title: Extravasation. A serious complication of the split-sheath introducer technique for venous access.
abstract: The use of split-sheath introducers to place venous access catheters results in the potential for subcutaneous extravasation and tissue injury or necrosis. We present six cases that demonstrate this complication and illustrate the probable mechanism. The safe use of these catheters requires verification that blood can be aspirated from the catheter and a high index of suspicion for extravasation when symptoms develop.
authors.affiliation: Department of Surgery, University of California, San Francisco 94143.
authors.forename: B T
authors.initials: BT
authors.lastname: Gemlo
authors.forename: A A
authors.initials: AA
authors.lastname: Rayner
authors.forename: R J
authors.initials: RJ
authors.lastname: Swanson
authors.forename: J A
authors.initials: JA
authors.lastname: Young
authors.forename: J F
authors.initials: JF
authors.lastname: Homann
authors.forename: D C
authors.initials: DC
authors.lastname: Hohn
mesh_terms: D000328:Adult; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000379:methods; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged