intravascular catheter (vascular access)
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Introduction
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]
More general terms
More specific terms
- intra-arterial catheter
- intravenous catheter (intravenous access)
- right atrial catheter
- Swan-Ganz catheter (pulmonary artery catheter)
Additional terms
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: https://www.ncbi.nlm.nih.gov/pubmed/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: https://www.ncbi.nlm.nih.gov/pubmed/23200329
- ↑ 4.0 4.1 4.2 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 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29980524 <Internet> http://www.bloodjournal.org/content/early/2018/07/06/blood-2018-03-837153
- ↑ 5.0 5.1 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: https://www.ncbi.nlm.nih.gov/pubmed/33865494 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00351-2/fulltext