Percutaneous Insertion of Hickman Central Venous Catheter: Jugular Approach

نویسنده

  • KY Lau
چکیده

Traditionally, tunnelled central venous catheter insertions have been performed by surgeons. However, there is an increasing trend towards central catheters being placed by interventional radiologists under image guidance. The many advantages of inserting central catheters via the jugular approach under image guidance include reusable venous access, generally less waiting time compared with surgical placement, short fluoroscopy and procedural time, high success rate, paucity of major complications, no need for general anaesthesia, and the procedure being well tolerated by most patients. The subclavian vein provides alternative venous access, although insertion of catheters via this approach may lead to intimal hyperplasia, venous stenosis, venous thrombosis, or subsequent fracture of the catheter. Percutaneous insertion of Hickman central catheters via the jugular approach is therefore the preferred method. It offers a safe and effective alternative to surgical placement and the subclavian approach.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

حل مشکل جاگذاری کاتتر ورید مرکزی با استفاده از کاتتر وریدی: مقاله تکنیکال

Insertion of central venous catheter is an accepted method for hemodynamic monitor-ring, drug and fluid administration, intravenous access, hemodialysis and applying cardiac pace-maker in hospitalized patients. This procedure can be associated with severe complications. The aim of this article is to provide a practical approach to prevent catheter malposition in states that the guide wire will ...

متن کامل

Insertion of Hickman catheters by the percutaneous technique.

Hickman catheters have previously been conventionally placed by surgical dissection. This usually performed by experienced surgeons and is carried out under general anaesthesia. We report our preliminary experience in Hickman catheter placement by percutaneous technique in twenty patients. We outline the implantation methods and complications encountered by this technique. The procedure is rela...

متن کامل

The Impact of Intraluminal Vancomycin Adminstration on Prevention of Hemodialysis CatheterRelated Infections

Introduction: Percutaneously inserted double-lumen central venous hemodialysis catheters provide the nephrologist with an excellent temporary access for an immediate hemodialysis treatment and preserve the peripheral veins for the future creation of a permanent arteriovenous vascular access. Unfortunately catheterrelated infections are usually common. In this study, the impact of intra luminal ...

متن کامل

The malposition of a central venous catheter through a sheath introducer via the left internal jugular vein

RATIONALE The misplacement of central venous catheter (CVC) can occur more often at the left jugular vein than the right side due to anatomic differences. And many of the previously reported cases are about catheter misplacement resulting from vessel penetration associated with guidewire. This case differs that the catheter itself through the sheath introducer can cause venous injury that may l...

متن کامل

Misplaced subclavian central venous catheter

Percutaneous Central Venous Catheter (CVC) insertion using internal jugular and Subclavian veins routes is common procedure for all intensive care admitted patients and some patients in the ward as demand arises in central and referral hospitals of Botswana. This is a case report of a patient on whom a third attempt of re-inserting a CVC for fluid and total parenteral nutrition (TPN) was made. ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2002