Skip to main content

Principles of Vascular Access and Complications

  • Chapter
  • First Online:
Vascular Complications of Surgery and Intervention

Abstract

Vascular access is a vital component of modern medicine. In-depth clinical evaluation is essential for proper device selection and improved outcomes. Implementation of an aseptic technique during and after catheter placement, proper catheter management, and utilization of smallest size catheter and limiting catheter indwelling time are critical in minimizing complications and maximizing catheter functionality. Despite recent advances in access technique, development of newer medical devices, and utilization of image guidance, major complications such as injury, hemorrhage, infection, and thrombosis still do occur. Perhaps the best way to ensure clinical success when obtaining vascular access is to observe the following mantra, “Right patient, right line, and right time.”

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Dudrick SJ. History of vascular access. J Parenter Enteral Nutr. 2006;30(1, Suppl):S47–56.

    Article  Google Scholar 

  2. Rivera AM, Strauss KW, van Zundert A, Mortier E. The history of peripheral intravenous catheters: how little plastic tubes revolutionized medicine. Acta Anaesthesiol Belg. 2005;56:271–82.

    CAS  PubMed  Google Scholar 

  3. Bahl A, Karabon P, Chu D. Comparison of venous thrombosis complications in midlines versus peripherally inserted central catheters: are midlines the safer option? Clin Appl Thromb Hemost. 2019;25:1076029619839150. https://doi.org/10.1177/1076029619839150.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Seto AH, Abu-Fadel MS, Sparling JM, et al. Real-time ultrasound guidance facilitates femoral arterial access and reduces vascular complications: FAUST (Femoral Arterial Access With Ultrasound Trial). JACC Cardiovasc Interv. 2010;3:751–8. https://doi.org/10.1016/j.jcin.2010.04.015.

    Article  PubMed  Google Scholar 

  5. Kornbau C, Lee KC, Hughes GD, Firstenberg MS. Central line complications. Int J Crit Illn Inj Sci. 2015;5(3):170–8. https://doi.org/10.4103/2229-5151.164940.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Chehab MA, et al. Adult and pediatric antibiotic prophylaxis during vascular and IR procedures: a Society of Interventional Radiology Practice Parameter Update Endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Association for Interventional Radiology. J Vasc Interv Radiol. 2018;29(11):1483–1501.e2.

    Article  Google Scholar 

  7. Adams DZ, et al. The midline catheter: a clinical review. J Emerg Med. 2016;51(3):252–8.

    Article  Google Scholar 

  8. Practice guidelines for central venous access 2020: an updated report by the American Society of Anesthesiologists Task Force on Central Venous Access. Anesthesiology. 2020;132(1):8–43. https://doi.org/10.1097/ALN.0000000000002864.

  9. Haddadin Y, Regunath H. Central line associated blood stream infections (CLABSI) [Updated 2019 Dec 22]. In: StatPearls [Internet]. Treasure Island: StatPearls Publishing; 2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430891/.

    Google Scholar 

  10. Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF. Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization. Cochrane Database Syst Rev. 2015;1(1):CD011447. https://doi.org/10.1002/14651858.CD011447.

    Article  PubMed  Google Scholar 

  11. Smith RN, Nolan JP. Central venous catheters. BMJ. 2013;347:f6570. https://doi.org/10.1136/bmj.f6570.

    Article  PubMed  Google Scholar 

  12. Alexandrou E, et al. International prevalence of the use of peripheral intravenous catheters. J Hosp Med. 2015;10(8):530–3.

    Article  Google Scholar 

  13. Franco-Sadud R, Schnobrich D, Mathews BK, Candotti C, Abdel-Ghani S, Perez MG, Rodgers SC, Mader MJ, Haro EK, Dancel R, Cho J, Grikis L, Lucas BP, SHM POCUS Task Force, Soni NJ. Recommendations on the use of ultrasound guidance for central and peripheral vascular access in adults: a position statement of the Society of Hospital Medicine. Published Online Only September 6, 2019. https://doi.org/10.12788/jhm.3287.

  14. Patel IJ, et al. Society of Interventional Radiology consensus guidelines for the periprocedural management of thrombotic and bleeding risk in patients undergoing percutaneous image-guided interventions—part II: recommendations. J Vasc Interv Radiol. 2019;30(8):1168–1184.e1.

    Article  Google Scholar 

  15. Scheer B, Perel A, Pfeiffer UJ. Clinical review: complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Crit Care. 2002;6(3):199–204.

    Article  Google Scholar 

  16. Karakitsos D, Labropoulos N, De Groot E, Patrianakos AP, Kouraklis G, Poularas J, Samonis G, Tsoutsos DA, Konstadoulakis MM, Karabinis A. Real-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Crit Care. 2006;10(6):R162.

    Article  Google Scholar 

  17. Hind D, Calvert N, McWilliams R, Davidson A, Paisley S, Beverley C, Thomas S. Ultrasonic locating devices for central venous cannulation: meta-analysis. BMJ. 2003;327(7411):361.

    Article  Google Scholar 

  18. Verghese ST, McGill WA, Patel RI, Sell JE, Midgley FM, Ruttimann UE. Ultrasound-guided internal jugular venous cannulation in infants: a prospective comparison with the traditional palpation method. Anesthesiology. 1999;91(1):71–7.

    Article  CAS  Google Scholar 

  19. Leyvi G, Taylor DG, Reith E, Wasnick JD. Utility of ultrasound-guided central venous cannulation in pediatric surgical patients: a clinical series. Paediatr Anaesth. 2005;15(11):953–8.

    Article  Google Scholar 

  20. Tercan F, Oguzkurt L, Ozkan U, Eker HE. Comparison of ultrasonography-guided central venous catheterization between adult and pediatric populations. Cardiovasc Intervent Radiol. 2008;31(3):575–80. Epub 2008 Mar 11.

    Article  Google Scholar 

  21. Gregg SC, Murthi SB, Sisley AC, Stein DM, Scalea TM. Ultrasound-guided peripheral intravenous access in the intensive care unit. J Crit Care. 2010;25(3):514–9. Epub 2009 Oct 15.

    Article  Google Scholar 

  22. Bhananker SM, Liau DW, Kooner PK, Posner KL, Caplan RA, Domino KB. Liability related to peripheral venous and arterial catheterization: a closed claims analysis. Anesth Analg. 2009;109(1):124–9. Epub 2009 Apr 17.

    Article  Google Scholar 

  23. Levin PD, Sheinin O, Gozal Y. Use of ultrasound guidance in the insertion of radial artery catheters. Crit Care Med. 2003;31(2):481–4.

    Article  Google Scholar 

  24. Shiver S, Blaivas M, Lyon M. A prospective comparison of ultrasound-guided and blindly placed radial arterial catheters. Acad Emerg Med. 2006;13(12):1275–9. Epub 2006 Nov 1.

    Article  Google Scholar 

  25. Schwemmer U, Arzet HA, Trautner H, Rauch S, Roewer N, Greim CA. Ultrasound-guided arterial cannulation in infants improves success rate. Eur J Anaesthesiol. 2006;23(6):476–80. Epub 2006 Mar 2.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amir Pezeshkmehr .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Pezeshkmehr, A. (2022). Principles of Vascular Access and Complications. In: Gilani, R., Mills Sr., J.L. (eds) Vascular Complications of Surgery and Intervention. Springer, Cham. https://doi.org/10.1007/978-3-030-86713-3_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-86713-3_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-86712-6

  • Online ISBN: 978-3-030-86713-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics