[Complications of caval catherization (author's transl)]

Area of Science:

• Vascular surgery
• Medical device engineering

Context:

• Caval vein access is crucial for various medical procedures.
• Different venous approaches (saphenous, basilica, subclavian, jugular) have been utilized.
• Complications are often linked to catheter model, technique, or care.

Purpose:

• To evaluate and recommend optimal caval vein access routes.
• To introduce and assess a novel catheter model for improved patient outcomes.

Summary:

• The internal jugular vein puncture is recommended over lower extremity approaches for caval vein access in adults.
• A newly developed siliconized polyethylene catheter with a removable needle demonstrated significantly lower rates of inflammation and thrombosis compared to polyvinyl chloride (PVC) models.

Impact:

• Improved patient safety and reduced complications associated with caval vein catheterization.
• Establishes a new standard for venous access devices, potentially enhancing treatment efficacy and patient recovery.