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Peripheral Insertion of a Central Venous Access Device Under Fluoroscopic Guidance Using a Peripherally Accessed System (PAS) Port in the Forearm

Journal Article · · Cardiovascular and Interventional Radiology
DOI:https://doi.org/10.1007/S002709900250· OSTI ID:21080415
; ; ;  [1];  [2];  [3];  [4]
  1. Department of Radiology, Kochi Municipal Central Hospital, 2-7-33 Sakurai-cho, Kochi-city 780 (Japan)
  2. Department of Gastroenterology, Kochi Municipal Central Hospital, 2-7-33 Sakurai-cho, Kochi-city 780 (Japan)
  3. Department of Surgery, Kochi Municipal Central Hospital, 2-7-33 Sakurai-cho, Kochi-city 780 (Japan)
  4. Department of Radiology, Hyogo Medical Center for Adults, 13-70 Kitaouji-cho, Akashi-city, Hyogo 673 (Japan)
+ Show Author Affiliations
Purpose: We describe the technique, efficacy, and complications of fluoroscopy-guided implantation of a central venous access device using a peripherally accessed system (PAS) port via the forearm. Methods: Beginning in July 1994, 105 central venous access devices were implanted in 104 patients for the long-term infusion of antibiotics or antineoplasmic agents, blood products, or parenteral nutrition. The devices was inserted under fluoroscopic guidance with real-time venography from a peripheral route. Results: All ports were successfully implanted. There were no procedure-related complications. No thrombosis or local infection was observed; however, in six patients catheter-related phlebitis occurred. Conclusion: Fluoroscopy-guided implantation of a central venous access device using a PAS port via the forearm is safe and efficacious, and injection of contrast medium through a peripheral IV catheter before introduction of the catheter helps to avoid catheter-related phlebitis.
OSTI ID:
21080415
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 3 Vol. 21; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

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Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
AMINO ACIDS
ANTIBIOTICS
BLOOD
CONTRAST MEDIA
EQUIPMENT
FLUOROSCOPY
INFUSION
INJECTION
NUTRITION
PATIENTS
THROMBOSIS