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Nonsurgical repositioning of central venous catheters
Authors:Lois, JF   Gomes, AS   Pusey, E
Affiliation:Department of Radiological Sciences, University of California School of Medicine, Los Angeles 90024.
Abstract:
Long-term central venous catheters are placed for total parenteral nutrition and/or chemotherapy. These catheters are placed surgically and fixed to the subcutaneous tissues. Complications include infection, venous thrombosis, and mechanical problems. The authors developed a method to percutaneously reposition displaced central venous catheters. The procedure is performed with fluoroscopy and modified angiographic techniques. Fifteen patients underwent a total of 17 procedures. The initial success rate was 76%; the final success rate was 88%. Many central venous catheters can be salvaged with this low-morbidity procedure, which negates the need for surgical intervention.
Keywords:
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