Frère D, Fastrez R
Sem Hop. 1983 Nov 17;59(42):2910-4.
Forty-one central catheters placed in 37 patients were subjected to a twofold phlebographic study - classic angiography of the main veins, and injection of a radio-opaque fluid while withdrawing the catheter under fluoroscopy. Although data from the literature shows a high incidence of venous thrombosis due to central catheters, we only found 3 positive results in our series of 37 patients (8%). A fibrin sheath develops along the entire length of the catheter, and, in cases of thrombosis, the point at which the catheter penetrates the central venous system is always involved.
对37例患者置入的41根中心静脉导管进行了双重静脉造影研究——对主要静脉进行经典血管造影,并在荧光透视下拔出导管时注入不透射线的液体。尽管文献数据显示中心静脉导管导致静脉血栓形成的发生率很高,但在我们的37例患者系列中仅发现3例阳性结果(8%)。纤维蛋白鞘沿导管全长形成,在血栓形成的情况下,导管穿透中心静脉系统的部位总是会受累。