Khalid Othman, Shaima Abdulrahman, Refaat Salman, Asma Al Harbi, Wafa Al Malik, Mohammad Arabi
PURPOSE: To identify the rate of Peripherally Inserted Central Catheter (PICC) placement in patients with chronic kidney disease (CKD), stage 3B or higher (glomerular filtration rate (eGFR) <45 mL/min/1.73 m2 ). MATERIAL AND METHODS: A retrospective study of 2825 adult patients (male 51.2%, female 48.8%) who had a PICC insertion from January 2017 to December 2019. The data collected includes gender, eGFR value at the date of insertion, accessed vein and side, ongoing or subsequent dialysis within 1 year, and death within 1 year of the insertion date...
June 6, 2021: Journal of Vascular Access
Mari Abe-Doi, Ryoko Murayama, Chieko Komiyama, Ryosuke Tateishi, Hiromi Sanada
BACKGROUND: The increase in the success rate of peripheral intravenous catheterization against a difficult intravenous access (DIVA) using ultrasonography is reported; however, reports related to the effectiveness of using ultrasonography in increasing the success rate for visible and palpable veins is limited. Furthermore, according to a previous study, first attempt success in catheterization contributes to low catheter failure incidence. Thus, we developed a catheterization method using ultrasonography for peripheral veins including visible and palpable veins...
June 2, 2021: Journal of Vascular Access
Mark Henry Alon
BACKGROUND: This case report describes a subclavian vein cannulation that inadvertently led to an arterial puncture with the catheter tip radiologically seen at the level of the aorta. This case emphasizes the importance of postprocedural imaging and the disadvantages of not using ultrasound guidance in central venous catheterization. CASE PRESENTATION: A 24-year-old Caucasian man with diabetes mellitus type 1 presented himself to the emergency department due to abdominal pain accompanied by nausea and vomiting...
May 28, 2021: Journal of Medical Case Reports
Alfonso Piano, Annamaria Carnicelli, Emanuele Gilardi, Nicola Bonadia, Kidane Wolde Sellasie, Mauro Pittiruti, Mariano Alberto Pennisi
We report a case of primary malposition of a PICC inserted by guidewire replacement in the emergency room. Intraprocedural tip location by intracavitary electrocardiography was not feasible because the patient had atrial fibrillation; intraprocedural tip location by ultrasound (using the so-called "bubble test") showed that the tip was not in the superior vena cava or in the right atrium. A post-procedural chest X-ray confirmed the malposition but could not precise the location of the tip. A CT scan (scheduled for other purposes) finally visualized the tip in a very unusual location, the left pericardiophrenic vein...
May 20, 2021: Journal of Vascular Access
Lauren Icken, Ellora V Sharma, Jon W Schrock, Anne P Lally, Samuel J Tate, Matthew P Tabbut, Robert A Jones
OBJECTIVE: Ultrasound-guided peripheral intravenous (USPIV) catheters are being placed in emergency department (ED) patients with increasing frequency. USPIV catheters have been shown to improve the success rates of cannulation. It is unknown what the long-term effect of USPIV placement will be on fistula creation in chronic kidney disease (CKD) patients considering these ultrasound-guided peripheral lines often target the same deeper vessels used for fistulas. This study aimed to survey whether emergency medicine programs place restrictions on USPIV placement in patients with CKD stages 3-5...
April 30, 2021: Journal of Vascular Access
Bing-Xin Lin, Chun-Sen Xu
Background: To analyze the risk factors of a peripherally inserted central catheter (PICC)-related venous thrombosis in patients with breast cancer undergoing chemotherapy and explore its preventive measures. Methods: Data of 780 patients with breast cancer who underwent PICC chemotherapy in our hospital from January 2014 to June 2015 were retrospectively analyzed. The incidence of catheter-related thrombosis was observed, and related factors of venous thrombosis were analyzed...
2021: International Journal of General Medicine
Junren Kang, Wenyan Sun, Hailong Li, En Ling Ma, Wei Chen
BACKGROUND: The Michigan Risk Score (MRS) was the only predicted score for peripherally inserted central venous catheters (PICC) associated upper extremity venous thrombosis (UEVT). Age-adjusted D-dimer increased the efficiency for UEVT. There were no external validations in an independent cohort. METHOD: A retrospective study of adult patients with PICC insertion was performed. The primary objective was to evaluate the performance of the MRS and age-adjusted D-dimer in estimating risk of PICC-related symptomatic UEVT...
