A major challenge in the management of hemodialysis patients is central venous stenosis and obstruction. Placement of central venous catheters has been shown to result in a high incidence of central venous stenosis or obstruction. There has been extensive literature on the treatment of this important and prevalent problem. Treatment options include percutaneous balloon angioplasty and bare meta...

Central venous catheterisation was first performed in 1929when Werner Frossman, a German doctor, inserted a ureteric catheter into his antecubital vein. He then walked to the radiography department so that the catheter could be guided into his right ventricle using fluoroscopy. Since then, central venous access has become amainstay of modern clinical practice. An estimated 200 000 central venou...

665 The Journal of the American Osteopathic Association August 2014 | Vol 114 | No. 8 An 18-year-old woman presented with a 1-day history of edema and erythema associated with a port central venous access device of the anterior left chest wall. The patient reported difficulty with catheter flushing for 2 days. Medical history included severe gastroparesis requiring placement of the catheter 2 m...