Abstract
The use of a totally implantable central venous access port provides longterm central venous access and thus simplifies the administration of chemotherapy, parenteral nutrition, and the repeated collection of blood samples. In contrast to the percutaneous central venous catheterization, dilators and peel-away sheaths are used to insert the catheter. In most cases, catheterization is done in the subclavian vein, but it can be done in the internal jugular vein, the external jugular vein, and the common femoral vein. Before the advent of real-time ultrasound guidance, cannulation used to be performed using anatomic landmarks alone. The aim of this section is to review hemothorax complication with regard to etiology, clinical presentation, and prevention during implantation of totally implantable venous access devices.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Mazeh H, Alaiyan B, Vald O et al (2010) Internal mammary artery injury during central venous catheter insertion for TPN: rare but fatal. Nutrition 26:849–851
Golden LR (1995) Incidence and management of large-bore introducer sheath puncture of the carotid artery, J Cardiothorac Vasc Anesth 9:425–428
Shah PM, Babu SC, Goyal A et al (2004) Arterial misplacement of large-caliber cannulas during jugular vein catheterization: case for surgical management, J Am Coll Surg 198:939–944
Eckhardt WF, Iaconetti J, Kwon JS et al (1996) Inadvertent carotid artery cannulation during pulmonary artery catheter insertion. J Cardiothorac Vasc Anesth 10:283–290
Nicholson T, Ettles D, Robinson G (2004) Managing inadvertent arterial catheterization during central venous access procedures. Cardiovasc Intervent Radiol 27:21–25
Walshe C, Phelan D, Bourke J, Buggy D (2007) Vascular erosion by central venous catheters used for total parenteral nutrition. Intensive Care Med 33:534–537
Inaba K, Sakurai Y, Furuta S et al (2009) Delayed vascular injury and severe respiratory distress as a rare complication of a central venous catheter and total parenteral nutrition. Nutrition 25:479–481
Eulmesekian PG, Pérez A, Minces PG et al (2007) Internal mammary artery injury after central venous catheterization, Pediatr Crit Care Med 8:489–491
Di Carlo I, Pulvirenti E, Mannino M, Toro A (2010) Increased use of percutaneous technique for totally implantable venous access devices. Is it real progress-A 27-year comprehensive review on early complications. Ann Surg Oncol 17:1649–1656
Polderman KH, Girbes AJ (2002) Central venous catheter use. Part 1: mechanical complications. Intensive Care Med 28:1–17
Matthews NT, Worthley LI (1982) Immediate problems associated with infraclavicular subclavian catheterization; a comparison between left and right sides. Anaesth Intensive Care 10:113–115
Doerfler ME, Kaufman B, Goldenberg AS (1996) Central venous catheter placement in patients with disorders of hemostasis. Chest 110:185–188
Lokich JJ, Bothe A Jr, Benotti P, Moore C (1985) Complications and management of implanted venous access catheters. J Clin Oncol 3:710–717
Fischer NC, Mutimer DJ (1999) Central venous cannulation in patients with liver disease and coagulopathy-a prospective audit. Intensive Care Med 25:481–485
Barrera R, Mina B, Huang Y, Groeger JS (1996) Acute complications of central line placement in profoundly thrombocytopenic cancer patients. Cancer 78:2025–2030
Karanlik H, Kurul S (2009) Modification of approach for totally implantable venous access device decreases rate of complications. J Surg Oncol 100:279–283
Fletcher SJ, Bodenham AR (2000) Safe placement of central venous catheters: where should the tip of the catheter lie? Br J Anaesth 85:188–191
Schuster M, Nave H, Piepenbrok S et al (2000) The carina as a landmark in central venous catheter placement. Br J Anaesth 85:191–193
Dailey RH (1998) Late vascular perforations by CVP catheters. J Emerg Med 146:487–490
Kurul S, Saip P, Aydin T (2002) Totally implantable venous-access ports: local problems and extravasation injury. Lancet Oncol 3:684–692
Peris A, Zagli G, Bonizzoli M et al (2010) Implantation of 3951 long-term central venous catheters: performances, risk analysis, and patient comfort after ultrasound-guidance introduction. Anesth Analg 111:1194–1201
Orsi F, Grasso RF, Arnaldi P et al (2000) Ultrasound guided versus direct vein puncture in central venous port placement. J Vasc Access 1:73–77
Gualtieri E, Deppe SA, Sipperly ME, Thompson DR (1995) Subclavian venous catheterization: greater success rate for less experienced operators using ultrasound guidance. Crit Care Med 23:692–697
Bold RJ, Winchester DJ, Madary AR et al (1998) Prospective, randomised trial of Doppler-assisted subclavian vein catheterization. Arch Surg 133:1089–1093
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Italia
About this chapter
Cite this chapter
Karanlik, H., Kurul, S. (2012). Hemothorax. In: Di Carlo, I., Biffi, R. (eds) Totally Implantable Venous Access Devices. Springer, Milano. https://doi.org/10.1007/978-88-470-2373-4_12
Download citation
DOI: https://doi.org/10.1007/978-88-470-2373-4_12
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2372-7
Online ISBN: 978-88-470-2373-4
eBook Packages: MedicineMedicine (R0)