Academic Radiology
Volume 14, Issue 5 , Pages 574-578 , May 2007

Injection Rate Threshold of Triple-Lumen Central Venous Catheters: An In Vitro Study

  • David T. Zamos, VMD, MD

      Affiliations

    • Department of Radiology, Mercy Hospital of Pittsburgh, 1400 Locust Street, Pittsburgh, PA 15129
    • Corresponding Author InformationAddress correspondence to: D.T.Z.
  • ,
  • Todd M. Emch, MD

      Affiliations

    • Department of Radiology, Mercy Hospital of Pittsburgh, 1400 Locust Street, Pittsburgh, PA 15129
    • Dr. Emch’s current affiliation is Neuroradiology L10, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195.
  • ,
  • Harry A. Patton, DO

      Affiliations

    • Department of Radiology, Mercy Hospital of Pittsburgh, 1400 Locust Street, Pittsburgh, PA 15129
  • ,
  • Frank J. D’Amico, PhD

      Affiliations

    • Department of Mathematics and Computer Science, Duquesne University, 600 Forbes Avenue, Pittsburgh, PA 15282.
  • ,
  • Surrendra K. Bansal, MD

      Affiliations

    • Department of Radiology, Mercy Hospital of Pittsburgh, 1400 Locust Street, Pittsburgh, PA 15129

Received 8 September 2006 ,Accepted 24 January 2007.

References 

  1. Brown DB, Papadouris DC, Davis RV, et al. Power injection of microcatheters: An in vitro comparison. J Vasc Interv Radiol. 2005;16:101–106
  2. Coyle D, Bloomgarden D, Beres R, et al. Power injection of contrast media via peripherally inserted central venous catheters for CT. J Vasc Interv Radiol. 2004;15:809–814
  3. Rivitz SM, Drucker EA. Power injection of peripherally inserted central catheters. J Vasc Interv Radiol. 1997;8:857–863
  4. Salis AI, Eclavea A, Johnson MS, et al. Maximal flow rates possible during power injection through currently available PICCs: An in vitro study. J Vasc Interv Radiol. 2004;15:275–281
  5. Herts BR, O’Malley CM, Wirth SL, et al. Power injection of contrast media using central venous catheters: Feasibility, safety, and efficacy. AJR Am J Roentgenol. 2001;176:447–454
  6. Carlson JE, Hedlund LJ, Trenkner SW, et al. Safety considerations in the power injection of contrast media via central venous catheters during computed tomography examinations. Invest Radiol. 1992;27:337–340
  7. Reynolds NJ, Grosvenor LJ. Problems with the rapid powered injection of radiology contrast through multilumen catheters. Anaesthesia. 2003;58:923–924
  8. Sanelli PC, Deshmukh M, Ougorets I, et al. Safety and feasibility of using a central venous catheter for rapid contrast injection rates. AJR Am J Roentgenol. 2004;183:1829–1834
  9. Herts BR, Cohen MAH, McInroy B, et al. Power injection of intravenous contrast media through central venous catheters for CT: In vitro evaluation. Radiology. 1996;200:731–735
  10. Ruess L, Bulas DI, Rivera O, et al. In-line pressures generated in small-bore central venous catheters during power injection of CT contrast media. Radiology. 1997;203:625–629
  11. Miles SG, Rasmussen JF, Litwiller T, et al. A safe use of an intravenous power injector for CT: Experiment and protocol. Radiology. 1990;176:69–70
  12. Sistrom CL, Gay SB, Peffley L. Extravasation of iopamidol and iohexol during contrast-enhanced CT: Report of 28 cases. Radiology. 1991;180:707–710
  13. Federle MP, Chang PJ, Sharmen C, et al. Frequency and effects of extravasation of ionic and nonionic CT contrast media during rapid bolus injection. Radiology. 1998;206:637–640
  14. Rogalla P, Meiri N, Thoeni RF, et al. Safe and easy power injection of contrast material through a central line. Eur Radiol. 1998;8:148–149
  15. Kaste SC, Young CW. Safe use of power injectors with central and peripheral venous access devices for pediatric CT. Pediatr Radiol. 1996;26:499–501

1 Funding for this project was from a Pittsburgh Mercy Foundation Seed Grant.

PII: S1076-6332(07)00068-2

doi: 10.1016/j.acra.2007.01.026

Academic Radiology
Volume 14, Issue 5 , Pages 574-578 , May 2007