Comparison of different techniques for the management of venous steno-occlusive lesions during placement of peripherally inserted central catheter
- Abstract
- The purpose of this study is to investigate strategies for peripherally inserted central catheter (PICC) placement in patients with venous steno-occlusive lesion (VSOL). We performed a retrospective cohort study in adults with central or peripheral VSOL who underwent PICC placement procedures from January 2015 to December 2018. Four different strategies [selecting alternative pathway/over the wire (SAP/OTW), percutaneous transluminal angioplasty (PTA), re-puncture in ipsilateral arm (RIA), and catheter placement in the contralateral arm (CICA)] were analyzed and we compared the clinical outcomes by strategy and compared the strategy between central and peripheral VSOLs. During 4 years, 258 PICC procedures performed in patients with VSOLs, 100 PICC were included in the analysis. The overall technical success rate of initial attempt with SAP/OTW was 32.2%. As a second-line technique, PTA was most frequently used in both central (100%) and peripheral (68.2%) VSOL groups. The clinical success rates within 2 months of SAP/OTW, PTA, RIA, CICA were 55.2%, 43.2%, 14.3%, and 33.3%, respectively (P=0.24). In conclusion, when the SAP/OTW failed, the PTA can be preferred as a second-line technique for both central and peripheral VSOLs. When guidewire passage fails, the operator could adopt the RIA or CICA technique as an alternative method.
- Author(s)
- 강단비; 김종우; 노승연; 박수영; 신지훈; 양우진; 장은호; 추희호
- Issued Date
- 2021
- Type
- Article
- Keyword
- Catheters; Medical research; Outcomes research; Patients
- DOI
- 10.1038/s41598-021-89780-6
- URI
- https://oak.ulsan.ac.kr/handle/2021.oak/8115
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- Publisher
- SCIENTIFIC REPORTS
- Location
- 미국
- Language
- 한국어
- ISSN
- 2045-2322
- Citation Volume
- 11
- Citation Number
- 1
- Citation Start Page
- 0
- Citation End Page
- 0
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