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Safety and Feasibility of Using a Central Venous Catheter for Rapid Contrast Injection Rates

Pina C. Sanelli1, Monica Deshmukh2, Igor Ougorets3, Rachael Caiati1 and Linda A. Heier1

1 Department of Radiology, New York Presbyterian Hospital, Weill Medical College of Cornell University, 520 E 70th St., Starr Pavilion–630, New York, NY 10021.
2 University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, 401 Haddon Ave., Camden, NJ 08103.
3 Department of Neurology, New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, NY 10021.



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  		Fig. 1. —Scout image of chest CT obtained before rapid contrast injection to localize central venous catheter placement. Central venous catheter (arrows) with right internal jugular approach has tip in superior vena cava above cavoatrial junction.

 


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  		Fig. 2. —Unenhanced axial CT scan obtained at level of catheter tip (arrow) confirms intravascular location of tip.

 


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  		Fig. 3. —Photograph of Arrow-Howes multilumen central venous catheter (Arrow International) selected as standard central venous catheter used at our institution. Proximal (A) and middle (B) ports have 18-gauge-diameter lumens. Distal (C) port has 16-gauge-diameter lumen.

 

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