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American Journal of Roentgenology, Vol 170, 335-337, Copyright © 1998 by American Roentgen Ray Society

ARTICLES

Are routine chest radiographs necessary after image-guided placement of internal jugular central venous access devices?

TC Chang, B Funaki and GX Szymski
Department of Radiology, University of Chicago Hospitals, IL 60637, USA.

OBJECTIVE: The purpose of this study was to determine the value and cost of obtaining routine chest radiographs after image-guided placement of internal jugular central venous catheters. MATERIALS AND METHODS: We reviewed the records of 424 patients in whom 572 internal jugular catheters were placed by sonographic and fluoroscopic guidance over a 2-year period. Inspiratory and expiratory chest radiographs obtained immediately after each procedure were also reviewed. RESULTS: Routine postprocedural chest radiographs revealed no complications and did not alter the treatment of any patient. Delayed pneumothorax was detected after placement of two catheters (0.5%) when patient symptoms prompted additional radiographs. CONCLUSION: Immediate postprocedural chest radiographs are not routinely needed after image-guided insertion of internal jugular central venous catheters and unnecessarily add to the cost of patient care.
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