Kondi E S, Pietrafitta J J, Barriola J A
Department of Surgery, Boston University School of Medicine, MA 02118.
J Surg Oncol. 1988 Apr;37(4):272-7. doi: 10.1002/jso.2930370413.
A totally implantable venous access system is described which greatly improved the ability to gain long-term venous access in selected patients. The external jugular approach has been demonstrated to be a safe and simple technique. The only major problem associated with the implantable venous access system was the development of one-way catheter occlusions. A number of methods for restoring catheter patency have been advocated. The use of streptokinase appears to be the most reliable and was found effective in this study. Importantly, however, catheter sepsis has been virtually eliminated with this totally implantable system.
描述了一种完全植入式静脉通路系统，该系统极大地提高了在特定患者中获得长期静脉通路的能力。已证明颈外静脉入路是一种安全且简单的技术。与植入式静脉通路系统相关的唯一主要问题是单向导管阻塞的发生。已经提倡了多种恢复导管通畅的方法。链激酶的使用似乎是最可靠的，并且在本研究中被发现是有效的。然而，重要的是，使用这种完全植入式系统实际上已消除了导管败血症。
