Nonsurgical repositioning of central venous catheters.
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.
Lois
J F
JF
Department of Radiological Sciences, University of California School of Medicine, Los Angeles 90024.
Gomes
A S
AS
Pusey
E
E
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