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Tract-o-gram to Reduce the Risk of Non-Target Catheterization During Placement of a Drainage Tube 

Tract-o-gram to Reduce the Risk of Non-Target Catheterization During Placement of a Drainage Tube
Chapter:
Tract-o-gram to Reduce the Risk of Non-Target Catheterization During Placement of a Drainage Tube
Author(s):

Almas Syed

, Robert Evans Heithaus

, and Chet R. Rees

DOI:
10.1093/med/9780199986071.003.0096
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date: 24 February 2020

A common complication of percutaneous drainage or tube placement is non-target catheterization, particularly of adjacent bowel loops. Bowel transgression by drainage catheters may later become evident by signs and symptoms of peritonitis, copious catheter output, sepsis, or fistula formation. However, small needle transgression alone, without tube transgression, is far less significant. This described method of pullback tract-o-gram can prevent placement of a tube once small needle transgression has occurred, and it can permit re-attempt and repeat safety check. The described method of tract-o-gram is simple, reproducible, eliminates extra exchanges or upsizing from a very small puncture size, and addresses the challenges of injecting contrast through small needles containing wires.

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