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

Abstract

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.

Pulsed-wave Doppler for ultrasound-based tip location using bubble test: A pilot study

“…IC-ECG with Pilot system (Vygon) was performed before MBT to verify the PICC’s tip location at the cavo-atrial junction, 13 and was used as the reference standard in sinusal rhythm as well as in atrial fibrillation according to Calabrese et al 14 If a mid-thigh femorally inserted central catheters (FICC) was implanted, Xiao et al 15 IC-ECG positioning technique was used to locate the catheter’s tip above the diaphragm, near the right atrium.…”

Risk Factors and Predictive Models for Peripherally Inserted Central Catheter Unplanned Extubation in Patients With Cancer: Prospective, Machine Learning Study

“…The follow-up data collection schedule and clinical data collection form for this study were established through a literature review [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]23,24], semistructured interviews, and research group discussions.…”

“…Previous studies primarily focused on risk factors for PICC-related complications. These complications can be associated with a variety of factors, including (1) patient-related factors, such as critically ill bedridden patients, age, and immunity [8,9]; operator-related factors, such as puncture times, professional skills, and the use of visualization technology [10][11][12]; catheter-related factors, such as catheter material, catheter lumen, and catheter diameter [13][14][15]; and treatment process-related factors, such as chemotherapy, radiotherapy, different drug types, and other aspects [16][17][18]. However, there is limited research on the risk factors for PICC-UE.…”

Therapeutic Effect of Ultrasound-Guided Peripherally Inserted Central Catheter Combined with Predictive Nursing in Patients with Large-Area Severe Burns

“…In addition, the prognosis of patients is generally very poor, and the treatment time is relatively long. Therefore, the treatment and nursing for burns take a long-term and difficult process [ 3 ].…”