A review in emergency central venous catheterization

Akaraborworn, Osaree

doi:10.1016/j.cjtee.2017.03.003

Cited by 39 publications

(32 citation statements)

References 22 publications

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“…The needle for the venous catheter must pass immediately beneath the junction of the medial one-third and lateral two-thirds of the clavicle (pointed out by the black arrow). The puncture must occur at a point 1-2 cm inferior and lateral to the junction (as marked by the black star) [3]. …”

Section: Reviewmentioning

confidence: 99%

“…For the site of a central line insertion, the essential surface anatomy comprises the borders of Sedillot’s triangle. Sedillot's triangle comprises the sternal head of the sternocleidomastoid muscle medially (pointed out by the yellow arrow), the clavicular head of the sternocleidomastoid laterally (pointed out by the orange arrow), and the superior border of the medial third of the clavicle inferiorly (pointed out by the red arrow) [3]. The position of the appropriate cutaneous puncture is at the apex of the triangle (as marked by the black star).…”

Section: Reviewmentioning

confidence: 99%

“…This is a right-sided central line in internal jugular vein (the tip is pointed out by the orange arrow). The central line is positioned near the right tracheobronchial angle (pointed out by the yellow arrow) [3]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Central Line Catheters and Associated Complications: A Review

Patel¹,

Patel²,

Singh³

et al. 2019

Cureus

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The use of a central line or central venous catheterization was brought to attention in 1929 when Dr. Werner Forssmann self-inserted a ureteric catheter through his cubital vein and into the right side of his heart. Since that time the central line technique has developed further and has become essential for the treatment of decompensating patients. Central lines are widely used for anything from rapid fluid resuscitation, to drug administration, to parenteral nutrition, and even for administering hemodialysis. Central lines come in different sizes, types, and sites of administration. Sometimes their use can be associated with complications as well. The following review article addresses these parameters of central lines and goes into detail regarding their complications.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Central Line Catheters and Associated Complications: A Review

Patel¹,

Patel²,

Singh³

et al. 2019

Cureus

View full text Add to dashboard Cite

show abstract

“…Percutaneously implanted venous port catheters provide permanent access for intravenous therapy and can be used for several years if handled correctly (1). Dislodgement of the catheter may be seen due to manipulation or trauma in less than 3% of patients (2).…”

Section: Introductionmentioning

confidence: 99%

Endovascular extraction of a disconnected port-A catheter from inferior vena cava in a patient with chronic bilateral occlusion of femoroiliac veins: A case report

Rai¹,

Sobhiyeh²

2020

GMJ

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Catheter detachment from a port may be seen due to various reasons, including operator errors, subsequent catheter manipulation during endovascular procedures, and trauma. For catheter removal, various tools including loop snare or basket catheter may be used with access via femoral or jugular veins. In this paper, we report the removal of a detached port-A catheter using a snare catheter from a jugular venous access in a patient with ilio-femoral venous occlusion. The main reason for reporting this case is the central venous catheter migration immediately after insertion and total occlusion of bilateral ilio-femoral veins due to unsuccessful manipulations previously.

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“…Alternatively, VASC at the groin may occur following endovascular procedures performed via venous access such as electrophysiology, intravenous laser ablation, or short- or mid-term central venous catheter (CVC) placement. Unfortunately, compared to subclavian veins the femoral venous access suffers from a higher rate of thrombosis and bacterial colonisation [ 7 – 10 ]. Furthermore, vascular and soft-tissue inguinal infections may develop following unrecognised VASC, particularly with use of vascular closure devices (VCD) [ 11 – 13 ] and secondarily to non-sterile injections performed for recreational drug use [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Multidetector CT of iatrogenic and self-inflicted vascular lesions and infections at the groin

Tonolini

Ierardi

Carrafiello³

et al. 2018

Insights Imaging

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The number and complexity of endovascular procedures performed via either arterial or venous access are steadily increasing. Albeit associated with higher morbidity compared to the radial approach, the traditional common femoral artery remains the preferred access site in a variety of cardiac, aortic, oncologic and peripheral vascular procedures. Both transarterial and venous cannulation (for electrophysiology, intravenous laser ablation and central catheterisation) at the groin may result in potentially severe vascular access site complications (VASC). Furthermore, vascular and soft-tissue groin infections may develop after untreated VASC or secondarily to non-sterile injections for recreational drug use. VASC and groin infections require rapid diagnosis and appropriate treatment to avoid further, potentially devastating harm. Whereas in the past colour Doppler ultrasound was generally used, in recent years cardiologists, vascular surgeons and interventional radiologists increasingly rely on pelvic and femoral CT angiography. Despite drawbacks of ionising radiation and the need for intravenous contrast, multidetector CT rapidly and consistently provides a panoramic, comprehensive visualisation, which is crucial for correct choice between conservative, endovascular and surgical management. This paper aims to provide radiologists with an increased familiarity with iatrogenic and self-inflicted VASC and infections at the groin by presenting examples of haematomas, active bleeding, pseudoaneurysms, arterial occlusion, arterio-venous fistula, endovenous heat-induced thrombosis, septic thrombophlebitis, soft-tissue infections at the groin, and late sequelae of venous injuries.Teaching Points• Complications may develop after femoral arterial or venous access for interventional procedures.• Arterial injuries include bleeding, pseudoaneurysm, occlusion, arteriovenous fistula, dissection.• Endovenous heat-induced thrombosis is a specific form of iatrogenic venous complication.• Iatrogenic infections include groin cellulitis, abscesses and septic thrombophlebitis.• CT angiography reliably triages vascular access site complications and groin infections.

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A review in emergency central venous catheterization

Cited by 39 publications

References 22 publications

Central Line Catheters and Associated Complications: A Review

Central Line Catheters and Associated Complications: A Review

Endovascular extraction of a disconnected port-A catheter from inferior vena cava in a patient with chronic bilateral occlusion of femoroiliac veins: A case report

Multidetector CT of iatrogenic and self-inflicted vascular lesions and infections at the groin

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