在透视引导下，使用前臂外周接入系统（PAS）端口进行中心静脉通路装置的外周置入。
Peripheral insertion of a central venous access device under fluoroscopic guidance using a peripherally accessed system (PAS) port in the forearm.
作者信息
Hata Y, Morita S, Morita Y, Awatani T, Takasaki M, Horimi T, Ozawa Z
机构信息
Department of Radiology, Kochi Municipal Central Hospital, Japan.
出版信息
Cardiovasc Intervent Radiol. 1998 May-Jun;21(3):230-3. doi: 10.1007/s002709900250.
PURPOSE
We describe the technique, efficacy, and complications of fluoroscopy-guided implantation of a central venous access device using a peripherally accessed system (PAS) port via the forearm.
METHODS
Beginning in July 1994, 105 central venous access devices were implanted in 104 patients for the long-term infusion of antibiotics or antineoplasmic agents, blood products, or parenteral nutrition. The devices was inserted under fluoroscopic guidance with real-time venography from a peripheral route.
RESULTS
All ports were successfully implanted. There were no procedure-related complications. No thrombosis or local infection was observed; however, in six patients catheter-related phlebitis occurred.
CONCLUSION
Fluoroscopy-guided implantation of a central venous access device using a PAS port via the forearm is safe and efficacious, and injection of contrast medium through a peripheral IV catheter before introduction of the catheter helps to avoid catheter-related phlebitis.
目的
我们描述了经前臂使用外周接入系统（PAS）端口在透视引导下植入中心静脉通路装置的技术、疗效及并发症。
方法
自1994年7月起，为104例患者植入了105个中心静脉通路装置，用于长期输注抗生素或抗肿瘤药物、血液制品或肠外营养。这些装置在透视引导下经外周途径插入，并进行实时静脉造影。
结果
所有端口均成功植入。无手术相关并发症。未观察到血栓形成或局部感染；然而，有6例患者发生了与导管相关的静脉炎。
结论
经前臂使用PAS端口在透视引导下植入中心静脉通路装置是安全有效的，在插入导管前通过外周静脉导管注射造影剂有助于避免与导管相关的静脉炎。
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