Chung Hui-Yong, Beheshti Michael V
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Tech Vasc Interv Radiol. 2011 Dec;14(4):186-91. doi: 10.1053/j.tvir.2011.05.005.
Non-tunneled central venous access has become an important tool in the management of the sick patient, particularly in the intensive care unit. Image guidance allows more precise placement of lines with overall lower complication rates compared with guidance by physical landmarks. The use of image guidance has brought a procedure traditionally performed by surgeons into the realm of the interventional radiologist. Techniques for placement of non-tunneled central venous catheters, hemodialysis catheters, and peripherally inserted central catheter lines will be discussed.
非隧道式中心静脉通路已成为治疗重症患者的一项重要工具，尤其是在重症监护病房。与依据体表标志引导相比，影像引导可使导管放置更精确，总体并发症发生率更低。影像引导的应用已将这一传统上由外科医生实施的操作带入了介入放射科医生的领域。本文将讨论非隧道式中心静脉导管、血液透析导管及外周静脉穿刺中心静脉导管的放置技术。
