The feasibility and safety of PICCs accessed via the superficial femoral vein in patients with superior vena cava syndrome

2018 ◽  
Vol 19 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Yonghui Wan ◽  
Yuxin Chu ◽  
Yanru Qiu ◽  
Qian Chen ◽  
Wei Zhou ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Femoral Vein ◽  
Vena Cava ◽  
Superficial Femoral Vein ◽  
Catheter Malposition ◽  
Vena Cava Syndrome ◽  
Central Catheters ◽  
Extremity Veins

Objective: To investigate the feasibility and safety of the peripherally inserted central catheters (PICCs) accessed via the superficial femoral vein in patients with superior vena cava syndrome (SVCS). Methods: From October 2010 to December 2014, 221 cancer patients with SVCS in our center received real-time ultrasound-guidance of the superficial femoral vein inserted central catheters (FICCs) at the mid-thigh. PICC insertion via upper extremity veins had also been investigated in 2604 cancer patients without SVCS as control. The average catheterization time, one-time puncture frequency, catheter duration and complications were compared between two groups. Results: In the FICC group, the mean catheterization time was 31.60 ± 0.15 minutes, one-time puncture frequency was 1.05 ± 0.08, and catheter duration was 168.95 ± 20.47 days. There was no significant difference compared with the upper extremity veins PICC group: 31.11 ± 3.86 minutes, 1.03 ± 0.30, and 173.58 ± 39.81 days, respectively. The major complications included skin allergy to chlorhexidine gluconate (CHG) dressings, exudation, catheter-related infection, catheter occlusions, unplanned catheter withdrawal, venous thrombosis, mechanical phlebitis, and catheter malposition. It is interesting that a higher rate of catheter malposition was observed in the upper extremity veins PICC group than in the FICC group (2.15% vs. 0.00%). There were no significant differences in other complications between the two groups. Conclusions: Real-time ultrasound-guided PICCs accessed via the superficial femoral vein at the mid-thigh is a new modified technique with low complications, which can be a feasible and safe alternative venous access for patients with SVCS.

Catheterization of PICC through a superficial femoral vein for patients with superior vena cava syndrome using ECG positioning and ultrasound-guided technologies

2021 ◽  
pp. 112972982110353
Author(s):  
Weizhu Xiao ◽  
Qiuju Lin ◽  
Shuping Chen ◽  
Shanshan Li ◽  
Cuifen Lin ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Guide Wire ◽  
Superior Vena ◽  
Femoral Vein ◽  
Vena Cava ◽  
Ultrasound Guided ◽  
Superficial Femoral Vein ◽  
Catheter Tip ◽  
Vena Cava Syndrome

Objective: We herein demonstrate the efficacy of PICC placement through a superficial femoral vein in patients with superior vena cava syndrome using ultrasound guidance and electrocardiographic localization. The treatment of PICC disconnection was also discussed. Methods: The study enrolled 51 patients with superior vena cava syndrome. Ultrasound-guided technology and ECG positioning technology are employed to help these patients in catheterization. The puncture time, the number of punctures, and catheter tip position were recorded. The patient was followed up for at least 2 years. The complications and treatment during follow-up were recorded. Result: The average puncture time was 32.13 ± 3.91 min. A total of 49 patients were successfully punctured once, while 2 patients failed in the first puncture. The main reason for puncture failure is that the inability of a guide wire to pass through. After the nurse removed the needle and pressed the puncture point until no rebleeding occurred, the puncture above the original puncture point was successful. X-ray examination revealed that the catheter tip was located in the inferior vena cava, above the diaphragm, near the right atrium. The success rate of catheterization was 100%. The visual analog scale (VAS) score was (2.44 ± 0.73) at the time of puncture, which was tolerable during the operation, and the patient did not complain of obvious pain following the operation. One patient developed complications of broken tube half a year after the puncture. Interventional physicians utilized angiography to locate the broken catheter. Conclusion: It is safe and feasible to place PICC through a superficial femoral vein under ultrasound combined with ECG positioning technology in patients with superior vena cava syndrome.

scholarly journals Successful Catheter-Directed Thrombolysis of Massive Bilateral Upper Extremity DVT Presenting as Superior Vena Cava Syndrome

2019 ◽  
Vol 1 (5) ◽  
pp. 803-806
Author(s):  
Yashwant Agrawal ◽  
Jean-Yves R. Nazroo ◽  
Nihar Jena ◽  
Vince Marceau ◽  
Dominika Zoltowska ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Catheter Directed Thrombolysis ◽  
Vena Cava Syndrome

Cannulation of the superficial femoral vein at mid-thigh when catheterization of the superior vena cava system is contraindicated

2019 ◽  
Vol 21 (4) ◽  
pp. 524-528 ◽  
Author(s):  
Linfang Zhao ◽  
Xiuzhu Cao ◽  
Yapping Wang
Keyword(s):  
Superior Vena Cava ◽  
Complication Rate ◽  
Superior Vena ◽  
Femoral Vein ◽  
Vena Cava ◽  
Infusion Therapy ◽  
Superficial Femoral Vein ◽  
Indwelling Time ◽  
Central Catheters

Purpose: Patients needing medium- to long-term infusion therapy with limited catheterization via the superior vena cava system is a challenging condition. The conventional catheterization via the femoral vein in the groin has a high complication rate, discomfort, and short indwelling time. Since changing the insertion site can avoid the disadvantage of conventional catheterization via the femoral vein in the groin, the present study aimed to investigate the effects of femoral inserted central catheters insertion via the superficial femoral vein at the mid-thigh to resolve the issue of limited superior vena cava system catheterization. Methods: Based on the symptoms and signs, enhanced computed tomography findings, and insertion history, in 121 patients, limited catheterization via the superior vena cava system was identified. Subsequently, the femoral inserted central catheters were inserted via the superficial femoral vein at the mid-thigh under the guidance of ultrasound, and the tip of femoral inserted central catheters was in the inferior vena cava. Results: A total of 121 patients underwent femoral inserted central catheters insertion via a superficial femoral vein at the mid-thigh from August 2017 to December 2018. The success rate of insertion was 100%, and the indwelling time was 3–472 days. The complications of femoral inserted central catheters in the thigh were similar to that of peripherally inserted central catheters in the arm. The incidence of primary malposition was 1.65%, the incidence of catheter-related thrombosis was 0.83%, and the central line associated bloodstream infection rate was 0.83%. Subsequently, 116 lines (95.87%) were removed at the end of the treatment, one line (0.83%) was accidentally removed by the patient, and four lines (3.31%) were unplanned removed due to complications. Conclusion: The technique of femoral inserted central catheters insertion via the superficial femoral vein at the mid-thigh has a high success rate, low complication rate, and less impact on activities, and is easy to maintain. This phenomenon resolves the patient’s needs of medium- to long-term infusion therapy with limited catheterization of superior vena cava system.

Management of Superior Vena Cava Syndrome by Internal Jugular to Femoral Vein Bypass

2006 ◽  
Vol 82 (1) ◽  
pp. 310-312 ◽  
Author(s):  
Rajinder Singh Dhaliwal ◽  
Debasis Das ◽  
Suvitesh Luthra ◽  
Jaswinder Singh ◽  
Sudhir Mehta ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Femoral Vein ◽  
Vena Cava ◽  
Vein Bypass ◽  
Vena Cava Syndrome
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