Santral Venöz Kateterizasyonda Ultrason Kullanımının Mekanik Komplikasyonlar Üzerine Etkisi: Tek Merkezli Retrospektif Analiz

Objective: Mechanical complications related central venous catheters may result in significant morbidity and mortality. Frequency of these complications are tend to decrease by the use of imaging methods. We retrospectively evaluated the mechanical complications related with central venous catheterization and the treatment options during 17 months in our centre. Material and Metods: Between September 2015-February 2017, a total number of 327 central venous catheterizations were performed in 319 patients in our clinic. Patients were categorized into two groups: blind approach catheterization or ultrasound guided catheterization. Demographic data of patients, mechanical complications due to intervention and the treatment options were retrospectively evaluated. Frequency of these complications in whom ultrasound was used or not during intervention were compared statistically. Results: Using ultrasound during catheterization was found to be superior in terms of vascular injury and development of hematoma (p=0,01), local surgical exploration (p=0,01) and sternotomy requirement (p=0,03). Pseudoaneurysm and arteriovenous fistulae were reported only in blind approach catheterization. Conclussion: Literature review shows that using ultrasonographic evaluation during central venous catheterization is the most effective method to avoid the mechanical complications which occur during intervention. In our study, frequency of these complications were significantly lower in patients who underwent the ultrasound guided catheterization. Hence, the experience of operator in ultrasonographic evaluation is important to get lower frequency of mechanical complications.