Sonographically guided venous puncture and fluoroscopically guided placement of tunneled, large-bore central venous catheters for bone marrow transplantation-high success rates and low complication rates

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Bernhard GebauerHans-Joachim Wagner

Abstract

Traditionally, large lumen, tunneled central venous catheters have been implanted by surgeons. We used a technique of sonographically guided jugular venous puncture and fluoroscopically guided catheter placement to achieve a high rate of technical success and to reduce complication rates. Between June 2002 and December 2006, 186 Patients have been referred to the Radiology Department for 211 implantations of large-lumen, tunneled, central venous catheters. Insertions were performed under maximum sterile barrier in the angio suite using combined sonographic guidance for puncture of the internal jugular vein and fluoroscopy for placement of a triple lumen 12.5 F catheter (Hickman, BARD Murray Hill, NJ, USA). All interventions were performed under local anesthesia without need for anesthesiologic surveillance. Peri- and postinterventional complications were recorded using standardized international recommendations. Catheter implantation was technically successful in 207 of 211 cases (98.1%). Technical failure resulted in four patients due to chronic occlusions of the superior vena cava. No major complications were recorded. Four (1.9%) accidental arterial punctures occurred peri-interventionally; 24 (11.4%) early complications (bl...Continue Reading

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Jun 9, 2009·Cardiovascular and Interventional Radiology·Ulf Karl-Martin TeichgräberThomas Benter
Oct 23, 2012·Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis·Takeaki TomoyoseJoho Tokumine
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Aug 26, 2018·Journal of the Egyptian National Cancer Institute·Kareem SallamMarwa Romeih
Aug 6, 2021·International Journal of Pediatrics & Adolescent Medicine·Osama A Bawazir, Abdullah Bawazir

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