435 results match your criteria Central Venous Access Femoral Vein


A Systematic Ultrasound Evaluation of the Diameter of Deep Veins in the Newborn: Results and Implications for Clinical Practice.

Neonatology 2019 Mar 15;115(4):335-340. Epub 2019 Mar 15.

Department of Surgery, Fondazione Policlinico A. Gemelli IRCSS, Rome, Italy.

Background: In adults and children, current guidelines recommend measuring the diameter of the vein before the insertion of central catheters, in order to match vein diameter with catheter caliber and thus reduce the risk of venous thrombosis. In the neonatal intensive care unit, central catheters are often used but the vein diameter is usually not considered.

Method: We assessed the diameter of the most relevant deep veins in 100 newborns, using a strict protocol of ultrasound evaluation. Read More

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http://dx.doi.org/10.1159/000496848DOI Listing

Vascular access types in hemodialysis patients in palestine and factors affecting their distribution: A cross-sectional study.

Saudi J Kidney Dis Transpl 2019 Jan-Feb;30(1):166-174

Department of Internal Medicine, Kent Hospital, Brown University, Rhode Island, USA.

The incidence of end-stage renal disease (ESRD) patients is increasing considerably worldwide, and most of the patients start their therapy by hemodialysis (HD). Arteriovenous fistula (AVF) is the best type of vascular access due to its decreased rate of complications followed by arteriovenous graft (AVG) and finally, central venous catheters which are associated with increased mortality and morbidity. In this study, we aim to find out the proportion of each vascular access type used in HD patients and to evaluate the epidemiology of HD access in Palestine. Read More

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February 2019

Stent-retriever thrombectomy in the treatment of infants with acute thrombosis of the superior vena cava and innominate vein.

Catheter Cardiovasc Interv 2019 Feb 9. Epub 2019 Feb 9.

Department of Pediatric Cardiology, University Hospital Tuebingen, Tuebingen, Germany.

Objectives: To describe the efficacy and safety of stent-retriever thrombectomy in infants with thrombosis of the superior vena cava (SVC) and innominate vein.

Background: Thrombosis of the SVC and of the innominate vein is a potentially life threatening complication in infants during intensive care treatment following major surgical procedures. To avoid reoperations, we evaluated interventional revascularization by stent-retriever thrombectomy. Read More

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http://dx.doi.org/10.1002/ccd.28142DOI Listing
February 2019
3 Reads

A left femoral artery to right femoral vein bypass graft for hemodialysis access: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14268

Department of Nephrology, Lishui Municipal Central Hospital, Lishui, Zhejiang Province, China.

Rationale: As survival prospects improve for long-term patients with hemodialysis, it is common for patients to exhaust all upper extremity access options before other avenues need exploration. The purpose of this case report was to describe our experience in creating a prosthetic graft between left femoral artery and right femoral vein in a patient with history of central venous occlusion and bilateral femoral neck fracture.

Patient Concerns: A female patient with hemodialysis exhausted all upper extremity access options along with bilateral femoral neck fracture. Read More

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http://dx.doi.org/10.1097/MD.0000000000014268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380751PMC
February 2019
1 Read
5.723 Impact Factor

Delayed malposition of a double-lumen hemodialysis catheter that caused hemorrhage and hypovolemic shock: A case report.

Medicine (Baltimore) 2019 Jan;98(3):e14192

Department of Emergency Medicine, Kaohsiung Medical University Hospital.

Rationale: Double-lumen hemodialysis catheters are commonly used as temporary hemodialysis routes. Complications include infection, thrombosis, cardiac arrhythmia, entrapped guide wire, and malposition. We report a rare complication of delayed hemodialysis catheter malposition that caused retroperitoneal hemorrhage and hypovolemic shock during hemodialysis. Read More

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http://dx.doi.org/10.1097/MD.0000000000014192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370124PMC
January 2019
3 Reads

Vascular access for hemodialysis: Current practice in Vietnam.

J Vasc Access 2018 Dec 31:1129729818771883. Epub 2018 Dec 31.

Hemodialysis Department, Bach Mai Hospital, Hanoi, Vietnam.

A well-functioning vascular access is a mainstay to perform an efficient hemodialysis procedure, which directly affects the quality of life in hemodialysis patients. We use three main types of access: native arteriovenous fistula, arteriovenous graft, and central venous catheter. Arteriovenous fistula remains the first and best choice for chronic hemodialysis. Read More

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http://dx.doi.org/10.1177/1129729818771883DOI Listing
December 2018

Feasibility and safety of exclusive echocardiography-guided intravenous temporary pacemaker implantation.

J Echocardiogr 2018 Nov 13. Epub 2018 Nov 13.

Department of Cardiology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 151, 84101, Beer Sheva, Israel.

