Document Detail


Diagnosis of thrombosis by catheter phlebography after prolonged central venous catheterization.
MedLine Citation:
PMID:  7305496     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sixty central venous catheterizations in 53 patients were prospectively studied with respect to phlebographic findings after prolonged parenteral nutrition. Phlebography was performed by a special technique on completion of the intravenous therapy. Under fluoroscopic control, the central venous catheter was slowly removed, while simultaneously contrast medium was continuously injected through it. Two types of thrombosis were demonstrated--sleeve thrombosis, on 25 occasions (42%), and mural veno-occlusive thrombosis, on five occasions (8%). On removal of the catheter the sleeve thrombosis peeled off the catheter and in several cases it was noticed that parts of the sleeve thrombus or the entire sleeve became detached and were carried away with the blood flow. Although the sleeve thrombus seldom gave rise to any symptoms, this type of thrombosis is of great importance in view of the risk of pulmonary embolism, especially in connection with removal of the catheter. With use of the described phlebographic technique thrombi of this type can be visualized.
Authors:
B Brismar; C Hårdstedt; S Jacobson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of surgery     Volume:  194     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1981 Dec 
Date Detail:
Created Date:  1982-01-09     Completed Date:  1982-01-09     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  779-83     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Catheterization / adverse effects*
Catheters, Indwelling
Female
Humans
Jugular Veins* / radiography
Male
Middle Aged
Phlebography / methods
Prospective Studies
Subclavian Vein* / radiography
Thrombosis / etiology,  radiography*
Time Factors
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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