Zerati Antonio Eduardo, Wolosker Nelson, de Luccia Nelson, Puech-Leão Pedro
Universidade de São Paulo - USP, Faculdade de Medicina, Hospital das Clínicas, São Paulo, SP, Brasil.
J Vasc Bras. 2017 Apr-Jun;16(2):128-139. doi: 10.1590/1677-5449.008216.
Access to the venous system is of vital importance for diagnosis and treatment of patients with the most varied range of clinical conditions, whether for taking blood samples or for infusion of solutions. In 1616, Harvey described the circulatory system on the basis of studies in animals and 4 decades later Sir Christopher Wren conducted the first intravenous infusions in living beings. Since then there has been constant evolution in access technique and infusion devices. Of particular note is the creation of long-term catheters in the 1970s, particularly totally implantable devices, which revolutionized cancer treatment, increasing both safety and comfort for oncology patients. The objectives of this article are to review historical data on vascular access and discuss the implantation technique and the main complications associated with procedures for placement and use of totally implantable venous access devices.
无论是采集血样还是输注溶液，进入静脉系统对于患有各种临床病症的患者的诊断和治疗都至关重要。1616年，哈维基于对动物的研究描述了循环系统，40年后，克里斯托弗·雷恩爵士在活体上进行了首次静脉输注。从那时起，进入技术和输注装置不断发展。特别值得一提的是20世纪70年代长期导管的发明，尤其是完全植入式装置，它彻底改变了癌症治疗方式，提高了肿瘤患者的安全性和舒适度。本文的目的是回顾血管通路的历史数据，并讨论完全植入式静脉通路装置的植入技术以及与放置和使用程序相关的主要并发症。
