1. Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases
- Author
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Elisabetta Bertellini, Roberta Gelmini, Pietro Martella, Andrea Borsatti, Marcello Bianchini, Lucio Brugioni, Matteo Nicolini, