Advances in Surgical Sciences

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Clinical Application Analysis of Tunneled-PICC

Received: 16 December 2018    Accepted: 3 January 2019    Published: 7 February 2019
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Abstract

Peripherally inserted central catheters (PICCs) play a critical role in the infusion of parenteral nutrition, chemotherapy and intravenous fluids for the increased safety and efficacy for long-term use. However, during the insertion and management of PICCs, there are still some PICC-related complications need to be reduced as much as possible for both operators and researchers. In this case, the tunneled-PICC provides a new “a nedesl subcutaneous route” technology for PICC application. This article reviews the principle and characteristics of tunneled-PICC. Tunneled PICCs, seems to be a safe option and easy to perform as an alternative to standard placement for its advantages of the better exit location, reduced incidences of thrombosis and infection, reduced the shift rate as well as extended retention time. However, more research on the standard tunneling technique and large-scale clinical applications need to be proposed.

DOI 10.11648/j.ass.20190701.12
Published in Advances in Surgical Sciences (Volume 7, Issue 1, June 2019)
Page(s) 5-8
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Peripherally Inserted Central Catheters (PICC), Tunneled-PICC, Intracavitary Electrocardiogram (IC-ECG), Ultrasound Guidance

References
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[2] Pittiruti M, Hamilton H, Biffi R, et al. ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications) [J]. Clinical nutrition (Edinburgh, Scotland), 2009, 28(4): 365-377.
[3] Al R B, Fakih M G, Bryannomides N, et al. Peripherally inserted central venous catheters in the acute care setting: A safe alternative to high-risk short-term central venous catheters [J]. American journal of infection control, 2010, 38(2): 149-153.
[4] Dobson L, Wong D G. Development of a Successful PICC Insertion Program[J]. Journal of Vascular Access Devices, 2001, 6(4):31-34.
[5] Moureau N L. Using ultrasound to guide PICC insertion [J]. Nursing, 2003, 33(12): 20.
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[8] Mauro P, Daniele B , Ermanno B , et al. The intracavitary ECG method for positioning the tip of central venous catheters: results of an Italian multicenter study [J]. Journal of Vascular Access, 2012, 13(3):357-365.
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[12] Haider G, Kumar S, Salam B, et al. Determination of complication rate of PICC lines in oncological patients [J]. JPMA The Journal of the Pakistan Medical Association, 2009, 59(10): 663-667.
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[16] Debourdeau P, Kassab Chahmi D, Le Gal G, et al. 2008 SOR guidelines for the prevention and treatment of thrombosis associated with central venous catheters in patients with cancer: report from the working group [J]. Ann Oncol, 2009, 20:1459–1471.
[17] Chaukiyal P, Nautiyal A, Radhakrishnan S, et al. Thromboprophylaxis in cancer patients with central venous catheters. A systematic review and meta-analysis [J]. Thrombosis and haemostasis, 2008, 99(1): 38-43.
[18] Dawson R B. PICC Zone Insertion MethodTM (ZIMTM): A Systematic Approach to Determine the Ideal Insertion Site for PICCs in the Upper Arm [J]. Journal of the Association for Vascular Access, 2011, 16(3): 156,62-60,65.
[19] Listed N. Peripherally inserted tunnelled catheters: a new option for venous access [J]. Minimally Invasive Therapy, 2009, 10(4-5):231-234.
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  • APA Style

    Yu-Xia Yin, Lu-Ning Wang, Ming-Kun Cao, Hai-Jun Zhang. (2019). Clinical Application Analysis of Tunneled-PICC. Advances in Surgical Sciences, 7(1), 5-8. https://doi.org/10.11648/j.ass.20190701.12

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    ACS Style

    Yu-Xia Yin; Lu-Ning Wang; Ming-Kun Cao; Hai-Jun Zhang. Clinical Application Analysis of Tunneled-PICC. Adv. Surg. Sci. 2019, 7(1), 5-8. doi: 10.11648/j.ass.20190701.12

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    AMA Style

    Yu-Xia Yin, Lu-Ning Wang, Ming-Kun Cao, Hai-Jun Zhang. Clinical Application Analysis of Tunneled-PICC. Adv Surg Sci. 2019;7(1):5-8. doi: 10.11648/j.ass.20190701.12

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  • @article{10.11648/j.ass.20190701.12,
      author = {Yu-Xia Yin and Lu-Ning Wang and Ming-Kun Cao and Hai-Jun Zhang},
      title = {Clinical Application Analysis of Tunneled-PICC},
      journal = {Advances in Surgical Sciences},
      volume = {7},
      number = {1},
      pages = {5-8},
      doi = {10.11648/j.ass.20190701.12},
      url = {https://doi.org/10.11648/j.ass.20190701.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20190701.12},
      abstract = {Peripherally inserted central catheters (PICCs) play a critical role in the infusion of parenteral nutrition, chemotherapy and intravenous fluids for the increased safety and efficacy for long-term use. However, during the insertion and management of PICCs, there are still some PICC-related complications need to be reduced as much as possible for both operators and researchers. In this case, the tunneled-PICC provides a new “a nedesl subcutaneous route” technology for PICC application. This article reviews the principle and characteristics of tunneled-PICC. Tunneled PICCs, seems to be a safe option and easy to perform as an alternative to standard placement for its advantages of the better exit location, reduced incidences of thrombosis and infection, reduced the shift rate as well as extended retention time. However, more research on the standard tunneling technique and large-scale clinical applications need to be proposed.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Clinical Application Analysis of Tunneled-PICC
    AU  - Yu-Xia Yin
    AU  - Lu-Ning Wang
    AU  - Ming-Kun Cao
    AU  - Hai-Jun Zhang
    Y1  - 2019/02/07
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ass.20190701.12
    DO  - 10.11648/j.ass.20190701.12
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
    SP  - 5
    EP  - 8
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20190701.12
    AB  - Peripherally inserted central catheters (PICCs) play a critical role in the infusion of parenteral nutrition, chemotherapy and intravenous fluids for the increased safety and efficacy for long-term use. However, during the insertion and management of PICCs, there are still some PICC-related complications need to be reduced as much as possible for both operators and researchers. In this case, the tunneled-PICC provides a new “a nedesl subcutaneous route” technology for PICC application. This article reviews the principle and characteristics of tunneled-PICC. Tunneled PICCs, seems to be a safe option and easy to perform as an alternative to standard placement for its advantages of the better exit location, reduced incidences of thrombosis and infection, reduced the shift rate as well as extended retention time. However, more research on the standard tunneling technique and large-scale clinical applications need to be proposed.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • School of Materials Science and Engineering, University of Science and Technology, Beijing, China ; National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China

  • School of Materials Science and Engineering, University of Science and Technology, Beijing, China

  • National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China

  • National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China; Department of Vascular & Intervention, Tenth Peoples' Hospital of Tongji University, Shanghai, China; Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark

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