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April 1988

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

Author Affiliations

From the Department of Surgery, University of California, San Francisco (Drs Gemlo, Rayner, Swanson, and Hohn); the General Surgery Service, Letterman Hospital, San Francisco (Dr Homann); and the Natalie Warren Bryant Cancer Center, Tulsa, Okla (Dr Young).

Arch Surg. 1988;123(4):490-492. doi:10.1001/archsurg.1988.01400280100019

• 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.

(Arch Surg 1988;123:490-492)

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