Item type:Thesis, Open Access

Retrospektive Analyse der Akut­ und Langzeitergebnisse einer neuen endovaskulären interventionsradiologischen Technik zur Etablierung eines zentral venösen Zugangs bei Okklusion der zentralen Venen

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Philipps-Universität Marburg

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Abstract

Using the balloon-assisted puncture technique, we have successfully implanted a central venous catheter in 44 cases at in a total of 45 interventions in patients with complete occlusions of the central thoracic veins. There are currently only a few studies evaluating novel methods for establishing central venous access in patients with central venous obstructions. The retrospective data analysis of 45 interventions in 36 patients treated between 2014 and 2021 at Vivantes Klinikum im Friedrichshain Berlin, currently represents the largest patient population treated with the balloon-assisted puncture technique. We found a success rate of 98% for this technique. The rate of periinterventional ‘minor complications’ was 2%, no case of a ‘major complication’ was found. This technique can therefore be categorised as a safe method. plication in relation to age, gender, duration of intervention or choice of secondary access. In summary, balloon-assisted puncture for the placement of a CVC in complete occlusion of central veins is a safe, reproducible, cost-effective and flexible method. In future, further studies with a larger number of cases are required to better assess the success rate and complications of this method.

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Salehi Nia, Hessam: Retrospektive Analyse der Akut­ und Langzeitergebnisse einer neuen endovaskulären interventionsradiologischen Technik zur Etablierung eines zentral venösen Zugangs bei Okklusion der zentralen Venen. : Philipps-Universität Marburg 2025-04-23. DOI: https://doi.org/10.17192/z2025.0187.

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