Abstract
Correct location of the central catheter extremity attached to totally implantable ports is mandatory in order to avoid complications and to maintain functionality. But there is still a debate about the definition of the optimal position. Obviously, sites such as the very cranial segment of the vena cava superior or the caudal part of the right atrium are to be avoided. The golden middle-way is located between these extreme locations, at the junction between the lower portion of the superior vena cava and the upper right atrium. However, even if a consensus can be reached regarding this peculiar site, description of correlations between anatomical boundaries of veins and visible radiological landmarks varies in function of the chosen imaging method. This chapter will address the issues of correct catheter tip position with regard to complications and performance and provide some insight about correlations between various venous segments and surrounding bony structures.
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Stas, M., Coolen, J. (2012). Optimal Catheter Tip Position: Radiologic Criteria and Clinical Relevance. In: Di Carlo, I., Biffi, R. (eds) Totally Implantable Venous Access Devices. Springer, Milano. https://doi.org/10.1007/978-88-470-2373-4_9
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DOI: https://doi.org/10.1007/978-88-470-2373-4_9
Publisher Name: Springer, Milano
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