Centrally inserted tunnelled peripherally inserted central catheter: Off-label use for venous access in oncology patients

The Journal of Vascular Access
Dayananda LingegowdaPriya Ghosh

Abstract

Vascular access in oncology patients can often be challenging, especially after a few cycles of chemotherapy through peripheral lines which can cause veins to become attenuated. We evaluated the feasibility of centrally placed non-cuffed tunnelled peripherally inserted central catheter in the chest as an alternative to conventional peripherally inserted central catheter. Patients referred for peripherally inserted central catheter found to have inadequate peripheral venous access in their arms due to prior chemotherapy, and therefore they were offered placement of the non-cuffed tunnelled peripherally inserted central catheter in the chest. Adult patients were subjected to the procedure under local anaesthesia, while paediatric patients underwent this procedure under general anaesthesia. Ultrasound guidance was used for venous access, and fluoroscopy was used for tip positioning. Using internal jugular vein access, BARD Groshong-valved 4F peripherally inserted central catheter was placed with its tip in the cavo-atrial junction. Proximal end of the catheter was brought out through the subcutaneous tunnel, so that the exit point of the peripherally inserted central catheter lies over the upper chest. Extra length of the catheter...Continue Reading

References

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Aug 5, 2017·The Journal of Vascular Access·Filippo BernasconiNicola Disma

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Citations

Mar 18, 2021·The Journal of Vascular Access·Giustivi DavidePaglia Stefano
Jul 30, 2021·The Journal of Vascular Access·Romman NourzaieAthanasios Diamantopoulos

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