Linked Life Data

7719163

Source:http://linkedlifedata.com/resource/pubmed/id/7719163

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
1995-5-22
pubmed:abstractText
The recently developed method of percutaneous subclavian implantation of an indwelling central venous catheter provides convenient access for patients requiring long-term intravenous therapy. To evaluate, clinical complications and its management, we reviewed 145 implanted central venous systems in 135 patients during a 7 month period. The implantation failed in two patients due to difficult subclavian punctures. The major complications were pinch-off sign observed in 5 patients, inflammation in 6 patients (4.2%), and subclavian vein thrombosis in 7 patients, and other miscellaneous complications in 7 patients. It was revealed the pressure between the clavicle and first rib attributed to "pinch-off sign", which could be avoided by a lateral subclavian vein approach. Meticulous disinfection before use of the system is advised since most infections was derived from the injection site. We also suggest the the catheter should be placed at the lower part of the superior vena cava because the development of thrombosis is highly poelated. Seven patients required removal of the system, however, all patients with complications had good Port A function adequate management or revision operation. Percutaneous subclavian implantation of indwelling central venous catheter is safe and reliable.
pubmed:language
chi
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0929-6646
pubmed:author
pubmed:issnType
Print
pubmed:volume
93 Suppl 2
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S109-14
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
[Complications and management of percutaneous central venous access catheter].
pubmed:affiliation
Department of Anesthesiology, National Taiwan University Hospital, Taipei, R.O.C.
pubmed:publicationType
Journal Article, English Abstract