Sharp Recanalization of Chronic Central Venous Occlusions of the Thorax Using a Steerable Coaxial Needle Technique from a Supraclavicular Approach

Author(s):  
Christopher J. R. Gallo ◽  
James Ronald ◽  
Waleska M. Pabon-Ramos ◽  
Paul V. Suhocki ◽  
Alan A. Sag ◽  
...  
2019 ◽  
Vol 184 (Supplement_1) ◽  
pp. 329-334
Author(s):  
Joshua Sappenfield ◽  
Sasha Grek ◽  
Lou Ann Cooper ◽  
David E Lizdas ◽  
Samsun Lampotang

Abstract In a study with 76 anesthesia providers on a mixed reality simulator, central venous access via the supraclavicular approach to the subclavian vein, without ultrasonography required less attempts compared to the infraclavicular approach. Participants had shorter times to venous access and larger improvements in confidence. Results from this simulation-based study indicate that the supraclavicular approach may deserve consideration as an alternative approach for central venous access in deployed military environments. The use of ultrasonography during the supraclavicular approach to the subclavian vein is also described which may improve its safety profile. This technique could be more appropriate in scenarios when central venous access is preferred over intraosseous access for patients being transported to another location for further care.


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.


1997 ◽  
Vol 30 (6) ◽  
pp. 802-808 ◽  
Author(s):  
Manfred Muhm ◽  
Gere Sunder-Plassmann ◽  
Robert Apsner ◽  
Meinhard Kritzinger ◽  
Michael Hiesmayr ◽  
...  

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