Document Detail


Role of chest radiography after the insertion of a subclavian vein catheter for ambulatory chemotherapy.
MedLine Citation:
PMID:  11780549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the need for routine chest radiography after the insertion of a catheter via the subclavian vein for ambulatory chemotherapy. METHODS: The case notes of all patients who had undergone catheter insertion between 1994 and 1998 were reviewed retrospectively. RESULTS: Of 3844 cases, there were 52 (1.4%) complications detected on chest radiographs after catheter insertion, 46 of which were pneumothoraces; 15 of the 46 patients had a clinical risk factor at insertion (technical difficulty or symptoms), and 14 had a risk factor after insertion (respiratory symptoms and signs). For 22 (47.8%) pneumothoraces, there was no clinical risk factor identified; 3 of these patients required intercostal drain insertion. Other complications (n = 6) included catheter malposition and kinking, and chest radiography made an important contribution to management in at least 1 of these cases. CONCLUSION: In approximately 0.1% of cases of catheter insertion in the subclavian vein, chest radiography detected a clinically occult complication significant enough to require intervention.
Authors:
P R Burn; D Skewes; D M King
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes     Volume:  52     ISSN:  0846-5371     ISO Abbreviation:  Can Assoc Radiol J     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2002-01-08     Completed Date:  2002-01-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8812910     Medline TA:  Can Assoc Radiol J     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  392-4     Citation Subset:  IM    
Affiliation:
Royal Marsden Hospital, London, UK. paulburn@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Antineoplastic Agents / administration & dosage*
Catheters, Indwelling*
Equipment Failure
Female
Fluoroscopy
Follow-Up Studies
Home Infusion Therapy*
Humans
Male
Middle Aged
Pneumothorax / radiography
Radiography, Thoracic*
Risk Factors
Subclavian Vein / radiography*
Chemical
Reg. No./Substance:
0/Antineoplastic Agents

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


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