Central venous catheter
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Central venous catheters (CVC) or lines (CVL) refer to a wide range of central venous access devices but can broadly be divided into four categories. They may be inserted by physicians, surgeons or radiologists.
Classification
- peripherally inserted central catheters (PICC)
- non-tunnelled CVCs
- e.g. used in ICU or ED for emergent or short-term (<7-10 days) access
- e.g.
Vas CathVascath used for haemodialysis, apheresis, stem cell collection, etc
- tunnelled CVCs
- e.g. Hickman's catheters,
Permacathpermacath
- e.g. Hickman's catheters,
- implantable ports
- e.g. Port-a-Cath, Infus-a-Port
- may be located in the chest or arm (brachial)
- may be single or dual lumen
Site
Central venous catheters can be inserted into a variety of veins, most commonly including:
- internal jugular vein (see: jugular venous catheters)
- subclavian vein
- femoral vein (typically only short-term access)
- brachial, basilic or cephalic veins (for PICCs and implantable ports)
-<p><strong>Central venous catheters</strong> (<strong>CVC</strong>) refer to a wide range of central venous access devices but can broadly be divided into four categories. They may be inserted by physicians, surgeons or radiologists.</p><h4>Classification</h4><ul>- +<p><strong>Central venous catheters</strong> (<strong>CVC</strong>) or <strong>lines</strong> (<strong>CVL</strong>) refer to a wide range of central venous access devices but can broadly be divided into four categories. They may be inserted by physicians, surgeons or radiologists.</p><h4>Classification</h4><ul>
-<li>e.g. used in ICU or ED for emergent or short-term (<7 days) access</li>-<li>e.g. Vas Cath used for haemodialysis</li>- +<li>e.g. used in ICU or ED for emergent or short-term (<7-10 days) access</li>
- +<li>e.g. Vascath used for haemodialysis, apheresis, stem cell collection, etc</li>
-<li>tunnelled CVCs<ul><li>e.g. Hickman's catheters, Permacath</li></ul>- +<li>tunnelled CVCs<ul><li>e.g. Hickman's catheters, permacath</li></ul>
-</ul><p> </p>- +</ul><h4>Site</h4><p>Central venous catheters can be inserted into a variety of veins, most commonly including:</p><ul>
- +<li>
- +<a title="Internal jugular vein" href="/articles/internal-jugular-vein">internal jugular vein</a> (see: <a title="Jugular venous catheters" href="/articles/jugular-venous-catheters">jugular venous catheters</a>)</li>
- +<li><a title="subclavian vein" href="/articles/subclavian-vein">subclavian vein</a></li>
- +<li>
- +<a title="femoral vein" href="/articles/femoral-vein">femoral vein</a> (typically only short-term access)</li>
- +<li>
- +<a title="brachial vein" href="/articles/brachial-vein">brachial</a>, <a title="basilic vein" href="/articles/basilic-vein">basilic</a> or <a title="cephalic vein" href="/articles/cephalic-vein">cephalic veins</a> (for PICCs and implantable ports)</li>
- +</ul>
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Case 4: normal chest port
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Case 85: normal double lumen chest port
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Case 96: normal triple lumen non-tunneled CVC
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Case 7: normal right Vascath
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Case 8: normal right brachial port
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