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Peripheral insertion of a central venous access device under fluoroscopic guidance using a peripherally accessed system (PAS) port in the forearm.

Abstract：

PURPOSE:We describe the technique, efficacy, and complications of fluoroscopy-guided implantation of a central venous access device using a peripherally accessed system (PAS) port via the forearm. METHODS:Beginning in July 1994, 105 central venous access devices were implanted in 104 patients for the long-term infusion of antibiotics or antineoplasmic agents, blood products, or parenteral nutrition. The devices was inserted under fluoroscopic guidance with real-time venography from a peripheral route. RESULTS:All ports were successfully implanted. There were no procedure-related complications. No thrombosis or local infection was observed; however, in six patients catheter-related phlebitis occurred. CONCLUSION:Fluoroscopy-guided implantation of a central venous access device using a PAS port via the forearm is safe and efficacious, and injection of contrast medium through a peripheral IV catheter before introduction of the catheter helps to avoid catheter-related phlebitis.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Hata Y,Morita S,Morita Y,Awatani T,Takasaki M,Horimi T,Ozawa Z

doi

10.1007/s002709900250

subject

Has Abstract

pub_date

1998-05-01 00:00:00

pages

230-3

issue

3

eissn

0174-1551

issn

1432-086X

journal_volume

21

pub_type

杂志文章

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