Document Detail

Thrombotic complications of saphenous central venous lines.
MedLine Citation:
PMID:  7807349     Owner:  NLM     Status:  MEDLINE    
Authors of recent publications advocate central venous access by saphenous vein cutdown in the thigh. Even relatively inert SILASTIC catheters are recognized to convey a risk of large vein thrombosis when maintained for long periods. Thrombosis of the inferior vena cava (IVC) and tributaries place the patient at risk for a spectrum of problems not associated with superior vena cava (SVC) cannulation. The authors describe 46 neonatal intensive care patients with central venous cannulation of more than 2 weeks' duration. Prospective monitoring by ultrasound yielded a thrombosis rate of 16.6% for SVC cannulation and 28.5% for IVC cannulation. Complete occlusion of the IVC was clinically apparent and confirmed radiographically in four patients. In another patient, bilateral renal vein thrombosis developed, which contributed to her death. The authors compare their data for IVC and SVC cannulation and question whether the saphenous vein should be a primary route.
K G Pippus; J M Giacomantonio; D A Gillis; E P Rees
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  29     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1995-02-02     Completed Date:  1995-02-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1218-9     Citation Subset:  IM    
Division of General Surgery, Izaak Walton Killam Hospital for Children, Halifax, Nova Scotia, Canada.
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MeSH Terms
Catheterization, Central Venous / instrumentation*
Infant, Newborn
Jugular Veins
Prospective Studies
Renal Veins* / ultrasonography
Risk Factors
Saphenous Vein
Silicone Elastomers*
Thrombosis / etiology*,  ultrasonography
Vena Cava, Inferior* / ultrasonography
Vena Cava, Superior / ultrasonography
Reg. No./Substance:
0/Silicone Elastomers

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

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