Central vein stenosis is a well-documented consequence of cardiovascular implantable electronic devices. In hemodialysis patients, where preserving venous real estate is crucial, use of subcutaneous implantable cardioverter-defibrillators (S-ICDs) remains controversial. We present a novel approach for implanting an S-ICD in a patient with endstage renal disease, central venous stenosis, and pre...

To the editor: We appreciate your great interest in our article [1]. First of all, I agree with the comments concerning the risk of a blind technique and the need to check the catheter’s position during the procedure. In terms of safety, a surgical cut-down procedure on the cephalic vein or the external jugular vein is excellent, especially for avoiding fatal complications such as a pneumoor a ...

OBJECTIVE It is known that continuous glucose monitoring (CGM) systems can lower mean glucose compared with episodic self-monitoring of blood glucose. Implantable CGM systems may provide additional benefits. RESEARCH DESIGN AND METHODS We studied the Eversense (Senseonics Inc.) implantable CGM sensor in 71 participants aged 18 years and older with type 1 and type 2 diabetes in a 180-day multi...

PURPOSE/OBJECTIVES to investigate sensory perceptions of patients who underwent insertion of a totally implantable venous access device (TIVAD) under local anesthesia. RESEARCH APPROACH qualitative, exploratory study. SETTING tertiary care center in Belgium. PARTICIPANTS 20 adult patients with cancer or hematologic disease undergoing a first-time TIVAD insertion. METHODOLOGIC APPROACH i...

introduction: determining the proper angle for inserting central venous catheter (cv line) is of great importance for decreasing the complications and increasing success rate. the present study was designed to determine the proper angle of needle insertion for internal jugular vein catheterization.  methods: in the present case series study, candidate patients for catheterization of the right i...

OBJECTIVES Intraosseous access is a rapid and effective route of fluid and drug administration. Its use has been proven in emergency medicine, pediatrics, and the military. We aimed to assess its performance and utilization against landmark-guided central venous catheter placement during inpatient medical emergencies. DESIGN Prospective observational study. SETTING Eight hundred fifty-six-b...

Totally implantable venous access system (TIVAS) are widely used for various indications including chemotherapy infusion. The use of TIVAS is associated with number of complications that can occur as early as the time of insertion or can take place months later. We report a case of a 64 year old female with recurrent osteosarcoma of the mandible. She had a port-a-catheter placed for chemotherap...

Most hospitalized patients have placement of a peripheral venous access device, either a short peripheral catheter or a peripherally inserted central catheter. Compared with central venous catheters that are not peripherally inserted, the other 2 types are generally perceived by health care providers as safer and less complicated to manage, and less emphasis is placed on the prevention and mana...

Subclavian venous catheterization was previously frequently performed, but because of life-threatening complications such as hemothorax, pneumothorax, mediastinal hematoma, and myocardial injury, its use has become less common. However, this practice has some advantages in patient mobility, secured dressing, and rapidity and adequacy of vascular access. In some situations where patient comfort ...