Post-procedural Care in Interventional Radiology: What Every Interventional Radiologist Should Know-Part II: Catheter Care and Management of Common Systemic Post-procedural Complications

Cardiovasc Intervent Radiol. 2017 Sep;40(9):1304-1320. doi: 10.1007/s00270-017-1709-y. Epub 2017 Jun 5.

Abstract

Interventional radiology (IR) has evolved into a full-fledged clinical specialty with attendant comprehensive patient care responsibilities. Providing excellent and thorough clinical care is as essential to the practice of IR as achieving technical success in procedures. Basic clinical skills that every interventional radiologist should learn include routine management of percutaneously inserted drainage and vascular catheters and rapid effective management of common systemic post-procedural complications. A structured approach to post-procedural care, including routine follow-up and early identification and management of complications, facilitates efficient and thorough management with an emphasis on quality and patient safety. The aim of this second part, in conjunction with part 1, is to complete the comprehensive review of post-procedural care in patients undergoing interventional radiology procedures. We discuss common problems encountered after insertion of drainage and vascular catheters and describe effective methods of troubleshooting these problems. Commonly encountered systemic complications in IR are described, and ways for immediate identification and management of these complications are provided.

Keywords: Complications; Drainage catheters; Interventional radiology; Patient care; Post-procedural care; Vascular catheters.

Publication types

  • Review

MeSH terms

  • Catheterization, Central Venous / instrumentation
  • Catheterization, Central Venous / methods
  • Catheters, Indwelling*
  • Drainage / instrumentation*
  • Drainage / methods*
  • Equipment Failure
  • Equipment Reuse*
  • Humans
  • Interdisciplinary Communication
  • Intersectoral Collaboration
  • Patient Care / methods*
  • Quality Assurance, Health Care
  • Radiography, Interventional / adverse effects
  • Radiography, Interventional / instrumentation*
  • Radiography, Interventional / methods*
  • Risk Factors
  • Vascular Access Devices*