Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2007 Jun 5:4:13.
doi: 10.1186/1477-7800-4-13.

Pitfalls in Portacath location using the landmark technique: case report

Susannah M Wyles  1 , Garry Browne, Gerald P H Gui
Affiliations

Pitfalls in Portacath location using the landmark technique: case report

Susannah M Wyles et al. Int Semin Surg Oncol. .

Abstract

A 34 year old woman diagnosed with breast cancer and liver metastases underwent a left subclavian Portacath insertion. During the procedure, the clinical features and the findings of intra-operative investigations provided conflicting evidence of the catheter position. This report highlights the potential difficulties in establishing long-term central venous access, the limitations of common investigations and safety issues relating to the process of subclavian line insertion.

PubMed Disclaimer

References

    1. Hind D, Calvert N, McWilliams R, Davidson A, Paisley S, Beverley C, Thomas S. Ultrasonic locating devices for central venous cannulation: meta-analysis. BMJ. 327:361. doi: 10.1136/bmj.327.7411.361. 2003 Aug16; - DOI - PMC - PubMed
    1. Central venous catheters – Ultrasound localising devices. The clinical effectiveness and cost effectiveness of ultrasonic locating devices for the placement of central venous lines http://www.nice.org.uk/guidance/TA49
    1. Sariego J, Bootorabi B, Matsumoto T, Kerstein M. Major long-term complications in 1,422 permanent venous access devices. Am J Surg. 1993;165:249–51. doi: 10.1016/S0002-9610(05)80520-3. - DOI - PubMed
    1. Crozier JE, McKee RF. Is the landmark technique safe for the insertion of subclavian venous lines? Surgeon. 2005;3:277–9. - PubMed
    1. Gopal K, Fitzsimmons L, Lawrance JA. Nurse-led central venous catheter service: Christie experience. Br J Radiol. 2006;79:762–5. doi: 10.1259/bjr/79794134. - DOI - PubMed

LinkOut - more resources