Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Sep 1997
Percutaneous inferior vena caval approach for long-term central venous access.
The authors report their experience with the translumbar inferior vena cava (IVC) approach for central venous access during a 6-year period at three teaching hospital sites. ⋯ In the authors' experience of 29 translumbar central venous catheter insertions, all attempts were successful. Percutaneous central venous access via the IVC is a safe and effective option for patients in whom more conventional access is not possible.
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J Vasc Interv Radiol · Jul 1997
Comparative StudyImage-guided insertion of the Uldall tunneled hemodialysis catheter: technical success and clinical follow-up.
To evaluate the technical success, complication rates, and survival time of the Uldall double-lumen catheter placed by interventional radiologists in patients presenting to a hemodialysis clinic. ⋯ This catheter is recommended for acute and longer term hemodialysis for patients without peripheral vascular access. It can be inserted percutaneously, the same internal jugular vein can be used repeatedly with few complications and good blood flow, and the technique can be easily learned by any experienced angiographer.
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J Vasc Interv Radiol · May 1997
Changes in tunneled catheter tip position when a patient is upright.
To determine the relative changes in position of tunneled catheters from supine to upright patient position and factors affecting catheter tip migration. ⋯ The catheter tip migrates significantly from the initial position at the time of placement as compared to when the patient assumes the upright position. This knowledge is important in achieving the desired final catheter position.