Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Fazeny-Dörner, B; Wenzel, C; Berzlanovich, A; Sunder-Plassmann, G; Greinix, H; Marosi, C; Muhm, M.
Central venous catheter pinch-off and fracture: recognition, prevention and management.
Bone Marrow Transplant. 2003; 31(10):927-930
Doi: 10.1038/sj.bmt.1704022
(- Case Report)
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- Co-Autor*innen der Med Uni Graz
- Greinix Hildegard
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- Abstract:
- The so-called pinch-off syndrome is observed in up to 1% of all central venous catheters (CVCs), and is a valuable warning prior to fragmentation, which occurs in approximately 40% of the respective cases. As long-term indwelling CVCs are used with increasing frequency, this paper describes the necessity of pinch-off monitoring following the experiences of a case study and a review of the current literature on this specific topic in order to point out preventive practice guidelines. Besides easy preventive practices such as a high level of suspicion and adequate X-ray controls, findings give strong evidence that the most important specific factor might be the adequate approach. In our hands, the supraclavicular technique has provided the best results with regards to percutaneous introduction of large bore CVCs.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Bone Marrow Transplantation -
- Catheterization, Central Venous - adverse effects
- Equipment Failure -
- Female -
- Humans -
- Monitoring, Physiologic -
- Precursor Cell Lymphoblastic Leukemia-Lymphoma - therapy
- Radiography, Thoracic -
- Transplantation, Autologous -
- Find related publications in this database (Keywords)
- central venous catheters
- catheter fracture
- pinch-off
- supraclavicular approach
- infraclavicular approach
- preventive practices