Success Rate and Complications of Sharp Recanalization for Treatment of Central Venous Occlusions

2017 ◽  
Vol 41 (1) ◽  
pp. 73-79 ◽  
Author(s):  
Emil I. Cohen ◽  
Christopher Beck ◽  
Jesse Garcia ◽  
Ryan Muller ◽  
Hyun J. Bang ◽  
...  
2021 ◽  
Author(s):  
Jun Shen ◽  
Du Chen ◽  
Peng Yang ◽  
Feng Xu

Abstract ObjectiveThis study aimed to evaluate the efficacy of intra-osseous (IO) access in the treatment of patients with severe multiple trauma. MethodsThis was a retrospective study in trauma center of the First Affiliated Hospital of Soochow University. The clinical data of 94 patients were reviewed in emergency room (ER) from April 2018 to September 2020. We summarized advantages of IO access for the following aspects: puncture efficiency, the duration of puncturing and success rate. Besides, we analyzed the relationship with central venous catheter (CVC), tracheal intubation and cardio-pulmonary resuscitation (CPR). ResultsThe IO observation group presented a relatively good results in puncture efficiency (efficiency came into use within 15 minutes after being hospitalized: 36.17%), the duration of puncturing (less than or equal to 1 min: 93.62%), success rate (96.81%). ConclusionThe application of IO in the treatment of patients can shorten the time and improve the success rate in rescuing critically ill patients. It serves as a parallel rescue method and is worthy of clinical promotion and skill acquisition.


1980 ◽  
Vol 8 (1) ◽  
pp. 81-83 ◽  
Author(s):  
John L. Poole

Infraclavicular subclavian vein catheterisation is a useful means of measuring central venous pressure and establishing a central infusion line in children undergoing open heart surgery. In 48 children ranging in age from 15 months to 13 years, there was a high success rate and no morbidity.


2020 ◽  
Vol 10 (12) ◽  
pp. 2970-2973
Author(s):  
Qing Xu ◽  
Feng Pan ◽  
Lei Qiao ◽  
Yu Wan

Objective: The elderly patients with cardiopulmonary resuscitation in intensive care unit (ICU), usually need timely and effective central vein catheterization to ensure the effective treatment. The aim of this study was to investigate the effect and safety of ultrasound-guided peripherally inserted central venous catheters (PICC) in elderly patients with cardiopulmonary resuscitation in ICU. Method: A total of 80 elderly patients with cardiopulmonary resuscitation from September 2016 to December 2019 were selected in Lu'An Hospital of Traditional Chinese Medicine. They were randomly divided into ultrasound group (40 cases) and conventional group (40 cases). The patients in conventional group were treated with conventional PICC, while the patients in ultrasound group were treated with ultrasound-guided PICC. The surgery, puncture success rate and complications were compared between ultrasound group and conventional group. Result: Ultrasound intervention showed the location of vessel at the puncture site and the whole process of catheter entry. Compared with the conventional group, the operation time, puncture time and intraoperative blood loss in ultrasound group was significantly less (P < 0.05). The success rate of once puncture in the ultrasound group was higher than that in conventional group (93% vs. 70%, P< 0.05). Compared with conventional group, the incidence of complications in ultrasound group was significantly lower than (P < 0.05). Conclusion: Compared with conventional PICC, ultrasound-guided PICC can provide better effect and reduce the incidence of complications for the elderly patients with cardiopulmonary resuscitation in ICU.


2009 ◽  
Vol 82 (974) ◽  
pp. 105-108 ◽  
Author(s):  
S ATHREYA ◽  
P SCOTT ◽  
G ANNAMALAI ◽  
R EDWARDS ◽  
J MOSS ◽  
...  

1999 ◽  
Vol 10 (2) ◽  
pp. 149-154 ◽  
Author(s):  
Tony Farrell ◽  
Elvira V. Lang ◽  
William Barnhart

2019 ◽  
Vol 24 (2) ◽  
pp. 21-26
Author(s):  
Omar Shwaiki ◽  
Sarah Khoncarly ◽  
James J. Buchino ◽  
Janice McDaniel

Highlights Recurrent central venous access can lead to central venous occlusions. Collateral flow can be used adventitiously for PICC tip placement. Sharp recanalization can be used to reconstitute patency of an occluded SVC.


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