Translumbar inferior vena cava catheters for long-term venous access

Gunnar B. Lund, Robert P. Lieberman, William D. Haire, Victoria A. Martin, Anne Kessinger, James Olen Armitage

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

Forty-six silicone rubber catheters were placed in the inferior vena cava (IVC) of 40 patients via a translumbar approach. No patient suffered retroperitoneal bleeding as determined by means of clinical observation (n = 46), computed tomography (CT) (n = 31), or autopsy (n = 5). Twenty-four catheters were removed after a mean of 51 (range, 2-137) days. No bleeding occurred after catheter removal, as determined by means of clinical observation (n = 24), CT (n = 13), or autopsy (n = 2). Nineteen catheters remained in place after a mean of 65 (range, 13-236) days. Thrombosis-related catheter dysfunction occurred in eight patients, two of whom developed IVC occlusion. Thrombolytic therapy restored catheter function and dissolved clots in all patients. Ten catheter malpositions resulted in venous access failure. Five of these catheters were replaced, four were repositioned, and one spontaneously resumed the original position. It is concluded that percutaneous placement of silicone rubber catheters in the IVC is a satisfactory alternative when catheter placement in the subclavian vein is not feasible.

Original languageEnglish (US)
Pages (from-to)31-35
Number of pages5
JournalRadiology
Volume174
Issue number1
DOIs
StatePublished - Jan 1 1990

Fingerprint

Inferior Vena Cava
Catheters
Silicone Elastomers
Autopsy
Tomography
Observation
Hemorrhage
Subclavian Vein
Thrombolytic Therapy
Thrombosis

Keywords

  • Catheters and catheterization
  • Catheters and catheterization, complications
  • Catheters and catheterization, technology
  • Lymphoma, therapy, 99.834
  • Venae cavae, interventional procedures, 982.1299

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Lund, G. B., Lieberman, R. P., Haire, W. D., Martin, V. A., Kessinger, A., & Armitage, J. O. (1990). Translumbar inferior vena cava catheters for long-term venous access. Radiology, 174(1), 31-35. https://doi.org/10.1148/radiology.174.1.2294571

Translumbar inferior vena cava catheters for long-term venous access. / Lund, Gunnar B.; Lieberman, Robert P.; Haire, William D.; Martin, Victoria A.; Kessinger, Anne; Armitage, James Olen.

In: Radiology, Vol. 174, No. 1, 01.01.1990, p. 31-35.

Research output: Contribution to journalArticle

Lund, GB, Lieberman, RP, Haire, WD, Martin, VA, Kessinger, A & Armitage, JO 1990, 'Translumbar inferior vena cava catheters for long-term venous access', Radiology, vol. 174, no. 1, pp. 31-35. https://doi.org/10.1148/radiology.174.1.2294571
Lund, Gunnar B. ; Lieberman, Robert P. ; Haire, William D. ; Martin, Victoria A. ; Kessinger, Anne ; Armitage, James Olen. / Translumbar inferior vena cava catheters for long-term venous access. In: Radiology. 1990 ; Vol. 174, No. 1. pp. 31-35.
@article{8c649918da314dc8828865ce2f3408fe,
title = "Translumbar inferior vena cava catheters for long-term venous access",
abstract = "Forty-six silicone rubber catheters were placed in the inferior vena cava (IVC) of 40 patients via a translumbar approach. No patient suffered retroperitoneal bleeding as determined by means of clinical observation (n = 46), computed tomography (CT) (n = 31), or autopsy (n = 5). Twenty-four catheters were removed after a mean of 51 (range, 2-137) days. No bleeding occurred after catheter removal, as determined by means of clinical observation (n = 24), CT (n = 13), or autopsy (n = 2). Nineteen catheters remained in place after a mean of 65 (range, 13-236) days. Thrombosis-related catheter dysfunction occurred in eight patients, two of whom developed IVC occlusion. Thrombolytic therapy restored catheter function and dissolved clots in all patients. Ten catheter malpositions resulted in venous access failure. Five of these catheters were replaced, four were repositioned, and one spontaneously resumed the original position. It is concluded that percutaneous placement of silicone rubber catheters in the IVC is a satisfactory alternative when catheter placement in the subclavian vein is not feasible.",
keywords = "Catheters and catheterization, Catheters and catheterization, complications, Catheters and catheterization, technology, Lymphoma, therapy, 99.834, Venae cavae, interventional procedures, 982.1299",
author = "Lund, {Gunnar B.} and Lieberman, {Robert P.} and Haire, {William D.} and Martin, {Victoria A.} and Anne Kessinger and Armitage, {James Olen}",
year = "1990",
month = "1",
day = "1",
doi = "10.1148/radiology.174.1.2294571",
language = "English (US)",
volume = "174",
pages = "31--35",
journal = "Radiology",
issn = "0033-8419",
publisher = "Radiological Society of North America Inc.",
number = "1",

