BACKGROUND Management of tunneled, cuffed, central venous catheters in hemodialysis (HD) patients with bacteremia remains a challenge. Attempts to salvage the catheter with systemic antibiotics alone have been associated with increased risk of metastatic infectious complications. METHODS Retrospective case series of patients with infectious complications in a chronic dialysis unit, affiliated...

PURPOSE To present the radiological and clinical follow-up results of 75 bone marrow transplant patients who underwent fluoroscopy-guided tunneled catheter placement between June 2001 and June 2004. MATERIALS AND METHODS Tunneled catheters were placed in 75 bone marrow transplant patients with fluoroscopic guidance. The left subclavian vein was used in 67 patients, whereas the right side was ...

© SINPE-GASAPE ABSTRACT: A central venous access is needed in most patients who are candidates for parenteral nutrition. The technology of these devices has changed considerably since their initial use, one of the most recent trends being the delivery of parenteral nutrition through a peripherally inserted central catheter. Usually composed of silicone elastomer or secondor third-generation pol...

BACKGROUND With the increasing frequency of tunneled hemodialysis catheter use there is a parallel increase in the need for removal and/or exchange. A small but significant minority of catheters become embedded or 'stuck' and cannot be removed by traditional means. Management of embedded catheters involves cutting the catheter, burying the retained fragment with a subsequent increased risk of i...

Guidelines recommend the roll-plate technique for short-term central venous catheter (CVC) tip cultures. However, the issue of whether the roll-plate technique is better than the sonication method for long-term CVCs remains unresolved. In addition, no data are available for predicting the value of direct Gram staining in anticipating catheter colonization or catheter-related bloodstream infecti...

Catheter-related bloodstream infections can be complicated to manage, but a growing body of evidence supports specific recommendations. In 2009, the Infectious Diseases Society of America published updated guidelines for the diagnosis and management of all intravascular catheter-related infections. Here we provide a focused review on the management of bloodstream infections in adult patients wi...

TDC: Tunneled Dialysis Catheter; GWE: Guidewire-Directed Exchange; MSSA: Methicillin-Sensitive Staphylococcus Aureus; MRSA: Methicillin-Resistant Staphylococcus Aureus; CNS: Coagulase-Negative Staphylococcus; VREF: VancomycinResistant Enterococcus Faecalis; ABE: Acute Bacterial Endocarditis; PE: Pulmonary Embolism; DVT: Deep Vein Thrombophlebitis (Central Vein); CNS: Central Nervous System; CNI...

BACKGROUND To determine if the catheter lock taurolidine can reduce the number of catheter-related bloodstream infections (CRBSI) in pediatric cancer patients with tunneled central venous catheters (CVC). PROCEDURE During a study period of 34 months, 129 newly placed tunneled CVCs in 112 patients were randomly assigned to standard lock with heparin solution or experimental lock with a tauroli...

Abstract Background Infection is the most frequent complication of central venous catheters used for hemodialysis. Objectives The purpose this study was to determine catheter-related infection rate at a dialysis center in Brazilian state Amazonas and identify risk factors microbiological profile infections. Methods This an observational with prospective data collection over 12-month period by c...

Extramedullary plasmacytomas are tumors of monoclonal plasma cells arising within soft tissue that uncommonly occur in multiple myeloma patients. While sporadic development of these tumors at cutaneous trauma sites, including venous catheter access sites, has been reported, interventional radiologists seldom encounter this disease. Herein, we describe a case of metastatic subcutaneous plasmacyt...