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The practices of vascular access are
complicated varied and changing constantly. Articles
which deal with these practices to stay current with
recent developments in the field. To simplify this
challenge, we have surveyed the literature and compiled
key highlights in a new publications, Meditheses. Each issue of Meditheses will present a different topic related to the field of vascular access. The format will feature full clinical reprints, abstracted articles and a bibliography of appropriate references related to that topic. This issue covers pinch-off and catheter fracture, uncommon complications which can easily be diagnosed and, in fact, can often be prevented. An article by Drs. Aitken and Minton, first published in 1984 and today considered a reference standard, reviews the anatomy and etiology of pinch-off. A reprint authored by Hinke highlights the fact that this complication can, in some cases, be diagnosed with an upright chest film, arms at the sides, and that not all catheters showing evidence of pinch-off and fracture. Future issues of Meditheses will cover additional developments in the filed of vascular access. Suggestions for specific topics are welcomed by the editorial board. A reply card has been included for this purpose. We hope you find Meditheses to be of value to your practice. We look forward to your comments and suggestions. Paul M. Goldfarb, MD
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