April 16, 2021: Journal of Vascular Access
Nicholas Mielke, Steven Johnson, Patrick Karabon, Amit Bahl
OBJECTIVE: Thrombophlebitis associated with peripheral intravenous catheters (PIVCs) is a poorly described complication in the literature. Given limited accuracy of current assessment tools and poor documentation in the medical record, the true incidence and relevance of this complication is misrepresented. We aimed to identify risk factors in the development of thrombophlebitis using an objective methodology coupling serial diagnostic ultrasound and clinical assessment. METHODS: We conducted a single-site, prospective observational cohort study...
April 16, 2021: Journal of Vascular Access
Panagiotis M Kitrou, Tobias Steinke, Rami El Hage, Pedro Ponce, Pierleone Lucatelli, Konstantinos Katsanos, Stavros Spiliopoulos, Alessio Spinelli, Theodosios Bisdas, Konstantinos Stavroulakis, Ounali Jaffer, Alexandros Mallios, Simone Zilahi de Gyurgyokai, Roberto Cancellieri, Raphael Coscas, Dimitrios Karnabatidis
INTRODUCTION: This was a European, multicenter, investigator-initiated and run, single-arm retrospective analysis to assess the safety and the clinical benefit of the use of paclitaxel-coated balloon (PCB) for the treatment of symptomatic central venous stenosis (CVS). MATERIALS AND METHODS: Eleven centers from 7 countries across Europe, submitted 86 cases performed during the period between October 2015 and June 2018. Minimum follow-up was 6 months. Patient baseline demographics and procedural details were collected...
June 2021: Journal of Endovascular Therapy
Elisa Deganello, Francesco Gastaldo, Sonia Masiero, Milena Fasson, Riccardo Ivan Colopi, Luciano Girotto, Jacopo Monticelli, Elena Marcante, Patrizia Furlan, Vincenzo Baldo, Claudio Pilerci, Piero Realdon, Domenico Montemurro, Alberto Rigo, Patrizia Benini, Fabio Baratto
BACKGROUND: On February 21 2020, in Schiavonia Hospital occurred the first death by COVID-19 in Italy and since this date SARS-CoV-2 caused more than 100,000 deaths in our country. Our hospital was immediately closed and re-opened after 15 days as a reference Covid Hospital. Among services involved in a process of destruction and rebirth there was also the Vascular Access Team. METHODS: We analyzed our Vascular Access Team activity comparing data from the first month (March) in which basically it did not work and data from the following month (April) in which we began to re-build the Team adapting it to the new reality...
April 7, 2021: Journal of Vascular Access
Shigeo Ichihashi, Yamato Tamura, Shinsaku Maeda, Kimihiko Kichikawa
Efficacy of percutaneous deep venous arterialization (pDVA) has been reported for patients with no-option chronic limb threatening ischemia. To date, the procedure has been limited for below the knee/below the ankle occlusive disease. The present report describes the pDVA performed at a femoropopliteal segment for a patient with a stump complication after below the knee amputation. The patient was a 70-year-old male who had a history of endovascular treatment in the right superficial femoral artery (SFA) and below knee amputation 6 years before...
April 6, 2021: Catheterization and Cardiovascular Interventions
Seong Cho
BACKGROUND: Peripherally inserted central catheter (PICC) use among critically ill patients with or without acute kidney injury (AKI) has gradually increased. Ultrasound-guided bedside PICC insertion in intensive care units (ICU) has been reported to be safe and effective. Reports of PICC insertion by a nephrologist without fluoroscopy, however, are relatively rare. METHODS: This retrospective study included patients (n = 224) who had a PICC inserted by a single nephrologist at Samsung Changwon Hospital from January 2019 to June 2020...
March 2021: Kidney Research and Clinical Practice
Sandeep Tripathi, Taylor Gladfelter
BACKGROUND: Despite being the most common hospital procedure, limited information is available on the peripheral intravenous (PIV) catheter insertion practices. This study was designed to evaluate the contemporary PIV insertion practice (all age groups), and to identify the patient and device-related factors influencing the dwell times (<18 years). METHODS: Single Center Retrospective study. Patients of all age groups admitted to the hospital for >4 midnights, from 01/2015 to 12/2019...
