Risk Factors for Central Venous Catheter‐Related Vascular Erosions

Mukau, Leslie; Talamini, Mark A.; Sitzmann, James V.

doi:10.1177/0148607191015005513

Cited by 82 publications

(48 citation statements)

References 15 publications

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“…It is difficult to estimate the incidence of pleural effusions originating from incorrectly inserted catheters since various factors may contribute. MUKAU et al [11] studied complications of 1,058 superior vena cava catheter procedures in 853 patients. All patients who developed pleural effusions had left-sided, large-bore 14G catheters (0.4%).…”

Section: Discussionmentioning

confidence: 99%

Chylothorax or leakage of total parenteral nutrition?

Wolthuis

Landewé²,

Theunissen³

et al. 1998

Eur Respir J

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The diagnosis chylothorax is based on a chemical analysis of the pleural effusion. According to the literature, this analysis can be rather straightforward, comprising measurements of triglycerides, chylomicrons, and cholesterol. In this report we present an autopsy case that alerted us to interpret these results critically. Although the laboratory tests of the pleural effusion in this patient with parenteral nutrition suggested chylothorax, additional tests (potassium (11.3 mmol.L(-1)) and glucose (128 mmol.L(-1)) proved otherwise. Comparison of the pleural effusion analysis and the content of the parenteral nutrition led to the final conclusion that the effusion was due to a leakage of parenteral nutrition instead of chylothorax. We therefore suggest adding glucose and potassium measurements to the biochemical work-up of a patient under suspicion of chylothorax.

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Section: Discussionmentioning

confidence: 99%

Chylothorax or leakage of total parenteral nutrition?

Wolthuis

Landewé²,

Theunissen³

et al. 1998

Eur Respir J

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“…In a retrospective review of more than 1,000 catheter placements, Mukau et al 10 reported four patients with perforation of the SVC. All four had left-sided catheters and the average time interval to clinical symptoms was 5 days.…”

Section: Catheter Tipmentioning

confidence: 99%

Vats Assisted Repositioning of a Central Venous Access Device Catheter Causing Inadvertent SVC Puncture: A Rare Case Report and Literature Review.

Ghuge¹,

Singh²,

Tiwari³

et al. 2016

IJAR

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“…Some materials such as Teflon ® or polyethylene are well known thrombogenic compounds, whereas catheters made of silicone are safer, biologically inert and more resistant to thrombosis [15]- [17]. Each catheter is designated by the vessel and the place in which its distal extremity is located, that is, peripheral or central; by the permanence time (temporary, short term, long term or permanent); by its insertion localization (subclavian vein, femoral vein, internal jugular vein, basilic and femoral peripheral veins); as well as peripheral insertion central catheters-PICC.…”

Section: Introductionmentioning

confidence: 99%

Venous Catheterization Experimental Model in Rabbits: Histological Alterations in the Catheter Region

Rodrigues¹,

França²,

Ferro³

et al. 2015

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Central venous access is one of the most common surgery procedures worldwide, especially in pediatric surgery. Local and regional complications as the result of venous catheter permanence time are frequently described as: thrombosis, infection, edema and local cellulite, movement and loss of the catheter. Other severe complications such as endocardiac and hemorrhagic lesions are also described and considered the cause of catheter early removal. In the literature few studies have addressed vascular and perivascular lesions and complications as the result of central venous access to peripheral veins, given the difficulty of setting up venous catheterization experimental models to study blood vessels and perivascular tissue alterations after catheterization. In the present venous catheterization experimental model, rabbits were divided into two groups based on the time that the venous catheters were maintained in their veins. Group a composed of 7 New Zealand male rabbits was submitted to a 15-day treatment; and the 6 New Zealand male rabbits of group B were treated during 90 days. Both groups presented similar inflammatory conditions since there was no significant difference between groups. Therefore, the results may well suggest that the endothelial inflammatory reaction could have developed at an early initial short period and by maintaining the catheter, the inflammatory reactions would have decreased or disappeared. Aimed at studying these vascular and perivascular alterations in venous catheterization, the present study proposes an experimental rabbit model that allows the analysis of differences in local vascular and perivascular histological variations and compares histological differences be-* Corresponding author. B. R. Rodrigues et al. 533tween both venous catheterization groups each of them with different periods of treatment.

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Risk Factors for Central Venous Catheter‐Related Vascular Erosions

Cited by 82 publications

References 15 publications

Chylothorax or leakage of total parenteral nutrition?

Chylothorax or leakage of total parenteral nutrition?

Vats Assisted Repositioning of a Central Venous Access Device Catheter Causing Inadvertent SVC Puncture: A Rare Case Report and Literature Review.

Venous Catheterization Experimental Model in Rabbits: Histological Alterations in the Catheter Region

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