Background: The standard approach for urgent trans-venous temporary cardiac pacemaker (TVTP) implantation is fluoroscopy guidance. The delay in activation of the fluoroscopy-room and the transfer of unstable patients may be life-threatening. Echocardiography-guided TP implantation may increase the safety of the patients by obviating the need for in-hospital transfer. Read More

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http://link.springer.com/10.1007/s12574-018-0406-4
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http://dx.doi.org/10.1007/s12574-018-0406-4DOI Listing
November 2018
12 Reads

Association of Infections with the Use of a Temporary Double-Lumen Catheter for Hemodialysis.

Nephrol Nurs J 2018 May-Jun;45(3):261-267

Medicine Professor, Nephrology Division, Internal Medicine Department, Ribeirão Preto Medical School, University of São Paulo.

The goal of this study was to identify the occurrence of secondary infection due to the use of temporary double-lumen catheters for hemodialysis in 96 patients with acute kidney injury or acute chronic kidney disease. For each patient, we collected a swab from the skin localized in the insertion of catheter before antisepsis; blood cultures from the catheter lumen, peripheral vein, and central venous access in withdrawing catheter; and cultures of catheter tips. Catheters were implanted into a femoral vein in 56. Read More

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February 2019
1 Read

The equations of the inserted length of percutaneous central venous catheters on neonates in NICU.

Pediatr Neonatol 2018 Aug 3. Epub 2018 Aug 3.

Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Linkou, Taiwan. Electronic address:

Background: In neonatal intensive care units, a percutaneous central venous catheter (PCVC) is inserted peripherally and threaded into a central venous location, when intravenous access is anticipated for an extended period of time. The tip location of PCVCs should be checked by an X-ray after the procedure. The present study aimed to determine an equation to estimate the optimal insertion length of PCVCs in neonates prior to the procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18759572183028
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http://dx.doi.org/10.1016/j.pedneo.2018.07.011DOI Listing
August 2018
10 Reads

Comparison of cardiac function index derived from femoral and jugular indicator injection for transpulmonary thermodilution with the PiCCO-device: A prospective observational study.

PLoS One 2018 31;13(7):e0200740. Epub 2018 Jul 31.

Medizinische Klinik und Poliklinik II, Klinikum rechts der Isar der Technischen Universität München, Munich, Bavaria, Germany.

Introduction: Cardiac function index (CFI) is a trans-pulmonary thermodilution (TPTD)-derived estimate of systolic function. CFI is defined as the ratio of cardiac output divided by global end-diastolic volume GEDV (CFI = CO/GEDV). Several studies demonstrated that the use of femoral venous access results in a marked overestimation of GEDV, while CFI is underestimated. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0200740PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6067690PMC
January 2019
1 Read

Jugular vs femoral vein for central venous catheterization in pediatric cardiac surgery (PRECiSE): study protocol for a randomized controlled trial.

Trials 2018 Jun 25;19(1):329. Epub 2018 Jun 25.

Department of Cardiovascular Anesthesia and Intensive Care, IRCCS Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Milan, Italy.

Background: Placement of central venous catheters (CVCs) is essential and routine practice in the management of children with congenital heart disease. The purpose of the present protocol is to evaluate the risk for infectious complications in terms of catheter colonization, catheter line-associated bloodstream infections, and catheter-related bloodstream infections (CRBSIs), and the mechanical complications from different central venous access sites in infants and newborns undergoing cardiac surgery.

Methods: One hundred sixty patients under 1 year of age and scheduled for cardiac surgery will be included in this randomized controlled trial (RCT); patients will be randomly allocated to the jugular or femoral vein arms. Read More

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http://dx.doi.org/10.1186/s13063-018-2717-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019231PMC
June 2018
1 Read

[Femoral vein transposition arteriovenous fistula for haemodialysis].

Ugeskr Laeger 2018 Jun;180(23)

An upper extremity vascular access (VA) is preferred for haemodialysis, but when the central veins are occluded or all opportunities are exhausted, a lower extremity VA is necessary. Transposition of the superficial femoral vein is a durable arteriovenous fistula and should be the first choice in patients with long expected remaining lifetime. Peripheral arterial disease and heart failure are contraindications, and careful selection of the patients is mandatory. Read More

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June 2018
6 Reads

Femoral Access for Central Venous Port System Implantation.

Cureus 2018 Mar 14;10(3):e2327. Epub 2018 Mar 14.

Thoracic Surgery, Saint-Petersburg State University.

Totally implanted venous access port (TIVAP) systems provide adequate quality of care and life, especially for oncology patients. Long-term vascular access is very important and easy to perform, but in some clinical situations, if patients have a superior caval system occlusion, femoral insertion may be the only option. We present a case of a 70-year-old colorectal adenocarcinoma patient diagnosed with subclavian vein hypoplasia. Read More

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https://www.cureus.com/articles/10610-femoral-access-for-cen
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http://dx.doi.org/10.7759/cureus.2327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951597PMC
March 2018
6 Reads

Comparison of two types of catheters through femoral vein catheterization in patients with lung cancer undergoing chemotherapy: A retrospective study.

