Identification of catheter misplacement in early port CVC dysfunction

Mauri, Davide; Zafeiri, Georgia; Tsali, Lampriani; Chalkidou, Anastasia; Zarkavelis, Georgios; Papadaki, Aikaterini; Filis, Panagiotis; Pentheroudakis, George

doi:10.5114/wo.2018.77044

Cited by 3 publications

(1 citation statement)

References 7 publications

(12 reference statements)

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“…However, the placement and the use of TIVADs are associated with short-term complications related to the surgical procedure and long-term complications related to their use over several years, respectively. The position of the catheter tip in the SVC or in the ACJ is one of the most important risk factors for these complications, particularly thrombosis and infection [13][14][15][16][17]. However, the optimal position of the catheter in the SVC and/or ACJ, as well as the best method to assess the correct position of the catheter, is still a topic of debate [5,13].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the position of the central venous catheter tip of implantable venous access devices in the occurrence of postoperative thrombotic and non-thrombotic complications

Hamri,

Pop,

Mauriac

et al. 2024

Support Care Cancer

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Background: The catheter tip of totally implanted venous access devices (TIVAD) is a risk factor for postoperative complications. The study aim was to assess the early (EC) and late complications (LC) associated with the position of the catheter tip in patients with cancer.Methods: We reviewed cancer patients who had a TIVAD placed in 2020. EC (<90 days), LC (>90 days) and risk factors for TIVAD-associated complications were assessed. The vertical mismatch of the catheter tip compared to a "ideal position": >10mm below the carina and >20 mm belowthe right main bronchus (RMB) was assessed on post-implantation chest x-ray. Results:301 patients were included, with a median time of port follow at 9.4 months. All TIVADs were inserted via the internal jugular vein (IJV). The mean distance between the catheter tip and the carina or RMB was 21.3 mm and6.63 mm respectively. In total, 11.3% TIVADs developed EC and 5.6% had LC. An association was found between the position of the catheter tip from the carina (≤ 10mm vs > 10mm) and the occurrence of EC (18.3% vs 8.6%, p=0.01) and for the insertion site (left IJV vs right IJV) (19.1% vs 9.0% p=0.02). In multivariate analysis, left IJV insertion (OR 2.76), and a catheter tip located ≤ 10 mm below the carina (OR 2.71) were the signi cant independent risk factors of EC.Conclusions: TIVAD catheter tip located at less than 10 mm below the carina and a left-side inserted catheter are at higher risk of short-term complications.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the position of the central venous catheter tip of implantable venous access devices in the occurrence of postoperative thrombotic and non-thrombotic complications

Hamri,

Pop,

Mauriac

et al. 2024

Support Care Cancer

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Closed thoracic drainage in elderly patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax: A retrospective study

Wang,

Zhu,

Shao

et al. 2023

World J Clin Cases

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In recent years, metabolomics research has become a hot spot in the screening and treatment of cancer. It is a popular technique for the quantitative characterization of small molecular compounds in biological cells, tissues, organs or organisms. Further study of the tumor revealed that amino acid changes may occur early in the tumor. The rapid growth and metabolism required for survival result in tumors exhibiting an increased demand for amino acids. An abundant supply of amino acids is important for cancer to maintain its proliferative driving force. Changes in amino acid metabolism can be used to screen malignant tumors and improve therapeutic outcomes. Therefore, it is particularly important to study the characteristics of amino acid metabolism in colorectal cancer. This article reviews several specific amino acid metabolism characteristics in colorectal cancer.

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Evaluation of the Position of the Central Venous Catheter Tip of Implantable Venous Access Devices in the Occurrence of Postoperative Thrombotic and Non-Thrombotic Complications

Hamri,

Pop,

Mauriac

et al. 2023

Preprint

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Background: The catheter tip of totally implanted venous access devices (TIVAD) is a risk factor for postoperative complications. The study aim was to assess the early (EC) and late complications (LC) associated with the position of the catheter tip in patients with cancer. Methods: We reviewed cancer patients who had a TIVAD placed in 2020. EC (<90 days), LC (>90 days) and risk factors for TIVAD-associated complications were assessed. The vertical mismatch of the catheter tip compared to a “ideal position”: >10mm below the carina and >20 mm belowthe right main bronchus (RMB) was assessed on post-implantation chest x-ray. Results: 301 patients were included, with a median time of port follow at 9.4 months. All TIVADs were inserted via the internal jugular vein (IJV). The mean distance between the catheter tip and the carina or RMB was 21.3 mm and6.63 mm respectively. In total, 11.3% TIVADs developed EC and 5.6% had LC. An association was found between the position of the catheter tip from the carina (≤ 10mm vs > 10mm) and the occurrence of EC (18.3% vs 8.6%, p=0.01) and for the insertion site (left IJV vs right IJV) (19.1% vs 9.0% p=0.02). In multivariate analysis, left IJV insertion (OR 2.76), and a catheter tip located ≤ 10 mm below the carina (OR 2.71) were the significant independent risk factors of EC. Conclusions: TIVAD catheter tip located at less than 10 mm below the carina and a left-side inserted catheter are at higher risk of short-term complications.

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Identification of catheter misplacement in early port CVC dysfunction

Cited by 3 publications

References 7 publications

Evaluation of the position of the central venous catheter tip of implantable venous access devices in the occurrence of postoperative thrombotic and non-thrombotic complications

Evaluation of the position of the central venous catheter tip of implantable venous access devices in the occurrence of postoperative thrombotic and non-thrombotic complications

Closed thoracic drainage in elderly patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax: A retrospective study

Evaluation of the Position of the Central Venous Catheter Tip of Implantable Venous Access Devices in the Occurrence of Postoperative Thrombotic and Non-Thrombotic Complications

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