March 30, 2021: Journal of Vascular Access
Yan-Yan Liu, Yu-Peng Wang, Ling-Yun Zu, Kang Zheng, Qing-Bian Ma, Ya-An Zheng, Wei Gao
BACKGROUND: It is challenging to establish peripheral intravenous access in adult critically patients. This study aims to compare the success rate of the first attempt, procedure time, operator satisfaction with the used devices, pain score, and complications between intraosseous (IO) access and central venous catheterization (CVC) in critically ill Chinese patients. METHODS: In this prospective clustered randomized controlled trial, eight hospitals were randomly divided into either the IO group or the CVC group...
2021: World Journal of Emergency Medicine
Giustivi Davide, Gidaro Antonio, Baroni Monica, Paglia Stefano
BACKGROUND: The tunneling technique is currently widely used for placement of CVC. Recently, some clinicians have used this technique for peripherally inserted central catheters (PICC), or Midline catheters (MCs). OBJECTIVE: To describe a safe antegrade tunneling technique for PICCs and MCs insertion with a blunt tunneler. METHODS: This retrospective monocentric survey collected ASST Lodi hospital data from January 1st to December 31st, 2019...
March 16, 2021: Journal of Vascular Access
Yaping Wang, Linfang Zhao
BACKGROUND: Peripherally inserted central catheter (PICC) has been widely used. The catheter-related complications might occur and the reports of secondary malposition into azygos veins were rare. METHODS: This retrospective review summarized the experience in diagnosis and management of secondary malposition of PICC into azygos veins in 25 cases. RESULTS: When the catheter dysfunction occurred in the PICC on the left limb, it was necessary to consider whether there would be malposition into azygos veins after other reasons were excluded...
March 9, 2021: Journal of Vascular Access
Robert G Jones, Andrew P Willis
Here we describe the use of a VBX balloon expandable stent-graft (WL Gore, Flagstaff, AZ, USA) to treat a right brachiocephalic vein stenosis in a haemodialysis patient prior to ipsilateral upper limb arterio-venous (AV) fistula formation. Balloon expandable stent-grafts are unsuitable for treating peripheral fistula stenoses due to their susceptibility of being crushed. The right brachiocephalic vein is both relatively short in comparison to the left and is less susceptible to extrinsic compression and the use of such a device to treat stenosis here allows for very accurate placement and restoration of luminal diameter...
March 5, 2021: Journal of Vascular Access
Jeong Heon Park, Jaegyok Song, Pyeong-Wha Oh
Central venous catheter (CVC) insertion is commonly used in the operating room and intensive care unit to monitor central venous pressure and secure an intravenous route to deliver medications and nutritional support that cannot be safely infused into peripheral veins. However, CVC insertion may be associated with serious complications such as arterial puncture, hematoma, pneumothorax, hemothorax, catheter infections, and thrombosis. Several methods have been recommended to prevent these complications. Here we report a case of massive hemothorax caused by attempts of CVC insertion into the internal jugular vein and subclavian vein in a patient with multiple trauma...
February 2021: Journal of Dental Anesthesia and Pain Medicine
Ran Kim, Young Soo Do, Kwang Bo Park
Arteriovenous malformations (AVMs) are direct communications between primitive reticular networks of dysplastic vessels that have failed to mature into capillary vessels. Based on angiographic findings, peripheral AVMs can be classified into six types: type I, type IIa, type IIb, type IIc, type IIIa, and type IIIb. Treatment strategies vary with the types. Type I is treated by embolizing the fistula between the artery and the vein with coils. Type II (IIa, IIb, and IIc) AVM is treated as follows: first, reduce the blood flow velocity in the venous segment of the AVM with coils; second, perform ethanol embolotherapy of the residual shunts...
December 21, 2020: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
Gu Qiao, Xiao-Kang Zeng, Xiang-Ying Yang, Meng-Yuan Diao, Ying Zhu, Jing Yang, Wei Hu
The application of Venovenous (VV) extracorporeal membrane oxygenation (ECMO) in trauma and patients with severe bleeding tendency has been controversial. However, VV ECMO without anticoagulation contributes to reducing the risk of bleeding during ECMO maintenance. VV ECMO serves critical roles in therapy of patients with severe pulmonary infection and failure in conventional therapy. The common peripheral catheterization approach for VV ECMO is femoral vein-internal jugular vein catheterization, and bilateral femoral vein catheterization can also achieve the purpose of respiratory support for patients with limited cervical catheterization...
February 4, 2021: Perfusion
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