J Vasc Access 2018 Nov 27;19(6):651-657. Epub 2018 Apr 27.

1 Department of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, China.

Purpose:: This study aimed to investigate the effects and complications of different types of peripherally inserted central catheters through femoral vein catheterization in patients with lung cancer undergoing chemotherapy.

Methods:: A retrospective analysis of 158 patients with lung cancer undergoing implantation of a venous access through femoral vein catheterization was performed. The patients were divided into two groups by convenience sampling: the single-lumen silicone Groshong peripherally inserted central catheters with valved tip were used in patients in group A, the single-lumen power-injectable polyurethane peripherally inserted central catheters with no valve were used in patients in group B. Read More

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http://dx.doi.org/10.1177/1129729818769227DOI Listing
November 2018
4 Reads

Right Site, Wrong Route - Cannulating the Left Internal Jugular Vein.

Cureus 2018 Jan 9;10(1):e2044. Epub 2018 Jan 9.

Internal Medicine, St. Joseph Mercy Oakland Hospital.

Central venous catheters are placed in approximately five million patients annually in the US. The preferred site of insertion is one with fewer risks and easier access. Although the right internal jugular vein is preferred, on occasion, the left internal jugular may have to be accessed. Read More

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http://dx.doi.org/10.7759/cureus.2044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844666PMC
January 2018

Insertion rates and complications of central lines in the UK population: A pilot study.

J Intensive Care Soc 2018 Feb 21;19(1):19-25. Epub 2017 Aug 21.

Aneurin Bevan University Health Board, Royal Gwent Hospital, Newport, UK.

Background: Central venous catheters are inserted ubiquitously in critical care and have roles in drug administration, fluid management and renal replacement therapy. They are also associated with numerous complications. The true number of central venous catheters inserted per year and the proportion of them associated with complications are unknown in the UK. Read More

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http://dx.doi.org/10.1177/1751143717722914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810875PMC
February 2018
3 Reads

[Superior vena cava thrombosis or stricture secondary to implanted central venous access: Six cases of endovascular and direct surgical treatment in cancer patients].

J Med Vasc 2018 Feb 26;43(1):20-28. Epub 2017 Dec 26.

Hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.

Superior vena cava (SVC) stenosis or thrombosis is a well-known complication of central venous catheterization for endocavitary treatments, hemodialysis, or chemotherapy. In cancer patients, these SVC lesions are often symptomatic due to intimal damage and chemotherapy toxicity. We report our experience with six patients treated between 2007 and 2012 via an endovascular approach (n=5) or a direct surgical approach (n=1). Read More

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http://dx.doi.org/10.1016/j.jdmv.2017.11.001DOI Listing
February 2018
3 Reads

Equivalent success and complication rates of tunneled common femoral venous catheter placed in the interventional suite vs. at patient bedside.

Pediatr Radiol 2018 06 8;48(6):889-894. Epub 2018 Feb 8.

Department of Pediatric Radiology, Texas Children's Hospital, 6701 Fannin St., Houston, TX, 77030, USA.

Background: Femoral tunneled central line placement in the pediatric population offers an alternative means for intravenous (IV) access, but there is concern for higher complication and infection rates when placed at bedside.

Objective: To describe the complications and infection outcomes of primary femoral tunneled central venous catheter placement in the interventional radiology suite compared to the portable bedside location at a single tertiary pediatric institution.

Materials And Methods: We conducted a retrospective review comparing interventional radiology suites vs. Read More

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http://link.springer.com/10.1007/s00247-018-4090-3
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http://dx.doi.org/10.1007/s00247-018-4090-3DOI Listing
June 2018
9 Reads

Central venous catheter-related infections in patients receiving short-term hemodialysis therapy: incidence, associated factors, and microbiological aspects.

Rev Soc Bras Med Trop 2017 Nov-Dec;50(6):783-787

Unidade de Transplante Renal, Divisão de Nefrologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

Introduction: Bloodstream infections are the second most common cause of death among patients on hemodialysis. This study aimed to evaluate the incidence of and risk factors associated with central venous catheter-related infections in patients undergoing hemodialysis, and to identify and characterize the type and antimicrobial susceptibility profiles of the primary microorganisms isolated during one year of follow-up.

Methods: A prospective cohort study was conducted in 2014 in a hemodialysis referral center. Read More

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http://dx.doi.org/10.1590/0037-8682-0438-2017DOI Listing
April 2018
41 Reads

Usefulness of Doppler waveform analysis before performing a complex procedure using femoral venous access.

J Clin Ultrasound 2018 Feb 21;46(2):157-159. Epub 2017 Nov 21.

