A comparative analysis of radiological and surgical placement of central venous catheters

Abstract

Radiological placement is consistently more reliable than surgical placement. There are fewer placement complications and fewer catheter infections overall.

Occupational radiation doses to the extremities and the eyes in interventional radiology and cardiology procedures

“…Williams [25] reported 24.5 mSv/1000 cGy cm 2 for the fingers during IR procedures, which is slightly lower than the value found in this study (35.6 mSv (1000 cGy cm 2 ) -1 averaged for the left and right finger). Vano et al [14] reported 33-60 mSv/1000 cGy cm 2 for the left eye during IC procedures, which is higher than the value of 13.7 mSv/1000 cGy cm 2 found in this study; however, the authors state that the use of protective shields during the intervention was irregular, thus higher doses to the physicians are to be expected.…”

“…Continuing advances in digital imaging have enabled new and complex operations to be implemented, such as vascular and hepatobiliary interventional procedures, that were seldom performed in the past. Improvements in catheters, guidewires and stents have contributed to worldwide popularity and expansion of IR [2,3]. Similarly, the number of interventional cardiology (IC) procedures over the last 10 years has also increased rapidly [4].…”

Comparison of Implantable Central Venous Ports:Subclavian Versus Juguler Access

“…We have also removal removed four ports because of due to systemic infection. The puncture of the subclavian vein is connected associated with pneumothorax in 0.6-4.3% of patients in all the published studies [3,5,15] and some publications were no evidence of any difference in the incidence of pneumothorax [6]. We have founded found rate of pneumothorax 5 (3.4%) in SV group, 2 (1.2%) in JV group.…”

Infectious Complications of Radiologically Inserted Hickman Catheters in Patients with Hematologic Disorders

“…Using these techniques increases the success rate and decreases complications such as pneumothorax, hematothorax, perforation of the blood vessel, and catheter malposition [1][2][3][4]. Moreover, placement in a radiology suite is reported to be easier to schedule, reduces the time required, and is cheaper [5,6].At our institute, Hickman catheters (HCs) have been placed by radiologists in a radiology suite designed for invasive procedures since 1991. Despite an observed higher technical success rate and lower mechanical complication rate in HC placement, infections were felt to be our most common complication.…”