Experience of Peripherally Inserted Central Venous Catheter in Patients with Hematologic Diseases

Hashimoto, Yoshinori; Fukuta, Takanori; Maruyama, Junko; Omura, Hiromi; Tanaka, Takayuki

doi:10.2169/internalmedicine.56.7625

Cited by 28 publications

(26 citation statements)

References 18 publications

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“…An ultrasound-guided insertion may also reduce the incidence of PICC-related deep vein thrombosis due to reduced blood vessel damage at the time of puncture. 16 In the present study, deep vein thrombosis occurred in only two cases placed from the basilica vein. Both patients were successfully treated with only the administration of an oral anticoagulant because the embolus was small.…”

Section: Discussioncontrasting

confidence: 45%

Peripherally Inserted Central Venous Catheters Provide Safe and Easy Central Venous Access in Patients with Head and Neck Cancer

Sato

Kumai

Hayashi

et al. 2021

International Journal of Practical Otolaryngology

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Purpose The use of peripherally inserted central venous catheters (PICCs) has increased recently; several reports have revealed that they can be easily and safely used in patients with various diseases. However, there are few reports on the use of PICCs in patients with head and neck cancer. This study was aimed at evaluating the safety and feasibility of use of PICCs in patients with head and neck cancer. Materials and Methods We retrospectively analyzed the date of 118 PICC insertions in 85 patients with head and neck cancer from January 2014 to December 2017. The PICCs have been placed under ultrasound guidance in all cases. Results The PICC puncture success rate was 95.2%. Catheter-related bloodstream infection occurred in four cases. The most common complication necessitating PICC removal was suspected catheter-related bloodstream infection (24 cases). All cases with confirmed and suspected catheter-related bloodstream infection improved with administration of antimicrobial agents. Phlebitis occurred in five cases, in all of whom the PICC placement had been made via an antecubital vein; the condition improved without treatment in all five cases. Deep vein thrombosis occurred in two cases, both of which improved with oral anticoagulant therapy. Conclusion This study demonstrated that the complications associated with ultrasound-guided PICC insertion are manageable, and improve with conservative treatment in the majority of cases. Therefore, use of PICCs may be considered for easy and safe central venous access in patients with head and neck cancer, because the insertion success rate was acceptable.

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Section: Discussioncontrasting

confidence: 45%

Peripherally Inserted Central Venous Catheters Provide Safe and Easy Central Venous Access in Patients with Head and Neck Cancer

Sato

Kumai

Hayashi

et al. 2021

International Journal of Practical Otolaryngology

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“…Several reports have addressed the usefulness of PICCs in the context of malignancy, neuromuscular disease, or hematologic disease (Hashimoto et al, 2017;Juntas-Morales et al, 2017;Park et al, 2016). In addition, previous research has shown that PICC insertion is a relatively low-risk procedure compared with CVC insertion (Brass et al, 2015;Saugel et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Option of Using Peripherally Inserted Central Catheters in Elderly Patients With Dementia: An Observational Study

Nakano

Kondo

Murohara

et al. 2020

Gerontology and Geriatric Medicine

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Background: Peripherally inserted central catheters (PICCs) facilitate the treatment of several diseases. Here, we assessed the clinical course of elderly patients with dementia using PICCs. Methods: This retrospective observational study was conducted at a single dementia treatment center. PICCs were used in elderly inpatients with dementia who required (a) intravenous therapy, supplemental parenteral nutrition, and dysphagia rehabilitation during acute illness; (b) end-of-life care; (c) total parenteral nutrition (TPN); or (d) an alternative to peripheral vascular (PV) access. Results: Fifty-nine patients were enrolled (83.5 ± 6.9 years): 61% were in the acute treatment group, and 17% were in the end-of-life care group. The median catheter lifespan was 42 (23–87.5) days. The incidence of catheter-related bloodstream infection was 0.22 per 1,000 PICC-days, and that of deep venous thrombosis was 0.66 per 1,000 PICC-days. Among the patients in acute treatment group, 19% resumed sufficient oral intake after the treatment using PICC, and 36% resumed oral intake of gelatin-like food. Among the patients in the end-of-life care group, 91% received intravenous fluids continuously until death by initially inserted PICC. Conclusion: In elderly patients with dementia, PICCs might be one of the options during the treatment of acute illness as well as for prolonged support during end-of-life care.

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“…Morano SG et al also carried out research in patients with hematological malignancies with 7.7 % CLABSI and 2.6 % catheter-related thrombosis [14]. 18.9% CLABSI was reported in Yoshinori H et al study [15]. Harter C et al reported 7.7% incidence of phlebitis [16].…”

Section: Incidence and Risk Factors Of Picc-related Complicationsmentioning

confidence: 98%

Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review

Mingkun¹,

Yin²,

Feng³

et al. 2019

EJCBS

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Peripherally inserted central catheters (PICCs) are widely used in cancer and critical patients for it's convenience and performance compared to central venous catheters (CVCs), however, PICCs are still associated with some complications which increase disease burden and health care cost. No agreement about incidence and risk factors of PICC-related complications has reached from previous studies although much work has been done in this area. Lack of targeted prevention may lead to difficulties and stagnation in prevention of PICC-related complications. Our review reviewed current literatures on PICC-related complications and risk factors aiming to provide reference for further PICC research and prevention measures. In this review, we searched PICC relate literatures, and listed the incidence and risk factors of PICC-related complications. Different studies reported different data and risk factors, and we have detailed in this review. The total incidence rate of complications ranged from 3% to 61.67%, infection and venous thrombosis are the most two common complications. The risk factors varied from study to study, but it is basically divided into patient related-, operation related-and material related-. For the prevention measures, we considered standardized operation and nursing according to guidance played an important role. In this field, better research and conclusions are needed to guide the work of medical staff.

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Experience of Peripherally Inserted Central Venous Catheter in Patients with Hematologic Diseases

Cited by 28 publications

References 18 publications

Peripherally Inserted Central Venous Catheters Provide Safe and Easy Central Venous Access in Patients with Head and Neck Cancer

Peripherally Inserted Central Venous Catheters Provide Safe and Easy Central Venous Access in Patients with Head and Neck Cancer

Option of Using Peripherally Inserted Central Catheters in Elderly Patients With Dementia: An Observational Study

Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review

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