Department of Cardiology, College of Medicine, Chung-Ang University, Seoul, Korea.

Ultrasonography is a well-defined and widely accepted technique in the settings of interventional procedures requiring peripheral venous access, either for the confirmation of the vein patency (with the compression test) or for guiding needle insertion. This report describes a case of unsuccessful guidewire passage through the right iliac vein in spite of successful ultrasonography-guided puncture of the femoral vein. On repeat duplex ultrasonography, the Doppler waveform showed a continuous pattern without respiratory phasicity, which was consistent with proximal venous occlusion. Read More

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http://doi.wiley.com/10.1002/jcu.22564
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http://dx.doi.org/10.1002/jcu.22564DOI Listing
February 2018
11 Reads

The feasibility and safety of PICCs accessed via the superficial femoral vein in patients with superior vena cava syndrome.

J Vasc Access 2018 Jan;19(1):34-39

Oncology Center, Renmin Hospital of Wuhan University, Wuhan - China.

Objective: To investigate the feasibility and safety of the peripherally inserted central catheters (PICCs) accessed via the superficial femoral vein in patients with superior vena cava syndrome (SVCS).

Methods: From October 2010 to December 2014, 221 cancer patients with SVCS in our center received real-time ultrasound-guidance of the superficial femoral vein inserted central catheters (FICCs) at the mid-thigh. PICC insertion via upper extremity veins had also been investigated in 2604 cancer patients without SVCS as control. Read More

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http://journals.sagepub.com/doi/10.5301/jva.5000810
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http://dx.doi.org/10.5301/jva.5000810DOI Listing
January 2018
14 Reads

Comparison of pulmonary vascular permeability index PVPI and global ejection fraction GEF derived from jugular and femoral indicator injection using the PiCCO-2 device: A prospective observational study.

PLoS One 2017 17;12(10):e0178372. Epub 2017 Oct 17.

Medizinische Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München, München, Germany.

Background: Transpulmonary thermodilution (TPTD) is used to derive cardiac output CO, global end-diastolic volume GEDV and extravascular lung water EVLW. To facilitate interpretation of these data, several ratios have been developed, including pulmonary vascular permeability index (defined as EVLW/(0.25*GEDV)) and global ejection fraction ((4*stroke volume)/GEDV). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0178372PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644983PMC
October 2017
10 Reads

A New Technique for Femoral Venous Access in Infants Using Arterial Injection Venous Return Guidance.

Ann Vasc Dis 2017 Mar 31;10(1):17-21. Epub 2017 Mar 31.

Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

: Although venography guidance is helpful for central venous catheter placement, it is sometimes difficult to place a peripheral intravenous cannula for enhancement. We designed a new technique for establishing femoral venous access using venography guidance in the return phase of peripheral arteriography. This new technique was named arterial injection venous return guidance. Read More

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http://dx.doi.org/10.3400/avd.oa.16-00058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579799PMC
March 2017
9 Reads

Understanding patient preferences for femoral central venous catheterization among patients with sickle cell disease.

J Vasc Access 2018 03 19;19(2):199-200. Epub 2018 Feb 19.

Division of Interventional Radiology and Image Guided Medicine, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA - USA.

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http://dx.doi.org/10.5301/jva.5000794DOI Listing
March 2018
1 Read

Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice.

Crit Care 2017 Aug 28;21(1):225. Epub 2017 Aug 28.

Service de Réanimation Médicale Hôpital de Bicêtre, Hôpitaux Universitaires Paris-Sud, AP-HP, Le Kremlin-Bicêtre, France.

The use of ultrasound (US) has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this review, we describe the rationale for the use of US during CVC placement, the basic principles of this technique, and the current evidence and existing guidelines for its use. In addition, we recommend a structured approach for US-guided central venous access for clinical practice. Read More

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http://dx.doi.org/10.1186/s13054-017-1814-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5572160PMC
August 2017
21 Reads

Single-stick tunneled central venous access using the jugular veins in infants weighing less than 5 kg.

Pediatr Radiol 2017 Nov 18;47(12):1682-1687. Epub 2017 Jul 18.

Department of Radiology, Lucile Packard Children's Hospital, Stanford University School of Medicine, Stanford, CA, USA.

Background: Despite the demonstrated feasibility of the single-stick technique in the femoral vein, its use in neonates and infants for placing central lines in internal and external jugular veins has not been reported.

Objective: Describe and assess the safety and efficacy of tunneled jugular central venous catheter placement performed under ultrasound (US) and fluoroscopic guidance in neonates and infants weighing <5 kg using the single-stick technique at three tertiary pediatric hospitals.

Materials And Methods: Thirty-three children weighing less than 5 kg received tunneled central venous access in either internal or external jugular veins using the single-stick technique. Read More

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http://dx.doi.org/10.1007/s00247-017-3937-3DOI Listing
November 2017
36 Reads

Anatomy Revisited: Hemodialysis Catheter Malposition in the Left Ascending Lumbar Vein.

