Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Jun 1999
Case ReportsAir embolism during tunneled central catheter placement performed without general anesthesia in children: a potentially serious complication.
Central venous catheters have had an increasingly important role in a variety of patient care situations, including long-term antibiotic therapy, chemotherapy, and nutritional support. The recent past has seen a gradual transition from placement of vascular access catheters by surgeons to placement by interventional radiologists. ⋯ Key advantages of GA over i.v. sedation include the ability to have positive pressure ventilation (PPV) or controlled apnea during the procedure. We report our experience of venous air embolism in three small children during placement of tunneled central venous catheters when GA was not used.
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J Vasc Interv Radiol · Jun 1999
Biography Historical ArticleThe 1999 Charles T. Dotter Lecture. Interventional radiology 2000 and beyond: back from the brink.
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J Vasc Interv Radiol · Apr 1999
Comparative StudyLong-term follow-up of upper extremity implanted venous access devices in oncology patients.
To evaluate function and assess incidence of complications relating to upper extremity implanted venous access devices placed in oncology patients primarily for chemotherapy. ⋯ Implanted venous access devices are an effective means of long-term venous access in oncology patients. Complication rates in this large series compared favorably to other published radiologic and surgical series. Analysis of complications in a subgroup of extended use implanted venous access devices (greater than 180 days follow-up) showed no statistically significant (P < .05) difference from the larger group of devices.