background: proper placement of central venous catheter (cvc) tip could reduce early and late catheter-related complications.although the live fluoroscopy is standard of care for placement of the catheter, it is not available in many centers. therefore, the present study evaluated the sensitivity and specificity of bedside chest x-ray (cxr) for proper positioning of the catheter tip. materials ...

Over 70% of patients initiating chronic hemodialysis in the United States have a tunneled central venous catheter (CVC) for dialysis as their first blood access device. Tunneled CVC have requirements that are unparalleled by other access devices: high blood flow rates at moderate pressure drops without obstruction, minimal trauma to the vein, resistance to occlusion by fibrous sheathing, preven...

background: long-term tunneled catheters are used for the hemodialysis or chemotherapy in many patients. proper placement of the catheter tip could reduce early and late catheter related complications. aim of the present study was to evaluate a new formula for proper placement of tunneled hemodialysis or infusion port device by using an external anatomic landmark. materials and methods: a total...

BACKGROUND AND OBJECTIVES Elderly patients require tunneled central vein dialysis catheters more often than younger patients. Little is known about the risk of catheter-related bloodstream infection in this population. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS This study identified 464 patients on hemodialysis with tunneled central vein dialysis catheters between 2005 and 2007 and exclude...

PURPOSE To determine the clinical consequences of air embolism occurring during insertion of central venous catheters. MATERIALS AND METHODS A computer search of our interventional radiology database revealed that 11,583 central venous catheters were inserted between January 1, 1995 and August 1, 2000: 7,178 were nontunneled and 4,404 were tunneled. Air embolism was reported to have occurred ...

PURPOSE Both the tip and the tunneled segment of removed tunneled jugular catheters were cultured to determine whether there is a difference between both cultures in diagnosis of the catheter infections. The role of interventional radiology in prevention, diagnosis, and management of the tunneled catheter infections is also discussed. MATERIALS AND METHODS In this prospective study, 22 tunnel...

Catheter-related bacteremia is a frequent complication associated with the use of tunneled hemodialysis catheters. Catheter-related bacteremia can lead to metastasis of infection to other sites. This article presents 2 patients with transvenous pacemakers (placed >2 years ago) who were receiving long-term hemodialysis therapy using tunneled hemodialysis catheters. Both were admitted to the hosp...