Blood Purif 2017 1;44(3):206-209. Epub 2017 Jul 1.

Medical Clinic III, Department of Nephrology, University Hospital Frankfurt, Frankfurt, Germany.

In selected cases, cuffed tunneled catheters via the iliac vein are implanted as a last resort access for hemodialysis. To monitor the correct position, sonography of the inferior vena cava (IVC) is sufficient in most cases. Position control using an X-ray of the abdomen is not routinely recommended when femoral catheters are implanted. Read More

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http://dx.doi.org/10.1159/000477755DOI Listing
July 2018
44 Reads

Axillary Artery to Right Atrial Graft for Dialysis Access Using an Autologous Femoropopliteal Vein.

Ann Vasc Surg 2017 Nov 21;45:262.e7-262.e10. Epub 2017 Jun 21.

Department of Vascular Surgery, DeBakey Heart and Vascular Institute, Houston Methodist Hospital, Houston, TX. Electronic address:

Patients with prolonged history of central venous catheters can develop central venous occlusion. We report the creation of an axillary artery to right atrial graft using the femoropopliteal vein (FPV) for dialysis access in a patient with end-stage renal disease on hemodialysis with history of central venous occlusion. The patient had previously developed steal syndrome following a right brachial artery to right atrial polytetrafluoroethylene graft requiring revision to a left axillary artery inflow which subsequently thrombosed. Read More

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http://dx.doi.org/10.1016/j.avsg.2017.06.034DOI Listing
November 2017
6 Reads

Cryopreserved venous allograft is an acceptable conduit in patients with current or prior angioaccess graft infection.

J Vasc Surg 2017 10 21;66(4):1157-1162. Epub 2017 Jun 21.

Department of Surgery, Kaiser Permanente-Fontana, Fontana, Calif.

Objective: The durability of cryopreserved allograft has been previously demonstrated in the setting of infection. The objective of this study was to examine the safety, efficacy, patency, and cost per day of graft patency associated with using cryopreserved allograft (vein and artery) for hemodialysis access in patients with no autogenous tissue for native fistula creation and with arteriovenous graft infection or in patients at high risk for infection.

Methods: Patients implanted with cryopreserved allograft for hemodialysis access between January 2004 and January 2014 were reviewed using a standardized, multi-institutional database that evaluated demographic, comorbidity, procedural, and outcomes data. Read More

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http://dx.doi.org/10.1016/j.jvs.2017.03.450DOI Listing
October 2017
46 Reads

Placement of tunneled cuffed vascular catheter through superior vena cava puncture.

J Vasc Surg Venous Lymphat Disord 2017 07;5(4):547-552

Department of Nephrology, West China Second University Hospital, Chengdu, China.

Objective: The purpose of this study was to assess the feasibility and safety of placement of tunneled cuffed catheters through direct percutaneous puncture of the superior vena cava (SVC) in patients with occluded right and left innominate veins.

Methods: This was a retrospective review of all patients with right and left innominate vein occlusions who underwent tunneled catheter placement with direct SVC puncture between January 2012 and December 2014. Under fluoroscopic guidance with the patient in a supine position, a 5F catheter was placed at the distal end of the SVC through the femoral vein, iliac vein, or hepatic vein. Read More

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http://dx.doi.org/10.1016/j.jvsv.2016.11.009DOI Listing
July 2017
51 Reads

Beware: The femoral haemodialysis catheter - a surgeon's perspective.

S Afr Med J 2017 May 24;107(6):480-482. Epub 2017 May 24.

Transplant Unit, Division of General Surgery, Faculty of Health Sciences, University of Cape Town, South Africa.

The ability to identify and address factors that threaten the optimal utilisation of donor organs is quintessential in obtaining satisfactory transplant outcomes. We share our concerns regarding the prolonged use of femoral haemodialysis catheters and its potential to jeopardise successful renal transplantation. Despite a paucity of literature on the topic, we review relevant aspects related to this pernicious form of vascular access and clarify its limited role in the modern haemodialysis unit, particularly in patients who are still considered for transplantation. Read More

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http://dx.doi.org/10.7196/SAMJ.2017.v107i6.12391DOI Listing
May 2017
19 Reads

Injection into the jugular vein among people who inject drugs in the United Kingdom: Prevalence, associated factors and harms.

Int J Drug Policy 2017 08 3;46:28-33. Epub 2017 Jun 3.

National Infection Service, Public Health England, London, UK.

