High technology long term central venous access: The radiological content

B. Damascelli, M. G. Bonalumi, A. Marchiano, C. Spreafico, F. Garbagnati, M. Milella, L. Valvassori, L. Bellegotti, G. L. Riboldi, G. Cecchetti, I. Spagnoli, G. Rigillo, M. Salvetti, C. Segura

Research output: Contribution to journalArticlepeer-review

Abstract

Long term (i.e. at least 3 months) central vein catheterisation (CVC) is coming into general use as an essential vehicle of total parenteral nutrition and cyclical chemotherapy. The recent development of totally implantable subcutaneous infusion pumps for the continuous delivery of a drug according to a programme transmitted form outside by radio is putting a further premium on specialist skills in the setting-up and care of a permanent velous access. We report our clinical experience with partially and totally subcutaneous infusion implants and on telemetered implantable pumps. Likely complications with a long term CVC are by no means trivial, but their frequency and severity can be kept down by the proper use of radiology and familiarity with percutaneous vascular access and catheterisation manoeuvers. These methodological considerations and the no less important ones of cost and management suggest that a clinical support involving such a peculiar mix of specialist skills could well find a home in the interventional radiology section.

Original languageEnglish
Pages (from-to)153-161
Number of pages9
JournalJournal of Interventional Radiology
Volume5
Issue number4
Publication statusPublished - 1990

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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