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Comparison of different techniques for the management of venous steno-occlusive lesions during placement of peripherally inserted central catheter

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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)
강단비김종우노승연박수영신지훈양우진장은호추희호
Issued Date
2021
Type
Article
Keyword
CathetersMedical researchOutcomes researchPatients
DOI
10.1038/s41598-021-89780-6
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8115
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_0b04f2429ba44f59ace21a80e6db80fd&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Comparison%20of%20different%20techniques%20for%20the%20management%20of%20venous%20steno-occlusive%20lesions%20during%20placement%20of%20peripherally%20inserted%20central%20catheter&offset=0&pcAvailability=true
Publisher
SCIENTIFIC REPORTS
Location
미국
Language
한국어
ISSN
2045-2322
Citation Volume
11
Citation Number
1
Citation Start Page
0
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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