Background: While people who inject drugs (PWID) typically use peripheral veins, some inject into their central veins, including the femoral and jugular veins. Injection into the jugular vein can have serious adverse health consequences, including jugular vein thrombosis, deep neck infections, pneumothorax, endocarditis and sepsis. This study examined the prevalence of, and factors associated with, jugular vein injection among a large sample of PWID in the United Kingdom. Read More

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http://dx.doi.org/10.1016/j.drugpo.2017.05.005DOI Listing
August 2017
37 Reads

Catheterization via direct cannulation of superior vena cava for a hemodialysis patient with an original dysfunctional catheter on the left internal jugular vein.

Front Med 2017 Sep 3;11(3):445-448. Epub 2017 Jun 3.

Division of Nephrology, Department of Internal Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.

Establishing a long-term vascular access in patients exhibiting vascular access exhaustion is challenging. In this study, we reported a case of a direct catheterization in the superior vena cava of a hemodialysis patient with vascular access exhaustion and original dysfunctional catheter inserted via the left internal jugular vein. The direct catheterization was performed with cuffed tunnel catheter (CUFF) and guided by digital subtraction angiography (DSA) and multidetector computed tomography venography (MDCTV). Read More

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http://dx.doi.org/10.1007/s11684-017-0520-0DOI Listing
September 2017
12 Reads

A review in emergency central venous catheterization.

Chin J Traumatol 2017 Jun 17;20(3):137-140. Epub 2017 May 17.

Division of Trauma and Surgical Critical Care, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. Electronic address:

Central venous catheterization is widely used in the emergency setting. This review aims to assess central venous catheterization from the perspectives of types of catheters, sites of insertion, and techniques. In emergency conditions, non-tunneled catheters are preferred because the technique for its insertion is not complicated and less time-consuming. Read More

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http://dx.doi.org/10.1016/j.cjtee.2017.03.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5473741PMC
June 2017
28 Reads

Performance and safety of femoral central venous catheters in pediatric autologous peripheral blood stem cell collection.

J Clin Apher 2017 Dec 9;32(6):501-516. Epub 2017 May 9.

Department of Pediatric, Blood and Marrow Transplantation Program, University of Michigan, Ann Arbor, Michigan.

Introduction: Autologous peripheral blood hematopoietic progenitor cell collection (A-HPCC) in children typically requires placement of a central venous catheter (CVC) for venous access. There is scant published data regarding the performance and safety of femoral CVCs in pediatric A-HPCC.

Methods: Seven-year, retrospective study of A-HPCC in pediatric patients collected between 2009 and January 2017. Read More

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http://dx.doi.org/10.1002/jca.21548DOI Listing
December 2017
12 Reads

Primary and secondary patencies of transposed femoral vein fistulas are significantly greater than with the HeRO graft.

J Vasc Access 2017 May 25;18(3):232-237. Epub 2017 Apr 25.

LDAC Vascular Centers, Fresno, California - USA.

Introduction: For access-challenged patients with bilateral upper extremity central venous stenosis, solutions include the Hemodialysis Reliable Outflow (HeRO) device or an autogenous AV fistula in the lower limb. We evaluated HeRO grafts and transpositions of the femoral vein in maintaining primary and secondary patency.

Methods: We retrospectively analyzed 40 patients with a HeRO device and 18 patients with superficial femoral artery to transposed femoral vein autogenous arteriovenous fistula (SFA-tFV). Read More

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http://journals.sagepub.com/doi/10.5301/jva.5000697
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http://dx.doi.org/10.5301/jva.5000697DOI Listing
May 2017
13 Reads

In-parallel connected intermittent hemodialysis through ECMO does not affect hemodynamic parameters derived from transpulmonary thermodilution.

Perfusion 2017 Nov 25;32(8):702-705. Epub 2017 Apr 25.

II. Medizinische Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München, Germany.

Introduction: We report a case of renal replacement therapy (RRT) during extracorporeal membrane oxygenation (ECMO) via a single venous access and analyze the feasibility of transpulmonary thermodilution (TPTD) for hemodynamic monitoring.

Case Report: ECMO and RRT connected into the ECMO-extracorporeal circuit were performed via a single venous access because of multiple venous thromboses. An indicator for TPTD and pulse contour analysis (PCA) was applied into the central venous catheter (CVC) placed in the right vena jugularis. Read More

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http://dx.doi.org/10.1177/0267659117707816DOI Listing
November 2017
12 Reads

Complications after implantation of subcutaneous central venous ports (PowerPort).

Ann Med Surg (Lond) 2017 May 10;17:1-6. Epub 2017 Mar 10.

Department of Surgery, Kitasato University School of Medicine, Japan.

Background: The aim of our study was revised as follows: to clarify the postoperative complications of multifunctional central venous ports and the risk factors for such complications to promote the safe use of the PowerPort system in the hospital.

