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[Long-term central venous lines and their complications].
U K M Teichgräber1, B Gebauer, T Benter
1Klinik für Strahlenheilkunde, Charité Campus Virchow-Klinikum, Berlin.
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|July 9, 2004
Summary
Central venous catheter implantation is rising, with interventional radiologists crucial for placement and complication management. This review covers various catheter systems, implantation techniques, and associated risks.
Area of Science:
- Interventional Radiology
- Vascular Access
- Medical Devices
Background:
- Increasing use of permanent central venous catheters (>14 days) driven by outpatient therapies.
- Availability of various catheter types: subcutaneous tunneled, non-tunneled, and port systems.
- Central venous catheters are vital for long-term therapies and patient management.
Purpose of the Study:
- To review different central venous catheter systems and their implantation techniques.
- To highlight the role of interventional radiologists in catheter placement and complication management.
- To provide an overview of access routes and procedural methods.
Main Methods:
- Description of various central and peripheral venous access routes.
- Explanation of implantation techniques for tunneled and non-tunneled catheters and port systems.
- Emphasis on the Seldinger technique facilitated by peel-away sheaths for tunneled catheter placement.
Main Results:
- Interventional radiologists are key in implanting central venous catheters.
- Peel-away sheaths enable non-surgical implantation of tunneled catheters via the Seldinger technique.
- Radiologists manage both early and late catheter-related complications.
Conclusions:
- The review details diverse central venous catheter systems and implantation procedures.
- Interventional radiology expertise is essential for successful catheter placement and patient safety.
- Understanding techniques and complications optimizes the use of central venous access devices.