140 posters, 10 videos, 15 audios, 20 sessions, 508 authors, 204 institutions
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8th World Congress on Vascular Access 2024
April 17 - 19, 2024 | Prague, Czech Republic
215
Subcutaneous tunneling versus conventional insertion of peripherally inserted central catheters – a single center experience.
Poster Presenter
Authors
Martina Filipova, Adela Prchlikova, Tomas Arpas, Zuzana Mrkvova, Stepan Tucek, Samuel Hricko, Dominik Fric, Stepan Hrabovsky
Affiliations
Department of Internal Medicine, Hematology and Oncology, University Hospital Brno and Masaryk University, Department of Internal Medicine, Hematology and Oncology, University Hospital Brno and Masaryk University
Part of Topic
Background
•Tunnelisation of peripherally inserted central catheters (PICCs) offers several advantages, such as the possibility of placing an exit site of the catheter to the ZIM “green zone” no matter where the puncture site is, and a relatively long subcutaneous route, which should provide protection from infections.
•Choosing the correct site of PICC implantation also seems to play an important role in preventing periprocedural complications related to catheter insertion.
Objectives and methods
•This single-center retrospective analysis sought to evaluate the impact of subcutaneous tunneling on safety and incidence of periprocedural complications related to PICC insertion during a 5-year period at major hematological/oncological center in the Czech Republic.
Results
•From 2019 to 2023, we implanted 1420 PICCs, of which 948 were tunneled PICCs with overall dwell-time of 106.168 catheter-days, and 472 were non-tunneled PICCs with overall dwell-time of 69.880 catheter-days.
•Both groups were similar regarding the diagnosis composition.
•In graphs, we present comparison of periprocedural complications, systemic and local infectious complications in patients with tunneled vs. non-tunneled PICCs.
Conclusions
•Our retrospective analysis supports the efficacy of PICC subcutaneous tunneling technique in reducing periprocedural complications such as moderate bleeding and repeated venipunctures but does not support a decrease in infection rate.
•Our findings support a rationale of this method in providing a reliable and functioning vascular access to patients while reducing catheter-related complications.