Cateteres venosos totalmente implantáveis: histórico, técnica de implante e complicações

O acesso ao sistema venoso, seja para coleta de amostras de sangue ou para infusão de soluções, é de vital importância para o diagnóstico e tratamento de pacientes com as mais variadas condições clínicas. Desde que Harvey, em 1616, descreveu o sistema circulatório a partir de estudos em animais e qu...

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Published inJornal vascular brasileiro Vol. 16; no. 2; pp. 128 - 139
Main Authors Zerati, Antonio Eduardo, Wolosker, Nelson, de Luccia, Nelson, Puech-Leão, Pedro
Format Journal Article
LanguageEnglish
Portuguese
Published Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 01.06.2017
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Abstract O acesso ao sistema venoso, seja para coleta de amostras de sangue ou para infusão de soluções, é de vital importância para o diagnóstico e tratamento de pacientes com as mais variadas condições clínicas. Desde que Harvey, em 1616, descreveu o sistema circulatório a partir de estudos em animais e que Sir Christopher Wren, 4 décadas depois, realizou a primeira infusão endovenosa em seres vivos, a evolução na técnica de acesso e nos dispositivos para infusão tem sido constante. Merece destaque a criação dos cateteres de longa duração na década de 1970, em especial os totalmente implantáveis, que revolucionaram o tratamento do câncer, aumentando a segurança e o conforto dos pacientes oncológicos. Este artigo tem como objetivo a revisão de dados históricos relativos ao acesso vascular e a discussão da técnica de implante e das principais complicações associadas ao procedimento de colocação e ao uso dos cateteres totalmente implantáveis.
AbstractList Resumo O acesso ao sistema venoso, seja para coleta de amostras de sangue ou para infusão de soluções, é de vital importância para o diagnóstico e tratamento de pacientes com as mais variadas condições clínicas. Desde que Harvey, em 1616, descreveu o sistema circulatório a partir de estudos em animais e que Sir Christopher Wren, 4 décadas depois, realizou a primeira infusão endovenosa em seres vivos, a evolução na técnica de acesso e nos dispositivos para infusão tem sido constante. Merece destaque a criação dos cateteres de longa duração na década de 1970, em especial os totalmente implantáveis, que revolucionaram o tratamento do câncer, aumentando a segurança e o conforto dos pacientes oncológicos. Este artigo tem como objetivo a revisão de dados históricos relativos ao acesso vascular e a discussão da técnica de implante e das principais complicações associadas ao procedimento de colocação e ao uso dos cateteres totalmente implantáveis.
O acesso ao sistema venoso, seja para coleta de amostras de sangue ou para infusão de soluções, é de vital importância para o diagnóstico e tratamento de pacientes com as mais variadas condições clínicas. Desde que Harvey, em 1616, descreveu o sistema circulatório a partir de estudos em animais e que Sir Christopher Wren, 4 décadas depois, realizou a primeira infusão endovenosa em seres vivos, a evolução na técnica de acesso e nos dispositivos para infusão tem sido constante. Merece destaque a criação dos cateteres de longa duração na década de 1970, em especial os totalmente implantáveis, que revolucionaram o tratamento do câncer, aumentando a segurança e o conforto dos pacientes oncológicos. Este artigo tem como objetivo a revisão de dados históricos relativos ao acesso vascular e a discussão da técnica de implante e das principais complicações associadas ao procedimento de colocação e ao uso dos cateteres totalmente implantáveis.
Author Zerati, Antonio Eduardo
Wolosker, Nelson
Puech-Leão, Pedro
de Luccia, Nelson
AuthorAffiliation Universidade de São Paulo
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Keywords dispositivos de acesso vascular
infecção
infection
ultrassonografia de intervenção
vascular access devices
historical article
ultrasonography, interventional
artigo histórico
cateteres
catheters
Language English
Portuguese
License Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado.
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Contribuições dos autores Concepção e desenho do estudo: AEZ, NW, NL, PPL Análise e interpretação dos dados: AEZ, NW Coleta de dados: AEZ Redação do artigo: AEZ Revisão crítica do texto: AEZ, NW, NL, PPL Aprovação final do artigo*: AEZ, NW, NL, PPL Análise estatística: AEZ Responsabilidade geral pelo estudo: AEZ *Todos os autores leram e aprovaram a versão final submetida ao J Vasc Bras.
Informações sobre os autores AEZ - Professor Livre-docente, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (USP). NW - Professor Associado, Faculdade de Medicina da Universidade de São Paulo (USP). NL - Professor Titular da Disciplina de Cirurgia Vascular e Endovascular, Faculdade de Medicina da Universidade de São Paulo (USP). PPL - Professor Titular da Disciplina de Cirurgia Vascular e Endovascular, Faculdade de Medicina da Universidade de São Paulo (USP).
Conflito de interesse: Os autores declararam não haver conflitos de interesse que precisam ser informados.
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Snippet O acesso ao sistema venoso, seja para coleta de amostras de sangue ou para infusão de soluções, é de vital importância para o diagnóstico e tratamento de...
Resumo O acesso ao sistema venoso, seja para coleta de amostras de sangue ou para infusão de soluções, é de vital importância para o diagnóstico e tratamento...
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SubjectTerms Artigo De Revisão
CARDIAC & CARDIOVASCULAR SYSTEMS
catheters
historical article
infection
PERIPHERAL VASCULAR DISEASE
SURGERY
ultrasonography, interventional
vascular access devices
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Title Cateteres venosos totalmente implantáveis: histórico, técnica de implante e complicações
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