Selective use of preoperative venous duplex ultrasound and intraoperative venography for central venous access device placement in cancer patients View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-06

AUTHORS

Stephen P. Povoski, Syed A. Zaman

ABSTRACT

BACKGROUND: Central venous access in cancer patients is often challenging. A history of access is common. Appropriate indications for venous imaging studies are not clearly defined. METHODS: This study was a retrospective analysis of selective use of preoperative venous duplex ultrasound and intraoperative venography in 248 consecutive cancer patients undergoing central venous access placement. RESULTS: Ninety patients had a history of central venous access placement. Eleven had a history of deep venous thrombosis of an upper extremity or central vein. One hundred three underwent preoperative ultrasound. Previous central venous access placement was not associated with an abnormal preoperative ultrasound; however, previous central venous access with deep venous thrombosis was (P =.014). Thirty patients underwent intraoperative venography, of which 18 also had preoperative ultrasound. Fifty percent of patients with an abnormal intraoperative venogram had no abnormal findings on preoperative ultrasound. CONCLUSIONS: Routine preoperative ultrasound is unnecessary. We advocate the selective use of preoperative ultrasound in those with a history of central venous access associated with deep venous thrombosis. We advocate the use of intraoperative venography when there is difficulty advancing the guidewire or catheter or when preoperative ultrasound is negative despite a history of central venous access with deep venous thrombosis. More... »

PAGES

493-499

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02557274

DOI

http://dx.doi.org/10.1007/bf02557274

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006598791

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12052762


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