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intravascular catheter (vascular access)
A tubular instrument to allow passage of fluid from or into an artery or vein.
Complications:
- among cancer outpatients with implanted ports* for chemotherapy
- ~4% had catheter-related thrombosis
- 10% had venous thromboembolism [4]
* initiating an antiplatelet agent at baseline associated with a decreased risk for catheter-related thrombosis (RR=0.44) [4]
Management:
- intravascular catheters should be replaced very 7 days [5]
Related
catheter-related infection
catheterization
Specific
intra-arterial catheter
intravenous catheter (intravenous access)
right atrial catheter
Swan-Ganz catheter (pulmonary artery catheter)
General
catheter
References
- Stedman's Medical Dictionary 26th ed, Williams &
Wilkins, Baltimore, 1995
- Constantino TG et al,
Ultrasonography-guided peripheral intravenous access versus
traditional approaches in patients with difficult intravenous
access.
Ann Emerg Med 2005;46:456
PMID: 16271677
- Lewis GC, Crapo SA, Williams JG.
Critical skills and procedures in emergency medicine:
vascular access skills and procedures.
Emerg Med Clin North Am. 2013 Feb;31(1):59-86.
PMID: 23200329
- Decousus H, Bourmaud A, Fournel P et al
Cancer-associated thrombosis in patients with implanted ports:
A prospective multicenter French cohort study (ONCOCIP).
Blood 2018 Jul 6
PMID: 29980524
http://www.bloodjournal.org/content/early/2018/07/06/blood-2018-03-837153
- Rickard CM et al.
Effect of infusion set replacement intervals on catheter-related bloodstream
infections (RSVP): A randomised, controlled, equivalence (central venous
access device)-non-inferiority (peripheral arterial catheter) trial.
Lancet 2021 Apr 17; 397:1447.
PMID: 33865494
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00351-2/fulltext