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Radiologic Diagnosis and Management of Complications Related to Central Venous Access

Authors

  • K. Knutstad,

    Corresponding author
    1. Department of Radiology, Division of Vascular and Interventional Radiology, The Norwegian Radium Hospital, Montebello, Oslo, Norway.
      *Kjetil Knutstad, Department of Radiology, The Norwegian Radium Hospital, Montebello, NO-0310 Oslo, Norway. FAX +47 22 93 59 43.
      E-mail: kjetil.knutstad@klinmed.uio.no
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  • B. Hager,

    1. Department of Radiology, Division of Vascular and Interventional Radiology, The Norwegian Radium Hospital, Montebello, Oslo, Norway.
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  • M. Hauser

    1. Department of Radiology, Division of Vascular and Interventional Radiology, The Norwegian Radium Hospital, Montebello, Oslo, Norway.
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*Kjetil Knutstad, Department of Radiology, The Norwegian Radium Hospital, Montebello, NO-0310 Oslo, Norway. FAX +47 22 93 59 43.
E-mail: kjetil.knutstad@klinmed.uio.no

Abstract

Central venous access is an important aspect of medical treatment. There are different designs of access devices for different purposes. In essence, they can be classified as short- and long-term devices. Insertion procedures vary for different devices. There is a risk for both acute and delayed complications. Radiology plays a central role both in placement and in device management. Image-guided insertion increases technical success and reduces the rate of acute complications. The diagnostic approach to long-term complications includes radiography, fluoroscopy, CT, and ultrasound. Treatment by interventional procedures is possible for a number of these conditions. These interventions increase device lifespan and reduce the number of necessary reinsertions.

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