Literature DB >> 21523450

[Complications of venous port systems : Radiological diagnostics and minimally invasive therapy].

N Rathmann1, D Hausmann, M Kostrzewa, M Keese, S Diehl, S Schönberg, M Sadick.   

Abstract

INTRODUCTION: Documentation of a correct port placement is a routine investigation in radiology. This article describes typical complications of port catheters and minimally invasive treatment options which can guarantee further use without complications.
MATERIAL AND METHODS: From January 2009 to May 2010 a surgical port placement was carried out on 174 patients at the University Clinic in Mannheim and of these, 52 patients were admitted to our institute for radiological imaging of the port. Minimally invasive treatment options are presented based on the observed port complications.
RESULTS: Of the 52 patients 7 (13.5%) received a port catheter lysis. A successful port position correction was carried out in 3 (5.8%) patients with a malpositioned port catheter and port removal was recommended in 2 patients (3.8%) due to extensive arm venous thrombosis. A minimally invasive port catheter treatment allowed further use of the port system without operative revision in the corresponding patients. The measures were tolerated very well by the patients without postinterventional complications.

Entities:  

Mesh:

Year:  2011        PMID: 21523450     DOI: 10.1007/s00117-011-2175-1

Source DB:  PubMed          Journal:  Radiologe        ISSN: 0033-832X            Impact factor:   0.635


  29 in total

1.  Evidence of anaphylaxy after alteplase infusion.

Authors:  J Rudolf; M Grond; W S Prince; S Schmülling; W D Heiss
Journal:  Stroke       Date:  1999-05       Impact factor: 7.914

2.  [Totally implantable, permanent central venous catheter systems in AIDS patients--a method for home care or an unacceptable infection risk?].

Authors:  C Armbruster; C Armbruster; S Kriwanek
Journal:  Schweiz Med Wochenschr       Date:  1996-09-21

3.  Central venous thrombosis: an early and frequent complication in cancer patients bearing long-term silastic catheter. A prospective study.

Authors:  M De Cicco; M Matovic; L Balestreri; G Panarello; D Fantin; S Morassut; V Testa
Journal:  Thromb Res       Date:  1997-04-15       Impact factor: 3.944

4.  Fibrin sleeve formation on indwelling subclavian central venous catheters.

Authors:  V L Hoshal; R G Ause; P A Hoskins
Journal:  Arch Surg       Date:  1971-04

5.  Adverse reaction to streptokinase with multiple systemic manifestations.

Authors:  I Montserrat; J Altimiras; M Dominguez; R Lamich; A Ollé; J Fontcuberta
Journal:  Pharm World Sci       Date:  1995-09-22

6.  Local installation of small doses of streptokinase for treatment of thrombotic occlusions of long-term access catheters.

Authors:  R N Rubin
Journal:  J Clin Oncol       Date:  1983-09       Impact factor: 44.544

7.  Recombinant tissue plasminogen activator (alteplase) for restoration of flow in occluded central venous access devices: a double-blind placebo-controlled trial--the Cardiovascular Thrombolytic to Open Occluded Lines (COOL) efficacy trial.

Authors:  D Ponec; D Irwin; W D Haire; P A Hill; X Li; E R McCluskey
Journal:  J Vasc Interv Radiol       Date:  2001-08       Impact factor: 3.464

Review 8.  Management of occlusion and thrombosis associated with long-term indwelling central venous catheters.

Authors:  Jacquelyn L Baskin; Ching-Hon Pui; Ulrike Reiss; Judith A Wilimas; Monika L Metzger; Raul C Ribeiro; Scott C Howard
Journal:  Lancet       Date:  2009-07-11       Impact factor: 79.321

9.  Recombinant urokinase is safe and effective in restoring patency to occluded central venous access devices: a multiple-center, international trial.

Authors:  Petr Svoboda; R Philip Barton; Olga L Barbarash; Alexey A Butylin; Brian R Jacobs; Jan Lata; William D Haire; Michael R Jaff; Carolyn M Firszt; Tamyra L Mouginis; Debra M Schuerr; Gregory A Schulz; Lewis B Schwartz; Mohamed A El-Shahawy
Journal:  Crit Care Med       Date:  2004-10       Impact factor: 7.598

10.  Are clinical signs accurate indicators of the cause of central venous catheter occlusion?

Authors:  L C Stephens; W D Haire; G D Kotulak
Journal:  JPEN J Parenter Enteral Nutr       Date:  1995 Jan-Feb       Impact factor: 4.016

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