}

TY - JOUR

T1 - Translumbar inferior vena cava catheters for long-term venous access

AU - Lund, Gunnar B.

AU - Lieberman, Robert P.

AU - Haire, William D.

AU - Martin, Victoria A.

AU - Kessinger, Anne

AU - Armitage, James Olen

PY - 1990/1/1

Y1 - 1990/1/1

N2 - Forty-six silicone rubber catheters were placed in the inferior vena cava (IVC) of 40 patients via a translumbar approach. No patient suffered retroperitoneal bleeding as determined by means of clinical observation (n = 46), computed tomography (CT) (n = 31), or autopsy (n = 5). Twenty-four catheters were removed after a mean of 51 (range, 2-137) days. No bleeding occurred after catheter removal, as determined by means of clinical observation (n = 24), CT (n = 13), or autopsy (n = 2). Nineteen catheters remained in place after a mean of 65 (range, 13-236) days. Thrombosis-related catheter dysfunction occurred in eight patients, two of whom developed IVC occlusion. Thrombolytic therapy restored catheter function and dissolved clots in all patients. Ten catheter malpositions resulted in venous access failure. Five of these catheters were replaced, four were repositioned, and one spontaneously resumed the original position. It is concluded that percutaneous placement of silicone rubber catheters in the IVC is a satisfactory alternative when catheter placement in the subclavian vein is not feasible.

AB - Forty-six silicone rubber catheters were placed in the inferior vena cava (IVC) of 40 patients via a translumbar approach. No patient suffered retroperitoneal bleeding as determined by means of clinical observation (n = 46), computed tomography (CT) (n = 31), or autopsy (n = 5). Twenty-four catheters were removed after a mean of 51 (range, 2-137) days. No bleeding occurred after catheter removal, as determined by means of clinical observation (n = 24), CT (n = 13), or autopsy (n = 2). Nineteen catheters remained in place after a mean of 65 (range, 13-236) days. Thrombosis-related catheter dysfunction occurred in eight patients, two of whom developed IVC occlusion. Thrombolytic therapy restored catheter function and dissolved clots in all patients. Ten catheter malpositions resulted in venous access failure. Five of these catheters were replaced, four were repositioned, and one spontaneously resumed the original position. It is concluded that percutaneous placement of silicone rubber catheters in the IVC is a satisfactory alternative when catheter placement in the subclavian vein is not feasible.

KW - Catheters and catheterization

KW - Catheters and catheterization, complications

KW - Catheters and catheterization, technology

KW - Lymphoma, therapy, 99.834

KW - Venae cavae, interventional procedures, 982.1299

UR - http://www.scopus.com/inward/record.url?scp=0025117588&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025117588&partnerID=8YFLogxK

U2 - 10.1148/radiology.174.1.2294571

DO - 10.1148/radiology.174.1.2294571

M3 - Article

VL - 174

SP - 31

EP - 35

JO - Radiology

JF - Radiology

SN - 0033-8419

IS - 1

ER -