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Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
Published on: January 24, 2012
Translumbar inferior vena cava catheters for long-term venous access
G B Lund1, R P Lieberman, W D Haire
1Department of Radiology, University of Nebraska Medical Center, Omaha 68105.
Radiology
|January 1, 1990
Summary
Percutaneous translumbar placement of silicone rubber catheters in the inferior vena cava (IVC) is safe, with no retroperitoneal bleeding observed. This method offers a viable alternative for venous access when other routes are not feasible.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Medical Device Technology
Background:
- Inferior vena cava (IVC) catheterization is crucial for various medical interventions.
- Subclavian vein catheterization, a common route, may not always be feasible or safe.
- Alternative venous access methods are needed to ensure successful catheter placement.
Purpose of the Study:
- To evaluate the safety and efficacy of percutaneous translumbar placement of silicone rubber catheters in the IVC.
- To assess the incidence of complications, including bleeding and thrombosis, associated with this approach.
- To determine the success rate of catheter placement and function.
Main Methods:
- Forty-six silicone rubber catheters were placed in the IVC of 40 patients using a translumbar approach.
- Clinical observation, computed tomography (CT), and autopsy were used to monitor for retroperitoneal bleeding.
- Catheter function, complications (thrombosis, malposition), and outcomes were assessed during and after placement.
Main Results:
- No retroperitoneal bleeding was observed in any patient post-placement or post-removal.
- Thrombosis-related catheter dysfunction occurred in 8 patients, with IVC occlusion in 2, successfully treated with thrombolysis.
- Ten catheter malpositions resulted in venous access failure, with successful repositioning or replacement in most cases.
Conclusions:
- Percutaneous translumbar placement of silicone rubber catheters in the IVC is a safe and satisfactory alternative venous access method.
- The translumbar approach minimizes the risk of retroperitoneal bleeding.
- This technique provides a viable option when subclavian vein catheterization is not feasible, despite potential challenges like malposition and thrombosis.
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