Methods: The study group comprised 132 patients in whom implantable central venous access ports (PowerPort) were placed in our hospital from March 2014 through December 2015. The approach used for port placement was the subclavian vein in 43 patients (33%), the internal jugular vein in 87 patients (66%), and the femoral vein in 2 patients (1%). Read More

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http://dx.doi.org/10.1016/j.amsu.2017.03.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358939PMC
May 2017
9 Reads

Extra-anatomical veno-venous surgical bypass for central vein occlusion in patients with ipsilateral arterio-venous fistula (AVF) for haemodialysis - A single centre experience.

Med J Malaysia 2017 Feb;72(1):3-6

Hospital Kuala Lumpur, Department of General Surgery, Kuala Lumpur, Malaysia.

Objective: Central vein occlusion is a common complication related to central vein catheter insertion for haemodialysis which can be unmasked by an ipsilateral fistula creation, leading to a dysfunctional arteriovenous fistula (AVF). We describe an extra-anatomical venous bypass surgical procedure performed to maintain vascular access and reduce the symptoms of swelling of the ipsilateral upper limb, neck and face.

Materials And Methods: We report 20 consecutive patients with end-stage renal failure (ESRF) who had central vein occlusion and were not amenable to endovascular intervention. Read More

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February 2017
10 Reads

How to achieve ultrasound-guided femoral venous access: the new standard of care in the electrophysiology laboratory.

J Interv Card Electrophysiol 2017 Jun 7;49(1):3-9. Epub 2017 Feb 7.

Cardiac Rhythm Management Department, University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton, SO16 6YD, UK.

Purpose: Bedside vascular ultrasound machines are increasingly available. They are used to facilitate safer vascular access across a number of different specialties. In the electrophysiology laboratory however, where patients are frequently anticoagulated and require the insertion of multiple venous sheaths, anatomical landmark techniques predominate. Read More

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http://dx.doi.org/10.1007/s10840-017-0227-9DOI Listing
June 2017
3 Reads

Institution of a Hospital-Based Central Venous Access Policy for Peripheral Vein Preservation in Patients with Chronic Kidney Disease: A 12-Year Experience.

J Vasc Interv Radiol 2017 Mar 19;28(3):392-397. Epub 2017 Jan 19.

Department of Radiology and Division of Interventional Radiology, Hospital of the University of Pennsylvania, Perelman School of Medicine, Philadelphia. Electronic address:

Purpose: To describe the implementation of nursing-based venous access team (VAT) and standardized interventional radiology (IR) protocols in accordance with Kidney Disease Outcomes Quality Initiative (K/DOQI) guidelines to provide central venous access while preserving peripheral veins in patients with chronic kidney disease (CKD).

Materials And Methods: Review of peripherally inserted central catheter (PICC) and small-bore central catheter (SBCC) referral and placement data from VAT and IR databases was conducted over a 12-year period. SBCC referral was automatic for patients with creatinine levels ≥ 3 mg/dL or a renal transplant regardless of creatinine level unless dialysis was not planned. Read More

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http://dx.doi.org/10.1016/j.jvir.2016.11.007DOI Listing
March 2017
10 Reads

The feasibility and safety of a through-and-through wire technique for central venous occlusion in dialysis patients.

BMC Cardiovasc Disord 2016 12 7;16(1):250. Epub 2016 Dec 7.

The Department of Interventional Radiology, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan Road II, Guangzhou, 510080, China.

Background: To retrospectively compare the operation time, success rate and efficacy between unidirectional and bidirectional procedures in the treatment of central venous occlusion diseases (CVOD), assess the advantages of the bidirectional approach, and determine the characteristics of CVOD appropriate for the bidirectional approach treatment.

Methods: A total of 49 patients who underwent endovascular interventions with all relevant data between January 2011 and December 2015 at the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China, were included in this retrospective study, and were categorized into two groups: the 19 patients in group 1 had undergone percutaneous transluminal venoplasty (PTV) via a conventional technique (unidirectional procedure from the vein distal or proximal to the obstructive lesion), and the 30 in group 2 had undergone flossing wire technique (bidirectional procedure from femoral vein and the vein distal to obstructive lesion and using a flossing wire technique). The technical success rate, the fluoroscopy time in the procedure, perioperative complications, and patency were evaluated retrospectively. Read More

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http://dx.doi.org/10.1186/s12872-016-0411-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5142130PMC
December 2016
12 Reads
1.500 Impact Factor

Use of ultrasound guidance for central venous catheterization: a national survey of intensivists and hospitalists.

J Crit Care 2016 12 17;36:277-283. Epub 2016 Jul 17.

Division of Pulmonary and Critical Care Medicine, University of Texas School of Medicine in San Antonio, TX 78229; Section of Pulmonary and Critical Care Medicine, South Texas Veterans Health Care System, San Antonio, TX 78229.

Purpose: The purpose of the study is to evaluate the frequency and barriers to use of ultrasound guidance for central venous catheter (CVC) insertion by physicians specializing in critical care and hospital medicine.

