Complications of central venous catheters insertion and exploitation

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Abstract

Central venous catheters (CVC) are commonly used in patients with a number of serious diseases for total parenteral nutrition, chemotherapy, long-term antibiotic therapy, hemodialysis, treatment in intensive care units, regular blood sampling. CVC greatly facilitate the management of such patients and improve their quality of life, however, they can be a source of various complications - venous thrombosis, catheter-associated infections, damage to the adjacent organs. Over the past three decades advances in the venous access devices and visualization technologies has significantly increased the success of the CVC insertions and decreased the frequency of complications. The review highlights the mechanisms of occurrence, clinical manifestations, methods of diagnosis and treatment, and ways of preventing both the most common and some rare complications that may occur during the insertion and exploitation of CVC.

About the authors

A. B. Sugak

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

Author for correspondence.
Email: sugak08@mail.ru
ORCID iD: 0000-0003-4509-4154

Anna B. Sugak - MD, PhD, doctor of ultrasound diagnostics.

117997, Moscow, Samory Mashela st., 1

Russian Federation

V. V. Shchukin

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation; Russian National Research Medical University named after N.I. Pirogov

ORCID iD: 0000-0002-7945-2565

Moscow

Russian Federation

A. N. Konstantinova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

Moscow

Russian Federation

E. V. Feoktistova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0003-2348-221X

Moscow

Russian Federation

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Copyright (c) 2019 Sugak A.B., Shchukin V.V., Konstantinova A.N., Feoktistova E.V.

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