J Korean Radiol Soc.  1999 May;40(5):845-850. 10.3348/jkrs.1999.40.5.845.

Interventional Radiologic Placement of Tunneled Central Venous Catheters: Results and Complications in 557Cases

• Kim CK
• Do YS
• Paik CH
• Park HS
• Choo SW
• Cho SK
• Kim JH
• Shin SW
• Kim YH
• Kang WK
• Park KC
• Park CH
• Choo IW
• Cho JM
• Choi SH
• Yoon HK

• KMID: 2200985
• DOI: http://doi.org/10.3348/jkrs.1999.40.5.845

Abstract

PURPOSE: To evaluate prospectively the results of interventional radiologic placement of tunneled centralve-nous catheters, and subsequent complications.
MATERIALS AND METHODS
Between April 1997 and April 1998, a totalof 557 tunneled central venous catheters were percutaneously placed in 517 consecutive patients in aninterventional radiology suite. The indications were chemotherapy in 533 cases, total parenteral nutrition in 23and transfusion in one. Complications were e-valuated prospectively by means of a chart review, chest radiography,central vein angiography and blood/catheter culture.
RESULTS
The technical success rate for tunneled centralvenous catheter placement was 100% (557/557 cases). The duration of catheter placement ranged from 4 to 356 (mean,112 +/-4.6) days; Hickman catheters were re-moved in 252 cases during follow-up. Early complications included 3cases of pneumothorax(0.5%), 4 cases of local bleeding/hematoma(0.7%), 2 cases of primary malposition(0.4%), and 1case of catheter leakage(0.2%). Late complications included 42 cases of catheter-related infection(7.5%), 40 casesof venous thrombosis (7.2%), 18 cases of migration (3.2%), 5 cases of catheter / pericatheter of occlusion(0.8%),and 1 case of pseudoa-neurysm(0.2%) . The infection rate and thrombosis rate per 1000 days were 1.57 and 1.50,respectively.
CONCLUSIONS
The technical success rate of interventional radiologic placement of tunneled centralvenous catheters was high. In comparison to conventional surgical placement , it is a more reliable method andleads to fewer complications.

Keyword

Catheters and catheterization, central venous access; Catheters and catheterization, complications; Cathetersand catheterization, technology

MeSH Terms

Angiography
Catheters
Central Venous Catheters*
Drug Therapy
Follow-Up Studies
Humans
Parenteral Nutrition, Total
Prospective Studies
Thorax
Thrombosis
Veins
Venous Thrombosis