Central venous access devices are extensively used for long-term chemotherapy and parenteral nutrition. However, there are some possible immediate, early, and late complications related to the implantation technique, care, and maintenance. We present the uncommon occurrence of a thrombosis of the internal jugular vein due to a spontaneous migration of a Port-A-Cath catheter into the ipsilateral...

This is a case report of a patient with difficult venous access following thrombosis of major superficial and deep veins of the limbs as documented by ultrasound doppler and venography. The insertion of a few central ports were infected and the vein thrombosed. Venography revealed that central venous access was no longer feasible. The previous laparotomies had resulted in dense intra-peritoneal...

BACKGROUND Cephalic vein (CV) cutdown approach for chronic indwelling central venous access device (CICVAD) placement has previously been shown to be technically feasible in 82% of cancer patients. No data are available as to the potential utilization of external jugular vein (EJV) cutdown approach in cancer patients when CV cutdown approach is not technically feasible. PATIENTS AND METHODS O...

background the invention of central venous catheters (cvc) for hemodialysis (hd), brought about a fundamental change in the treatment of patients who needed hd, from the late 1970’s till the present time. nowadays the use of cvc is a common medical procedure. increasing use of these methods necessitates clarification of the exact nature of the effects, and potential complications for surgeons. ...

background catheterization of central veins is a routine technique which is widely used in general hospitals and medical intensive care units. it should be carefully performed and managed to prevent adverse side effects. case presentation in this case report, we describe a case of lost guide wire during central venous catheterization, which was successfully treated with a minimally invasive sur...

conclusions noninvasive assessment of the patient hydration condition using the ultrasound is a simple and practicable measure in emergency. with regard to the considerations, it is possible to estimate cvp via diameter measurement and cross-section of the central veins. results twenty patients with the mean age of 60.3 were studied. the main reason for cardiac catheterization was shock. there ...

The choice of the best central venous access for a particular patient is based on the rate and the severity of failures and complications. Based on two recent papers, internal jugular access is associated with a low rate of severe mechanical complications in the intensive care unit as compared with subclavian access, and it is preferable for short-term access (<5–7 days) and for haemodialysis c...