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Updated: Jan 2, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
[Totally implantable central venous port: analysis of complications and their prevention]
A N Smolyar1, L M Ginzburg1, M A Smirnov1
1Domodedovo Central City Hospital, Domodedovo, Russia.
Objective:
To analyze postoperative complications of totally implantable central venous port system (TIPCVP) deployment and develop methods of their prevention.
Material And Methods:
The study involved 43 patients who underwent TIPCVP implantation through right-sided jugular access and 3 patients with migration of the catheter transferred to the Domodedovo Central City Hospital.
Results:
There were four perioperative and one early postoperative complication. None of the complications was the reason for removal of TIPCVP. Pinch-off syndrome occurred in two patients who were operated in other hospitals and a catheter was inserted through the right subclavian vein.
Conclusion:
Injury of the carotid artery and pneumothorax can be avoided by ultrasound navigation during internal jugular vein puncture. Catheterization of the internal jugular vein is useful to avoid pinch-off syndrome. Migration of the catheter is successfully cured by endovascular methods.
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