The journal of vascular access
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Portacaths are tunnelled and totally implanted central venous access port devices (CVAPD). They are commonly used for intravenous antibiotic delivery in patients with cystic fibrosis. ⋯ It is therefore important to be aware of portacath associated complications and their imaging features. This pictorial review illustrates and discusses common complications associated with Portacath devices.
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Comparative Study
The effect of laterality on venous thromboembolism formation after peripherally inserted central catheter placement.
The use of peripherally inserted central venous catheters (PICCs) has become widespread in hospital medicine. PICCs are preferentially placed on the right side due to anatomic ease of insertion into the superior vena cava. However, no data exists examining whether this practice is also protective against symptomatic venous thrombosis. The purpose of this study is to assess placement of right-sided versus left-sided PICCs and the resulting rates of venous thromboembolism (VTE) in a community teaching hospital. ⋯ Laterality of PICC placement is not significantly associated with symptomatic VTE formation. The overall rate of thrombosis in our study is comparable to that of previous studies.
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Comparative Study
Evaluation of the efficacy and safety of Griflow(®) Dual, a pre-set two-flow infusion device for intravenous immunoglobulin (Flebogamma(®) 5%) administration.
A single center, prospective study was performed to assess the efficacy and safety of Griflow(®) Dual a gravity-fed device for intravenous delivery of human immunoglobulin Flebogamma(®). ⋯ Although it may not be as precise as an infusion pump, Griflow(®) Dual proved to be a reliable and suitable device to administer Flebogamma(®) 5%. Correct safety should be confirmed in a larger sample.
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To investigate prehospital peripheral venous catheters (PVCs) in relation to the frequency of thrombophlebitis. ⋯ Although thrombophlebitis frequently occurred in PVCs inserted in a prehospital setting, early removal of the device with complication was common. Further studies are warranted to identify the optimal in situ time for PVCs inserted by prehospital emergency teams.
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Percutaneous transhepatic catheters are a form of nonconventional access for patients requiring hemodialysis. We report a complication of these catheters which has not been previously described in the literature. The mechanism for intrapleural migration and a way to avoid this potential complication are discussed.