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Extravasation: A Serious Complication of the Split-Sheath Introducer Technique for Venous Access

  • Brett T. Gemlo
  • , Anthony A. Rayner
  • , Robert J. Swanson
  • , James A. Young
  • , Joseph F. Homann
  • , David C. Hohn
  • University of California at San Francisco
  • Natalie Warren Bryant Cancer Center
  • Letterman Hospital

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

The use of split-sheath introducers to place venous access catheters results in the potential for subcutaneous extravasation and tissue injury or necrosis. We present six cases that demonstrate this complication and illustrate the probable mechanism. The safe use of these catheters requires verification that blood can be aspirated from the catheter and a high index of suspicion for extravasation when symptoms develop.

Original languageEnglish
Pages (from-to)490-492
Number of pages3
JournalArchives of Surgery
Volume123
Issue number4
DOIs
StatePublished - Apr 1988

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