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 procedur...

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Autores principales:	Woo Jin Yang, Danbee Kang, Ji Hoon Shin, Eun Ho Jang, Seung Yeon Noh, Suyoung Park, Hee Ho Chu, Jong Woo Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0b04f2429ba44f59ace21a80e6db80fd
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spelling	oai:doaj.org-article:0b04f2429ba44f59ace21a80e6db80fd2021-12-02T17:15:22ZComparison of different techniques for the management of venous steno-occlusive lesions during placement of peripherally inserted central catheter10.1038/s41598-021-89780-62045-2322https://doaj.org/article/0b04f2429ba44f59ace21a80e6db80fd2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89780-6https://doaj.org/toc/2045-2322Abstract 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.Woo Jin YangDanbee KangJi Hoon ShinEun Ho JangSeung Yeon NohSuyoung ParkHee Ho ChuJong Woo KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Woo Jin Yang Danbee Kang Ji Hoon Shin Eun Ho Jang Seung Yeon Noh Suyoung Park Hee Ho Chu Jong Woo Kim Comparison of different techniques for the management of venous steno-occlusive lesions during placement of peripherally inserted central catheter
description	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.
format	article
author	Woo Jin Yang Danbee Kang Ji Hoon Shin Eun Ho Jang Seung Yeon Noh Suyoung Park Hee Ho Chu Jong Woo Kim
author_facet	Woo Jin Yang Danbee Kang Ji Hoon Shin Eun Ho Jang Seung Yeon Noh Suyoung Park Hee Ho Chu Jong Woo Kim
author_sort	Woo Jin Yang
title	Comparison of different techniques for the management of venous steno-occlusive lesions during placement of peripherally inserted central catheter
title_short	Comparison of different techniques for the management of venous steno-occlusive lesions during placement of peripherally inserted central catheter
title_full	Comparison of different techniques for the management of venous steno-occlusive lesions during placement of peripherally inserted central catheter
title_fullStr	Comparison of different techniques for the management of venous steno-occlusive lesions during placement of peripherally inserted central catheter
title_full_unstemmed	Comparison of different techniques for the management of venous steno-occlusive lesions during placement of peripherally inserted central catheter
title_sort	comparison of different techniques for the management of venous steno-occlusive lesions during placement of peripherally inserted central catheter
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/0b04f2429ba44f59ace21a80e6db80fd
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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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