background: central venous catheters (cvcs) are used not only as a tool to access to central venous system, but also for hemodynamic monitoring, parenteral nutrition, chemotherapy and hemodialysis. the use of cvcs is associated with some complications notably infections that are troublesome both to patient and physician. we conducted this study to examine catheter fixation with skin fold techni...

conclusions invasive treatment of dialysis patients for cvc related complications is effective and durable during mid-term follow up with no re-intervention, clinical episode of vte or death. cta is a reliable mean for the diagnosis of cvc related complications. methods this is a retrospective analysis of prospectively collected data of dialysis patients treated for cvc-related complications an...

Central venous catheter placement is indicated in patients requiring long-term therapy. With repeated venous catheterisations, conventional venous access sites can be exhausted. This case illustrates the expanding role of radiology in managing difficult venous access. We present a case of translumbar, transhepatic, and transcollateral placement of central catheter in a woman with a difficult ve...

STUDY OBJECTIVE We examine the central venous catheter placement rate during the implementation of an ultrasound-guided peripheral intravenous access program. METHODS We conducted a time-series analysis of the monthly central venous catheter rate among adult emergency department (ED) patients in an academic urban ED between 2006 and 2011. During this period, emergency medicine residents and E...

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...

Selection of the proper venous access device is important to maximize patient benefit and minimize patient discomfort, morbidity, mortality, and cost. The decision of which device to use is based on whether or not the patient requires central venous access and whether the need is short-term (<6 to 8 weeks) or long-term. Short-term venous access devices include short peripheral IV catheters, mid...

OBJECTIVES In emergency departments, emergency physicians frequently have to perform central venous access. In cases where peripheral venous access is not possible, central venous access is required for dialysis, fulfillment of urgent fluid need, or central venous pressure measurement. This study was carried out to evaluate the emergence of complications in the process of and in the 15 days fol...

A 4 year old child was referred for small bowel transplantation. He had superior vena cava obstruction secondary to numerous central venous line placements; alternative routes for long term central venous access were compromised by extensive venous occlusive disease. Patency for the superior vena cava was re-established with stenting, which allowed for radiological placement of another central ...