Diagnosis and treatment of the cause of catheter dysfunction of central verlous port access system

doi:10.3969/j.issn.10073205.2016.10.020

Abstract

Abstract: [
Abstract ] Objective ToinvestigatethevalueofthechestX-rayanddigitalsubtraction
angiography ( DSA ) incentralvenousportaccesssystem (
CVPAS ) catheterdysfunction.Methods
Onehundredandforty-twocasesofcatheterdysfunctionofCVPASwerestudied.Weanalyzed
thecausesofcatheterdysfunctionbythechestX-rayandDSA , treatedthecausesandobserved
theeffect.Results Thecausesof98 ( 69.01% ) catheterdysfunctionpatientswerefoundbyDSA
andchestX-rayin142casesofcatheterdysfunction , including51casesoffibrinshellformation ,
13casesofcatheterbendinthebodies , 11casesofcatheterfracture , 8casesofPinch-offsign , 7
casesofthrombusformation , 5casesofabnormallocationofendcatheterand3casesofcatheter
fastenerloosenessorfallout.Wetreatedthe98casesofcatheterdysfunctionagainstthesecauses.
77patients'CVPAScouldcontinuedtobeusedand21patients'CVPASwereremoved.Conclusion
ThechestX-rayisthe mostsimpleandeffective methodtofindthecausesofcatheter
dysfunctionofCVPAS.ThemainreasonforCVPAScatheterdysfunctionisfibrinshellformation.
DSAandthechestX-raycaneffectivelyevaluatethecauseofCVPAScatheterdysfunction , which
isworthyofclinicalapplication.

Key words: infusion, intravenous, catheter dysfunction, angiography

WANG Jianxin1, WU Zhonglin2*, SUN Jinna1, XIE Yanli1, SUN Yuqiao1, JIAO Junqin1. Diagnosis and treatment of the cause of catheter dysfunction of central verlous port access system[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2016.10.020.

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Diagnosis and treatment of the cause of catheter dysfunction of central verlous port access system

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