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The Groshong catheter: initial experience and early results of imaging-guided placement.
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1992
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Fifty Groshong CathetersMinimally Invasive ProcedureThoracic UltrasoundClinical AnatomyInterventional RadiologySurgeryCatheter PlacementPneumothoraxImaging-guided PlacementVascular SurgeryVascular ImagingCardiologyRadiologyHealth SciencesImaging AnatomyVenous DiseaseMedical ImagingInitial ExperienceImage GuidanceRadiologic ImagingPatient SafetyRadiology SuiteVascular AccessMedicineGroshong CatheterEmergency Medicine
Fifty Groshong catheters were placed in 50 patients with use of ultrasound (US) and fluoroscopic guidance in the radiology suite: 49 were placed via the subclavian vein and one was placed via the left internal jugular vein. All (100%) attempts at catheter placement were successful. Imaging guidance affected the placement of catheters in 12 cases (24%), including four patients (8%) in whom vascular access would not have been possible with blinded percutaneous venipuncture or surgical cutdown. After a four-case learning curve period, during which one pneumothorax (2%) and two arterial punctures (4%) occurred, there were no further venipuncture-related complications. One catheter was removed because of infection (2%) and one because of allergic reaction (2%) to the antimicrobial cuff. Four patients with cutaneous infections and one with catheter-related sepsis were successfully treated with antibiotics. Results demonstrate the initial promise of imaging-guided placement of central venous access catheters when performed in the radiology suite.