A Venous Catheter Complication: Venous Perforation and Lung Injury

Şahutoğlu, Cengiz; Pestilci, Zeynep; Kocabas, S.; Aşkar, Fatma Zekiye; Sunal, Seda Ozen; Cevik, Ayse

doi:10.5152/tjar.2014.64325

Cited by 6 publications

(8 citation statements)

References 9 publications

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“…Blood flows with 1-10 mm/s velocities are clearly distinguishable. The variation of particles concentration in the flow affects photodetector's signal intensity and consequently the perfusion as predicted in (2,3) and shown in Fig. 6b.…”

Section: A Ldf Measurement Resultsmentioning

confidence: 72%

“…The risk of undesired blood vessel puncture exists in many medical procedures such as catheter installation for angiography and hemodialysis [1], commonly performed intravenous injections and cannulations [2], or even needle biopsy of intracranial tumor [3]. In needle intervention, rapture of the blood vessel may lead to serious complications the worst of which is the death of a patient.…”

Section: Introductionmentioning

confidence: 99%

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Potential of Laser Doppler Flowmetry in the Medical Needle Insertion Procedures

Kravtcova

Zhou

2019

2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)

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Medical needle insertion procedures possess the risk of life-threatening blood vessel rapture. Here we report a compact laser Doppler Flowmetry (LDF) based system that has a potential of blood vessel detection in the vicinity of the moving needle. The developed LDF system comprises two optical fibers inserted into the needle (the probe), a laser unit and a photodetector. The latter collects the signal produced by photons, scattered from the moving red blood cells that is further converted into perfusion value. Using LDF system, we have been able to detect the flow independently from the needle penetration angle, site or depth. Moreover, we showed that the blood vessel can be identified inside the tissue phantom while the probe is moving. Our results demonstrate that the developed LDF system is flexible and compatible with different types of needles and thus has a potential in the needle insertion procedures.

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Section: A Ldf Measurement Resultsmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Potential of Laser Doppler Flowmetry in the Medical Needle Insertion Procedures

Kravtcova

Zhou

2019

2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)

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“…CDT should be performed by skilled practitioners with an understanding of the venous structures. The incidence of vascular perforation has been stated around 1% (Miliani et al, 2017;Sahutoglu et al, 2014). Insertion of catheter by skilled clinician and the use of ultrasound decreases the prevalence of complications caused by variations.…”

Section: Discussionmentioning

confidence: 99%

Is variation in posterior tibial veins a risk factor for deep‐vein thrombosis?

Kim

2020

Clinical Anatomy

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Introduction: This study proposes variations in the posterior tibial vein as one of the risk factors for deep-vein thrombosis. Understanding the anatomical classification of the posterior tibial vein would guide the antegrade approach of catheter-directed thrombolysis.Materials and methods: One hundred thirty-four legs from Korean and Thai cadavers were dissected. The posterior tibial veins were classified into four types according to the number of proximal and distal veins.Results: The most common type was type Ia (64/134), followed by type IIa (28/134), type Ib (24/134), and type IIb (16/134). Conclusions:The anterior tibial and fibular veins had exactly two paired veins; however, the posterior tibial vein had many variations. We assume that patients with type IIb and IIa have a higher risk of thrombosis and hidden symptoms due to collateral formation. Additionally, the classification of the posterior tibial vein and dividing into proximal and distal posterior tibial vein would help practitioners predict the course and guide the application of catheter-directed thrombolysis.

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“…Complication-free insertion of CVC for HD increases confidence of the patient on the professional’s competency even after switching from peritoneal dialysis17 on worst outcome. However, likelihood of vascular perforation18,19 by experience clinicians is a matter of great concern. Higher rate of damage to IJV than SCV in catheter placement procedure shows resemblance with a published data3,20 on same lines.…”

Section: Discussionmentioning

confidence: 99%

Hemodialysis Internal jugular vein versus Subclavian vein Catheters: Complications, patients’ comfort, tolerance and cost-effectiveness

Shafique¹,

Akhtar²,

Mahnoor³

et al. 2019

Pak J Med Sci

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Objective: To compare hemodialysis (HD) internal jugular vein (IJV) versus subclavian vein (SCV) catheters in terms of procedural complications, patients’ comfort, tolerance and cost effectiveness. Methods: Sixty six consecutive eligible adult patients planned for hemodialysis @ 3 sessions/ week for maximum 42 days in a private hospital at Sialkot, Pakistan were documented between March 2017 and April 2018. A group, IJV or SCV catheter was allotted to alternate subjects. The catheters were inserted as per practice guidelines. Record of catheter-related complications (CRCs) was computerized. Similarly, patients’ uncomfortability and expenditures on management of CRCs were recorded. Results: Of 66 cases, 62 (93.9%, 31/group) successfully completed the study. Baseline information showed male predominance (n = 47, 75.8%), age (M = 47, range 24-75 years) or catheter stay time (M = 40 days). The rate of vein damage or artery puncture was found higher in IJV than SCV group [(13.9 vs. 6.5%) or (9.7 vs. 3.2%), respectively] during catheterization. The difference also existed in late CRCs such as bacterial infection (32.3 vs. 16.1%), or device dysfunctioning (9.7 vs. 3.2%) with an exception of mechanical kinking. All the patients of IJV or SCV group with missed (19.4 vs. 6.5%) or shortened HD sessions (22.6 vs. 12.9%) reported CRCs-based discomfort as a cause of the regularity. Moreover, the participants of IJV group consumed 69% of the total expenditures on CRCs management. Conclusion: SCV is a better site for HD catheterization as it has comparatively lesser likelihood of complications, patients’ feel comfortable and it is also cost-effective.than IJV. How to cite this:Shafique MN, Akhtar SH, Mahnoor M, Hussain M. Hemodialysis Internal jugular vein versus Subclavian vein Catheters: Complications, patients’ comfort, tolerance and cost-effectiveness. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.249 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A Venous Catheter Complication: Venous Perforation and Lung Injury

Cited by 6 publications

References 9 publications

Potential of Laser Doppler Flowmetry in the Medical Needle Insertion Procedures

Potential of Laser Doppler Flowmetry in the Medical Needle Insertion Procedures

Is variation in posterior tibial veins a risk factor for deep‐vein thrombosis?

Hemodialysis Internal jugular vein versus Subclavian vein Catheters: Complications, patients’ comfort, tolerance and cost-effectiveness

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