Open technique has lower evidence of complications

作者：David M. Richards, J. T. HILL, Nigel A. Scott, J Bancewicz, M H Irving · 发表于：BMJ · 年份：1995 · DOI：10.1136/bmj.311.7012.1090a · 被引用次数：3 · 研究领域：Central Venous Catheters and Hemodialysis

EDITOR,--We disagree with Andy Adam's comments regarding the drawbacks of an open surgical technique for placing long term central venous catheters. It is our practice to place such catheters by using an open cutdown technique under local anaesthesia. We mainly use the cephalic vein, with fluoroscopic screening to ensure correct positioning. With this technique more than 800 catheters have been inserted over the past 10 years, for parenteral nutrition, antibiotics, and chemotherapy. The incidence …