Catheter-Induced Lesions of the Right Side of the Heart

Ducatman, Barbara S.; McMichan, John C.; Edwards, William D.

doi:10.1001/jama.1985.03350300079024

Cited by 110 publications

(17 citation statements)

References 26 publications

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“…The presence of the catheter in contact with the vascular wall is the main cause of endothelial lesion with the formation of coagulation site and thrombosis ( Figure 5) by deposition of a fibrin layer and other plasmatic proteins [14] [19]. It seems that the catheter introduced in the vein is initially recognized as a foreign object that is rapidly covered with fibrin and plasmatic proteins followed by platelets deposition that forms a thrombus on the catheter surface [19].…”

Section: Discussionmentioning

confidence: 99%

“…The catheter inserted in the vein is recognized as a foreign object, which triggers an immediate inflammatory response with the formation of a fibrin layer and deposition of other plasmatic proteins on the object [14]. This tissual reaction is followed by platelet deposition and aggregation.…”

Section: Introductionmentioning

confidence: 99%

“…This tissual reaction is followed by platelet deposition and aggregation. In spite of being an expected event, this process may evolve into the formation of thrombi inside the catheter [14] [15].…”

Section: Introductionmentioning

confidence: 99%

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Venous Catheterization Experimental Model in Rabbits: Histological Alterations in the Catheter Region

Rodrigues¹,

França²,

Ferro³

et al. 2015

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Central venous access is one of the most common surgery procedures worldwide, especially in pediatric surgery. Local and regional complications as the result of venous catheter permanence time are frequently described as: thrombosis, infection, edema and local cellulite, movement and loss of the catheter. Other severe complications such as endocardiac and hemorrhagic lesions are also described and considered the cause of catheter early removal. In the literature few studies have addressed vascular and perivascular lesions and complications as the result of central venous access to peripheral veins, given the difficulty of setting up venous catheterization experimental models to study blood vessels and perivascular tissue alterations after catheterization. In the present venous catheterization experimental model, rabbits were divided into two groups based on the time that the venous catheters were maintained in their veins. Group a composed of 7 New Zealand male rabbits was submitted to a 15-day treatment; and the 6 New Zealand male rabbits of group B were treated during 90 days. Both groups presented similar inflammatory conditions since there was no significant difference between groups. Therefore, the results may well suggest that the endothelial inflammatory reaction could have developed at an early initial short period and by maintaining the catheter, the inflammatory reactions would have decreased or disappeared. Aimed at studying these vascular and perivascular alterations in venous catheterization, the present study proposes an experimental rabbit model that allows the analysis of differences in local vascular and perivascular histological variations and compares histological differences be-* Corresponding author. B. R. Rodrigues et al. 533tween both venous catheterization groups each of them with different periods of treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Venous Catheterization Experimental Model in Rabbits: Histological Alterations in the Catheter Region

Rodrigues¹,

França²,

Ferro³

et al. 2015

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“…However, the post surgical state could be considered as a hypercoagulable state in the absence of reduced serum level of protein C-S. Although, there are some reports of JVT with extension to a subclavein vein or the right atrium and subsequent pulmonary artery emboli, but retrograde progression of thrombus from catheter site in jugular vein to cerebral venous system has not been reported in the medical literature (2,3,4). Herein, we report a patient who developed cerebral vein thrombosis in post CABG secondary to undiagnosed protein C and S deficiency which was precipitated by malposition of subclavian central catheter into IJV.…”

Section: Introductionmentioning

confidence: 99%

Cerebral Vein Thrombosis Post Cabg Precipitated by Malposition of Subclavian Central Catheter in Protein C & S Deficiency Patient

Sabzi

Faraji

2015

Ethiop J Health Sci

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BACKGROUND: Cerebral venous thrombosis is an uncommon disorder in the general population. However, it has a higher frequency among patients younger than 40 years , patients with thrombophilia and patients that have foreign body such as catheter in their veins or arterial system. CASE DETAILS: In this case report, we described the clinical and radiological findings of a patient who developed cerebral vein thrombosis post coronary artery bypass grafting secondary undiagnosed protein C and S deficiency which was precipitated by malposition of subclavian central catheter into internal jugular vein. CONCLUSION: We emphasis the importance of radiological veiw of central vein catheter position just after or at the time of cannulation of central vein, not at some hours later as in our case.

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“…If these devices do not have low friction properties, their introduction into the body could be painful and cause damage to the mucous membranes or the intima of the blood vessels which could lead to infectious diseases or mural thrombus formation [1][2][3][4].…”

mentioning

confidence: 99%

Low Friction Hydrophilic Surface for Medical Devices

Nagaoka

Akashi

1990

Journal of Bioactive and Compatible Polymers

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A hydrophilic polymer surface with low friction has been developed. A coating can be attached by the reaction of an epoxy containing poly (vinyl pyrrolidone) with the polyamino compound formed on the surface of the substrate. The epoxy containing poly(vinyl pyrrolidone) was obtained by the copolymerization of vinyl pyrrolidone, glycidyl acrylate, and vinyl acetate. A molecular weight of 400,000 or more is essential to achieve low surface friction. Polyurethane catheters in rabbit models, both with and without the hydrophilic low friction coating, were evaluated for surface friction coefficient and blood compatibility. The coated catheters produced no lesions of the intima of the blood vessels and no thrombus formation on the catheter surface, while the non-coated catheters injured the intima of the blood vessels and severe thrombus formation was found on their surfaces.

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Catheter-Induced Lesions of the Right Side of the Heart

Cited by 110 publications

References 26 publications

Venous Catheterization Experimental Model in Rabbits: Histological Alterations in the Catheter Region

Venous Catheterization Experimental Model in Rabbits: Histological Alterations in the Catheter Region

Cerebral Vein Thrombosis Post Cabg Precipitated by Malposition of Subclavian Central Catheter in Protein C & S Deficiency Patient

Low Friction Hydrophilic Surface for Medical Devices

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