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Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
Published on: January 13, 2026
Imaging and management of complications of central venous catheters
M Nayeemuddin1, A D Pherwani, J R Asquith
1Department of Interventional Radiology, City General Hospital, University Hospital of North Staffordshire NHS Trust, Stoke-On-Trent, UK.
Insights
Central venous catheters (CVCs) offer vital vascular access but can cause complications. Image-guided placement and catheter salvage techniques help manage these risks effectively.
Area of Science:
- Medical Imaging
- Interventional Radiology
- Vascular Access
Background:
- Central venous catheters (CVCs) are essential for vascular access.
- CVC insertion and maintenance are associated with numerous complications.
Purpose of the Study:
- To review imaging findings of CVC complications.
- To discuss management strategies including catheter salvage.
Main Methods:
- Review of imaging of CVC complications.
- Discussion of management and salvage techniques.
Main Results:
- Image-guided CVC placement reduces complications compared to landmark techniques.
- Various complications like pneumothorax, infection, and thrombosis can occur.
Conclusions:
- Image guidance is crucial for safe CVC placement.
- Prompt recognition and management of complications, including salvage, are important.
Abstract:
Central venous catheters (CVCs) provide valuable vascular access. Complications associated with the insertion and maintenance of CVCs includes pneumothorax, arterial puncture, arrhythmias, line fracture, malposition, migration, infection, thrombosis, and fibrin sheath formation. Image-guided CVC placement is now standard practice and reduces the risk of complications compared to the blind landmark insertion technique. This review demonstrates the imaging of a range of complications associated with CVCs and discusses their management with catheter salvage techniques.
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