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The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
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Thoracic central venous occlusion from the interventional radiology perspective
Basem Rashwan1, Omar Shwaiki1, Sasan Partovi1
1Department of Interventional Radiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Cardiovascular Diagnosis and Therapy
|March 3, 2023
Summary
Central venous occlusion can cause significant morbidity, especially in dialysis patients. Advanced techniques and novel technologies offer successful recanalization when traditional methods fail, improving patient outcomes.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
- Nephrology
Background:
- Central venous occlusion presents significant morbidity, particularly impacting end-stage renal disease patients requiring dialysis access.
- Recanalizing completely occluded central veins is a challenging procedural step.
Purpose of the Study:
- To review traditional and advanced techniques for crossing central venous occlusions.
- To discuss post-recanalization management, including angioplasty, stenting, and complication mitigation.
Main Methods:
- Review of traditional recanalization techniques (blunt, sharp).
- Discussion of advanced methods: radiofrequency guidewires and emerging technologies.
- Analysis of angioplasty, drug-eluting balloons, and various venous stent types.
- Examination of potential complications and management strategies.
Main Results:
- Advanced techniques and newer technologies demonstrate high procedural success rates in cases refractory to traditional methods.
- Restenosis remains a common complication post-angioplasty and stenting.
Conclusions:
- Emerging technologies provide effective alternatives for challenging central venous occlusions.
- Careful management of angioplasty and stenting, alongside vigilance for complications, is crucial for optimal outcomes.
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