Subject(s)
Embolism, Air/diagnosis , Myocardial Infarction/diagnosis , Stroke/diagnosis , Barotrauma/etiology , Barotrauma/physiopathology , Embolism, Air/etiology , Embolism, Air/physiopathology , Fatal Outcome , Female , Humans , Middle Aged , Respiration, Artificial/adverse effects , Respiration, Artificial/methods , Risk FactorsABSTRACT
Central venous catheters (CVCs) provide valuable vascular access. Complications associated with the insertion and maintenance of CVCs includes pneumothorax, arterial puncture, arrhythmias, line fracture, malposition, migration, infection, thrombosis, and fibrin sheath formation. Image-guided CVC placement is now standard practice and reduces the risk of complications compared to the blind landmark insertion technique. This review demonstrates the imaging of a range of complications associated with CVCs and discusses their management with catheter salvage techniques.
Subject(s)
Catheterization, Central Venous/methods , Central Venous Catheters/adverse effects , Tomography, X-Ray Computed/methods , Ultrasonography, Interventional/methods , Vascular Diseases/diagnostic imaging , Vascular Diseases/etiology , Arrhythmias, Cardiac/diagnostic imaging , Arrhythmias, Cardiac/etiology , Catheterization, Central Venous/adverse effects , Catheterization, Central Venous/instrumentation , Catheters, Indwelling/adverse effects , Equipment Failure , Hemorrhage/diagnostic imaging , Hemorrhage/etiology , Humans , Infections/diagnostic imaging , Infections/etiology , Medical Errors , Peripheral Nervous System Diseases , Pneumothorax/diagnostic imaging , Pneumothorax/etiologyABSTRACT
Open repair is still considered the reference standard for long-term repair of abdominal aortic aneurysms (AAA). In contrast to endovascular aneurysm repair (EVAR), patients with open surgical repair of AAA are not routinely followed up with imaging. Although complications following EVAR are widely recognized and routinely identified on follow-up imaging, complications also do occur following open surgical repair. With frequent use of multi-slice computed tomography (CT) angiography (CTA) in vascular patients, there is now improved recognition of the potential complications following open surgical repair. Many of these complications are increasingly being managed using endovascular techniques. The aim of this review is to illustrate a variety of potential complications that may occur following open surgical repair and to demonstrate their management using both surgical and endovascular techniques.
Subject(s)
Aortic Aneurysm, Abdominal/diagnostic imaging , Blood Vessel Prosthesis Implantation/adverse effects , Coronary Angiography/methods , Postoperative Complications/diagnostic imaging , Tomography, X-Ray Computed/methods , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Aorta, Abdominal/diagnostic imaging , Aortic Aneurysm, Abdominal/surgery , Blood Vessel Prosthesis Implantation/methods , Endoleak/diagnostic imaging , Endoleak/etiology , Hernia/diagnostic imaging , Hernia/etiology , Humans , Imaging, Three-Dimensional , Intestinal Fistula/diagnostic imaging , Intestinal Fistula/etiology , Postoperative Complications/etiology , Prosthesis Failure/etiology , Prosthesis-Related Infections/diagnostic imaging , Prosthesis-Related Infections/etiology , Treatment OutcomeABSTRACT
Here, a case of Paget-Schroetter Syndrome in a 25-year-old guitar player is reported. After thrombolysis, conventional angioplasty failed to dilate the underlying subclavian stenosis both before and after first-rib excision with scalenus anterior and medius division. For the third attempt at angioplasty, a cutting balloon was used, which immediately produced a good result. Venography at 4-year follow-up showed no restenosis and no functional deficit. This case report demonstrates that cutting-balloon angioplasty may be considered when conventional balloon fails and may have greater durability than conventional balloon angioplasty in the treatment of Paget-Schroetter syndrome.
Subject(s)
Angioplasty, Balloon/methods , Axillary Vein , Subclavian Vein , Upper Extremity Deep Vein Thrombosis/therapy , Adult , Angiography , Humans , Male , Upper Extremity Deep Vein Thrombosis/diagnostic imagingABSTRACT
Patients benefit from and are reassured by advance information on procedures that they are to undergo. Ward nurses should have adequate knowledge of radiological investigations to ensure proper patient preparation and good interdepartmental communication to avoid delays and cancellations. This study was conducted to assess the ward nurses' knowledge of the process of computed tomography (CT) scanning. One hundred and twenty qualified nurses were asked to complete a questionnaire regarding CT scanning. The findings revealed a suboptimal level of awareness about the process. This is probably due to lack of formal teaching for nurses on the wards in regards the different radiological procedures and patient preparation. There is a strong case for better educational talks on rapidly changing radiological techniques for ward staff to ensure high-quality patient care.
