The feasibility and safety of PICCs accessed via the superficial femoral vein in patients with superior vena cava syndrome
| العنوان: | The feasibility and safety of PICCs accessed via the superficial femoral vein in patients with superior vena cava syndrome |
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| المؤلفون: | Yuxin Chu, Qian Chen, Wei Zhou, Yonghui Wan, Qibin Song, Yan-Ru Qiu |
| المصدر: | The Journal of Vascular Access. 19:34-39 |
| بيانات النشر: | SAGE Publications, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Catheterization, Central Venous, China, Parenteral Nutrition, Superior Vena Cava Syndrome, medicine.medical_specialty, Time Factors, Treatment outcome, Femoral vein, Antineoplastic Agents, Punctures, 030204 cardiovascular system & hematology, 03 medical and health sciences, Catheters, Indwelling, 0302 clinical medicine, Neoplasms, Catheterization, Peripheral, Central Venous Catheters, Humans, Medicine, In patient, 030212 general & internal medicine, Infusions, Intravenous, Ultrasonography, Interventional, Superior vena cava syndrome, business.industry, Femoral Vein, Surgery, Treatment Outcome, Parenteral nutrition, Nephrology, Feasibility Studies, Radiology, medicine.symptom, business |
| الوصف: | Objective: To investigate the feasibility and safety of the peripherally inserted central catheters (PICCs) accessed via the superficial femoral vein in patients with superior vena cava syndrome (SVCS). Methods: From October 2010 to December 2014, 221 cancer patients with SVCS in our center received real-time ultrasound-guidance of the superficial femoral vein inserted central catheters (FICCs) at the mid-thigh. PICC insertion via upper extremity veins had also been investigated in 2604 cancer patients without SVCS as control. The average catheterization time, one-time puncture frequency, catheter duration and complications were compared between two groups. Results: In the FICC group, the mean catheterization time was 31.60 ± 0.15 minutes, one-time puncture frequency was 1.05 ± 0.08, and catheter duration was 168.95 ± 20.47 days. There was no significant difference compared with the upper extremity veins PICC group: 31.11 ± 3.86 minutes, 1.03 ± 0.30, and 173.58 ± 39.81 days, respectively. The major complications included skin allergy to chlorhexidine gluconate (CHG) dressings, exudation, catheter-related infection, catheter occlusions, unplanned catheter withdrawal, venous thrombosis, mechanical phlebitis, and catheter malposition. It is interesting that a higher rate of catheter malposition was observed in the upper extremity veins PICC group than in the FICC group (2.15% vs. 0.00%). There were no significant differences in other complications between the two groups. Conclusions: Real-time ultrasound-guided PICCs accessed via the superficial femoral vein at the mid-thigh is a new modified technique with low complications, which can be a feasible and safe alternative venous access for patients with SVCS. |
| تدمد: | 1724-6032 1129-7298 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::550658be931989ee16614e545a862c96 https://doi.org/10.5301/jva.5000810 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....550658be931989ee16614e545a862c96 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17246032 11297298 |
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