scholarly journals Incidence of the Curvature of a Catheter on the Variations of the Inner Volume: Application to the Peripherally Central Catheters

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Gérard Guiffant ◽  
Patrice Flaud ◽  
Philippe Dantan ◽  
Christian Dupont ◽  
Jacques Merckx
Keyword(s):  
Venous Access ◽  
Daily Routine ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Access Device ◽  
Rotational Movement ◽  
Open Discussion ◽  
Venous Access Device ◽  
Central Catheters

One particular characteristic of peripherally central catheter (PCC), peripherally inserted central catheter (PICC) or totally implantable venous access device (TIVAD), is to be submitted to a rotational movement around the shoulder in the daily routine. The aim of this paper is to show that these movements induce a variation of the inner volume of the catheter which may be responsible for an internal distal pollution of the lumen. The results are presented in the framework of an open discussion on the catheter protocols of use as well as a possible improvement of the materials.

scholarly journals Comparison of the Quality of Life of Patients with Breast or Colon Cancer with an Arm Vein Port (TIVAD) Versus a Peripherally Inserted Central Catheter (PICC)

2021 ◽  
Vol 28 (2) ◽  
pp. 1495-1506
Author(s):  
Brent Burbridge ◽  
Hyun Lim ◽  
Lynn Dwernychuk ◽  
Ha Le ◽  
Tehmina Asif ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Well Being ◽  
Venous Access ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Access Device ◽  
The Mean ◽  
Venous Access Device

Introduction: Venous access is a crucial element in chemotherapy delivery. It remains unclear whether cancer patients prefer a port to a peripherally inserted central catheter (PICC). Our study aimed to assess cancer patients’ satisfaction with their venous access device and to compare the quality of life (QoL) of subjects with a PICC to those with a port. Methods: In this prospective cohort study, EORTC QLQ-C30, and a locally developed quality of life survey (QLAVD), designed to assess satisfaction with venous access devices, were administered to breast or colorectal cancer patients over a one-year period following the device insertion. Mixed effects models were used to assess changes on mean scores at different time points. Results: A total of 101 patients were recruited over a three-year period, (PICC group, n = 50; port group, n = 51). Survey response rates for months one and three were 72% and 48%, respectively. Overall, no significant differences were noted between the two groups in relation to EORTC QOL. At three months, the mean pain scores were 3.5 ± 2.3 for the port and 1.3 ± 0.75 for PICC (<0.001). The mean score for a negative effect of the venous access device on psychosocial well-being was 6.0 ± 4.1 for PICC and 3.0 ± 2.7 for the port (p = 0.005). Complications related to PICCs occurred in 38% patients versus 41% with a port (p > 0.24). Conclusions: Although subjects with a port experienced more pain during the device insertion or access for chemotherapy, it had a smaller negative impact on psychosocial scores than the PICC. No significant differences in complications rates were observed between the two devices.

The “Arm-to-Chest Tunneling” technique: A modified technique for arm placement of implantable ports or central catheters

2019 ◽  
Vol 20 (6) ◽  
pp. 771-777 ◽  
Author(s):  
Elias Kehagias ◽  
Dimitrios Tsetis
Keyword(s):  
Vascular Access ◽  
Standard Of Care ◽  
Venous Access ◽  
Implantation Technique ◽  
Modified Technique ◽  
Access Device ◽  
Device Placement ◽  
Venous Access Device ◽  
Central Catheters ◽  
Venous Access Devices

Purpose: Central venous catheters or “venous access devices” include totally implantable venous access devices or “ports,” peripherally inserted central catheters, and tunneled lines. Venous access devices are now the standard of care in patients requiring long-term intravenous drug administration. Arm venous access device placement is a valuable option for vascular access yet often complicated or rendered practically impossible by the condition and size of peripheral veins. We describe a modification of the arm venous access device implantation technique that we use in our department in order to offer this option to our patients, regardless of their peripheral veins condition. Methods: After ultrasound guided venous access of a suitable neck vein, we create a port pouch—in case of a totally implantable vascular access device—or a skin nick—in case of a venous access device—in the inner aspect of the mid-arm. Using a straight metal tunneler, we tunnel the line from the neck to the arm in two stages, externalizing and re-inserting the line into a skin nick made on the deltopectoral groove. We call this technique “Arm-to-Chest Tunneling” and use it to place venous access devices in the arm using a neck venous access. Results: The Arm-to-Chest Tunneling technique allows us to use larger arm venous access device catheters irrespective of the arm veins condition. Thus, this technique has the advantages of arm venous access device placement, with the added benefit of saving the arm veins. Conclusion: The “Arm-to-Chest Tunneling” method offers the alternative to place a venous access device in a more discreet site in the arm, even in cases in which arm veins are inadequate.

Risk factors determining central venous access device-associated deep vein thrombosis resolution in children: a retrospective study

2021 ◽  
Author(s):  
Miguel García-Boyano ◽  
José Manuel Caballero-Caballero ◽  
Marta García Fernández de Villalta ◽  
Mar Gutiérrez Alvariño ◽  
María Jesús Blanco Bañares ◽  
...  
Keyword(s):  
Risk Factors ◽  
Deep Vein Thrombosis ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous ◽  
Central Venous Access Device ◽  
Access Device ◽  
Vein Thrombosis ◽  
Venous Access Device ◽  
Deep Vein

A newly designed total implantable venous access device in rats for research with high efficiency and low cost

2014 ◽  
Vol 187 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Hsin-Lin Tsai ◽  
Jei-Wen Chang ◽  
Chin-Su Liu ◽  
Tai-Wai Chin ◽  
Chou-Fu Wei ◽  
...  
Keyword(s):  
High Efficiency ◽  
Low Cost ◽  
Venous Access ◽  
Access Device ◽  
Venous Access Device

Peripherally Inserted Central Catheter Lines in the Behavioral Health Client: A Perspective

2006 ◽  
Vol 11 (3) ◽  
pp. 154-156
Author(s):  
Vera Deacon ◽  
Susan Oliver
Keyword(s):  
Behavioral Health ◽  
Chemotherapeutic Agents ◽  
Treatment Modalities ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Short Term ◽  
Hyperosmolar Solutions ◽  
Central Catheters ◽  
Indications For Use

Abstract Peripherally inserted central catheters (PICCs) are used in many different patient populations. The indications for use vary and include infusions of hyperalimentation, chemotherapeutic agents, hyperosmolar solutions, antibiotics, or long-term rehydration. However, on occasion, there are clients who do not fit the typical criteria for PICC insertion. This includes, but is not limited to, those individuals who are receiving frequent intravenous (IV) “sticks” or even short-term infusions of irritating drugs. The behavioral health client is one who may not be the typical PICC or IV patient but who may benefit from the placement of a PICC for certain treatment modalities.

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