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Efficacy and Safety of Midline Catheters with Integrated Wire Accelerated Seldinger Technique

PURPOSE: The midline catheter (MC) is a peripheral venous access device with the catheter tip located in the axilla and available for mid-term intravenous (IV) therapy. This study evaluated the efficacy and clinical outcomes associated with the placement of MCs with an integrated wire-accelerated Se...

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Autores principales: Jeon, Mun Hee, Kim, Cheol Seung, Han, Kyu Dam, Kim, Mi Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Vascular Surgery 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938155/
https://www.ncbi.nlm.nih.gov/pubmed/35307696
http://dx.doi.org/10.5758/vsi.210062
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author Jeon, Mun Hee
Kim, Cheol Seung
Han, Kyu Dam
Kim, Mi Jin
author_facet Jeon, Mun Hee
Kim, Cheol Seung
Han, Kyu Dam
Kim, Mi Jin
author_sort Jeon, Mun Hee
collection PubMed
description PURPOSE: The midline catheter (MC) is a peripheral venous access device with the catheter tip located in the axilla and available for mid-term intravenous (IV) therapy. This study evaluated the efficacy and clinical outcomes associated with the placement of MCs with an integrated wire-accelerated Seldinger technique for IV access. METHODS: Materials and A retrospective review was conducted at a single center in South Korea between March 2020 and July 2020. Consecutive patients in whom MC insertions were performed by vascular surgeons were enrolled. The outcomes included catheter indwelling time and incidence of catheter-related adverse events. RESULTS: Ninety-five patients (117 catheters) were included in the study. The total indwelling time was 1,964 days, with a median of 16.7 days (range, 0-76). The complication-free catheter rates at 5 and 28 days were 92.9% and 65.5%, respectively. Overall, 32 (27.4%) catheters were removed due to complications; however, major complications, such as symptomatic deep venous thrombosis and catheter-induced bloodstream infections, were confirmed in only 3 (2.6%) catheters. A common reason for premature catheter removal is inadvertent removal owing to patient inattention. A high body mass index and female sex were identified as risk factors for short indwelling times and complicated premature catheter removal. CONCLUSION: MC insertion is a simple and operator-friendly procedure with a low rate of major complication. It enables mid-term IV treatment through a single procedure if there are no specific complications, thereby improving quality of life of patients during hospital stay.
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spelling pubmed-89381552022-03-31 Efficacy and Safety of Midline Catheters with Integrated Wire Accelerated Seldinger Technique Jeon, Mun Hee Kim, Cheol Seung Han, Kyu Dam Kim, Mi Jin Vasc Specialist Int Original Article PURPOSE: The midline catheter (MC) is a peripheral venous access device with the catheter tip located in the axilla and available for mid-term intravenous (IV) therapy. This study evaluated the efficacy and clinical outcomes associated with the placement of MCs with an integrated wire-accelerated Seldinger technique for IV access. METHODS: Materials and A retrospective review was conducted at a single center in South Korea between March 2020 and July 2020. Consecutive patients in whom MC insertions were performed by vascular surgeons were enrolled. The outcomes included catheter indwelling time and incidence of catheter-related adverse events. RESULTS: Ninety-five patients (117 catheters) were included in the study. The total indwelling time was 1,964 days, with a median of 16.7 days (range, 0-76). The complication-free catheter rates at 5 and 28 days were 92.9% and 65.5%, respectively. Overall, 32 (27.4%) catheters were removed due to complications; however, major complications, such as symptomatic deep venous thrombosis and catheter-induced bloodstream infections, were confirmed in only 3 (2.6%) catheters. A common reason for premature catheter removal is inadvertent removal owing to patient inattention. A high body mass index and female sex were identified as risk factors for short indwelling times and complicated premature catheter removal. CONCLUSION: MC insertion is a simple and operator-friendly procedure with a low rate of major complication. It enables mid-term IV treatment through a single procedure if there are no specific complications, thereby improving quality of life of patients during hospital stay. The Korean Society for Vascular Surgery 2022-03-21 /pmc/articles/PMC8938155/ /pubmed/35307696 http://dx.doi.org/10.5758/vsi.210062 Text en Copyright © 2022, The Korean Society for Vascular Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jeon, Mun Hee
Kim, Cheol Seung
Han, Kyu Dam
Kim, Mi Jin
Efficacy and Safety of Midline Catheters with Integrated Wire Accelerated Seldinger Technique
title Efficacy and Safety of Midline Catheters with Integrated Wire Accelerated Seldinger Technique
title_full Efficacy and Safety of Midline Catheters with Integrated Wire Accelerated Seldinger Technique
title_fullStr Efficacy and Safety of Midline Catheters with Integrated Wire Accelerated Seldinger Technique
title_full_unstemmed Efficacy and Safety of Midline Catheters with Integrated Wire Accelerated Seldinger Technique
title_short Efficacy and Safety of Midline Catheters with Integrated Wire Accelerated Seldinger Technique
title_sort efficacy and safety of midline catheters with integrated wire accelerated seldinger technique
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938155/
https://www.ncbi.nlm.nih.gov/pubmed/35307696
http://dx.doi.org/10.5758/vsi.210062
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