ACR Appropriateness Criteria® Radiologic Management of Central Venous Access Journal Article
| Authors: | Shaw, C. M.; Shah, S.; Kapoor, B. S.; Cain, T. R.; Caplin, D. M.; Farsad, K.; Knuttinen, M. G.; Lee, M. H.; McBride, J. J.; Minocha, J.; Robilotti, E. V.; Rochon, P. J.; Strax, R.; Teo, E. Y. L.; Lorenz, J. M. |
| Article Title: | ACR Appropriateness Criteria® Radiologic Management of Central Venous Access |
| Abstract: | Obtaining central venous access is one of the most commonly performed procedures in hospital settings. Multiple devices such as peripherally inserted central venous catheters, tunneled central venous catheters (eg, Hohn catheter, Hickman catheter, C. R. Bard, Inc, Salt Lake City UT), and implantable ports are available for this purpose. The device selected for central venous access depends on the clinical indication, duration of the treatment, and associated comorbidities. It is important for health care providers to familiarize themselves with the types of central venous catheters available, including information about their indications, contraindications, and potential complications, especially the management of catheters in the setting of catheter-related bloodstream infections. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. © 2017 American College of Radiology |
| Keywords: | antibiotic agent; antibiotic therapy; head and neck surgery; internal jugular vein; treatment duration; cancer patient; chemotherapy; treatment indication; evidence based practice; practice guideline; intensive care unit; medical education; adjuvant chemotherapy; cystic fibrosis; health care personnel; hospital patient; sepsis; total parenteral nutrition; outpatient; acquired immune deficiency syndrome; anticoagulation; disease predisposition; catheter infection; hemodialysis; chronic kidney failure; immunocompromised patient; catheter; recipient; thrombus; catheter thrombosis; appropriateness criteria; arm swelling; catheter occlusion; sickle cell anemia; central venous; vascular access; end stage renal disease; auc; radiological procedures; human; article; port; peripheral vein; central venous access; central vein; appropriate use criteria; nontunneled; picc; tunneled |
| Journal Title: | Journal of the American College of Radiology |
| Volume: | 14 |
| Issue: | 11 Suppl. |
| ISSN: | 1546-1440 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2017-11-01 |
| Start Page: | S506 |
| End Page: | S529 |
| Language: | English |
| DOI: | 10.1016/j.jacr.2017.08.053 |
| PROVIDER: | scopus |
| PUBMED: | 29101989 |
| DOI/URL: | |
| Notes: | Authors are part of the panel: "Expert Panel on Interventional Radiology" --Article -- Export Date: 2 January 2018 -- Source: Scopus |
