| Interpreting the results of pediatric central venous catheter studies. | |
| | |
MedLine Citation:
|
PMID: 8835968 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Radiographic evaluation of central venous catheters (CVCs) with contrast material is a commonly performed procedure in pediatric radiology, but the criteria for interpreting the results of such studies are not well described in the literature. Careful evaluation of the images from a contrast material-enhanced CVC study frequently demonstrates a cause of CVC malfunction. In a series of 166 contrast-enhanced CVC studies performed in children, 112 studies (67%) demonstrated abnormal results. The most common abnormalities were mural thrombus, catheter tip thrombus, catheter tip against the vessel wall, and sleeve thrombus. Other causes of catheter malfunction include reservoir thrombus, catheter break, and catheter malposition. When catheter malfunction is due to catheter thrombus formation, the patient is usually treated with urokinase (bolus injection or infusion). Short catheters that ended in the innominate or subclavian vein had a much higher frequency of abnormalities than longer catheters that ended in the superior vena cava or right atrium. |
| | |
Authors:
|
F M Kim; P E Burrows; F A Hoffer; T Chung |
Related Documents
:
|
22766148 - Treatment of post-liver transplant hepatic artery pseudoaneurysm with balloon angioplas... 22436498 - Transabdominal off-pump coronary artery bypass grafting using the right gastroepiploic ... 2954968 - Thrombolytic therapy in catheter-related subclavian venous thrombosis. 22532768 - Coexistence of left main and right coronary artery ostial stenosis: demographic and ang... 22741548 - An unusual case of the syndrome of cervical rib with subclavian artery thrombosis and c... 9659638 - Internal carotid artery dissection: an animal model? |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Radiographics : a review publication of the Radiological Society of North America, Inc Volume: 16 ISSN: 0271-5333 ISO Abbreviation: Radiographics Publication Date: 1996 Jul |
Date Detail:
|
Created Date: 1996-12-11 Completed Date: 1996-12-11 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8302501 Medline TA: Radiographics Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 747-54 Citation Subset: IM |
Affiliation:
|
Department of Radiology, Children's Hospital, Boston, MA 02115, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Catheterization, Central Venous*
/
adverse effects Child Contrast Media Equipment Failure Humans Radiography, Thoracic* Retrospective Studies Thrombosis / radiography |
| Chemical | |
Reg. No./Substance:
|
0/Contrast Media |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Spiral CT during arterial portography.
Next Document: Role of endovaginal sonography in the diagnosis and management of ectopic pregnancy.