displaced central venous catheters. The procedure is performed with fluoroscopy and modified angiographic techniques. Fifteen patients underwent a total of 17 procedures. The initial success rate was 76%; the final success rate was 88%. Many central venous catheters can be salvaged with this low-morbidity procedure, which negates the need for surgical intervention.
authors.affiliation: Department of Radiological Sciences, University of California School of Medicine, Los Angeles 90024.
authors.forename: J F
authors.initials: JF
authors.lastname: Lois
authors.forename: A S
authors.initials: AS
authors.lastname: Gomes
authors.forename: E
authors.initials: E
authors.lastname: Pusey
mesh_terms: D000792:Angiography; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007601:Jugular Veins; D008297:Male; D011677:Punctures