Materials And Methods: A national cross-sectional electronic survey of intensivists and hospitalists was administered from November 2014 to January 2015.

Results: The survey response rate was 5. Read More

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http://dx.doi.org/10.1016/j.jcrc.2016.07.014DOI Listing
December 2016
34 Reads

Femorally inserted central venous catheter in patients with superior vena cava obstruction: choice of the optimal exit site.

J Vasc Access 2017 Jan 26;18(1):82-88. Epub 2016 Oct 26.

Central South University School of Nursing, Changsha, Hunan - China.

Purpose: This study assessed patient comfort and catheter indwelling time and decreased incidence of complications in patients with femorally inserted venous catheters (FIVCs) via different exit sites.

Methods: A group of 114 patients suffering from lung cancer complicated by superior vena cava obstruction (SVCO) underwent femoral insertion of venous catheters to facilitate chemotherapy infusion. Patients were divided into two groups: a novel (NOV) group (n = 59) with the FIVC exit site at the mid-thigh and a conventional (CON) group (n = 55) with the exit site at the groin. Read More

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http://dx.doi.org/10.5301/jva.5000592DOI Listing
January 2017
15 Reads

A Novel Technique of Subclavian Artery Cannulation for Venoarterial Extracorporeal Membrane Oxygenation.

Exp Clin Transplant 2017 Dec 14;15(6):658-663. Epub 2016 Oct 14.

From the Department of Cardiovascular Surgery, Turkey Yuksek Ihtisas Hospital, Ankara, Turkey.

Objectives: The common femoral artery is the standard site for immediate vascular access when initiating adult venoarterial extracorporeal membrane oxygenation. However, this approach is fraught with problems such as femoral artery occlusion, distal limb ischemia, reperfusion injury resulting in compartment syndrome, retroperitoneal hemorrhage, thrombosis, embolization, and most importantly, pulmonary edema. Here, we show our preference of using the subclavian artery with a side graft as a different cannulation technique for outflow of extracorporeal membrane oxygenation, which can avoid complications associated with different access techniques. Read More

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http://dx.doi.org/10.6002/ect.2016.0002DOI Listing
December 2017
34 Reads

Novel experience of laser-assisted 'inside-out' central venous access in a patient with bilateral subclavian vein occlusion requiring pacemaker implantation.

Europace 2017 Oct;19(10):1750-1753

Department of Cardiology, The James Cook University Hospital, South Tees Hospitals NHS Foundation Trust, Marton Road, Middlesbrough TS4 3BW, UK.

Aim: This new laser facilitated 'inside-out' technique was used for transvenous pacemaker insertion in a pacemaker-dependent patient with bilateral subclavian occlusion and a failed epicardial system who is not suitable for a transfemoral approach.

Method And Results: Procedure was undertaken under general anaesthesia with venous access obtained from right femoral vein and left axillary vein. 7F multipurpose catheter was used to enter proximal edge of the occluded segment of subclavian vein via femoral approach, which then supported stiff angioplasty wires and microcatheters to tunnel into the body of occlusion. Read More

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http://dx.doi.org/10.1093/europace/euw239DOI Listing
October 2017
19 Reads

Axillo-iliac arteriovenous hemodialysis graft creation with an early cannulation device.

J Artif Organs 2017 Mar 5;20(1):57-61. Epub 2016 Oct 5.

Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Vasco De Quiroga 15, Tlalpan, Sección XVI, 14080, Mexico City, Mexico.

Exhaustion of superficial veins coupled with the presence of intrathoracic central venous occlusions remains a significant obstacle for hemodialysis access creation; complex arteriovenous graft (AVG) configurations have been described. The axillary-iliac AVG was first reported in 1987, and few authors have explored this access. We evaluated our experience with this AVG configuration utilizing the early cannulation (EC) graft Flixene™ (Atrium ™, Hudson, NH, USA). Read More

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http://dx.doi.org/10.1007/s10047-016-0927-4DOI Listing
March 2017
14 Reads
1.393 Impact Factor

[Injuries to blood vessels near the heart caused by central venous catheters].

Anaesthesist 2016 Nov;65(11):866-871

Bodensee Medizin Campus, Klinik für Anästhesie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Röntgenstraße 2, 88048, Friedrichshafen, Deutschland.

Injuries to blood vessels near the heart can quickly become life-threatening and include arterial injuries during central venous puncture, which can lead to hemorrhagic shock. We report 6 patients in whom injury to the subclavian artery and vein led to life-threatening complications. Central venous catheters are associated with a multitude of risks, such as venous thrombosis, air embolism, systemic or local infections, paresthesia, hemothorax, pneumothorax, and cervical hematoma, which are not always immediately discernible. Read More

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http://dx.doi.org/10.1007/s00101-016-0226-8DOI Listing
November 2016
9 Reads