Document Detail


Intravascular thrombosis as a result of central venous access.
MedLine Citation:
PMID:  12898934     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Central venous access represents one of the most basic therapeutic procedures in modern medicine. Unfortunately, numerous advantages that result from maintaining a central venous line are accompanied by some complications among which the venous thrombosis is the most significant clinically. The study was designed to assess frequency and natural history of this complication in the setting at a multi profile clinical hospital. Central venous cannulation was performed by a fully qualified anaesthesiologist in every case. There were 887 cannulations and only 5 patients with clinically significant venous thrombosis. The analysis of the collected data allowed us to state that the frequency of intravascular thrombosis is low, but this complication is often associated with extensive impairment of patency of the central veins. Full recanalization is not always achieved regardless of the treatment applied. Pulmonary embolism in the course of central venous thrombosis was diagnosed in one patient only and appeared as a multiple and fine X-ray infiltrates. It seems that in the presence of permanent or even life threatening complications of central venous thrombosis their risk should be minimized by frequent examination of the cannulation site and early initiation of antithrombotic treatment.
Authors:
Jadwiga Biernacka; Andrzej Nestorowicz; Małgorzata Wach
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina     Volume:  57     ISSN:  0066-2240     ISO Abbreviation:  Ann Univ Mariae Curie Sklodowska Med     Publication Date:  2002  
Date Detail:
Created Date:  2003-08-05     Completed Date:  2003-11-28     Revised Date:  2009-06-05    
Medline Journal Info:
Nlm Unique ID:  0414101     Medline TA:  Ann Univ Mariae Curie Sklodowska Med     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  276-84     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology and Intensive Therapy, Department of Haematooncology and Bone Marrow Transplantology, Medical University of Lublin.
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MeSH Terms
Descriptor/Qualifier:
Adult
Axillary Vein
Catheterization, Central Venous / adverse effects*,  instrumentation
Catheters, Indwelling / adverse effects*
Humans
Jugular Veins
Male
Middle Aged
Pulmonary Embolism / diagnosis,  etiology*
Risk Factors
Subclavian Vein
Vena Cava, Superior
Venous Thrombosis / diagnosis,  etiology*

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


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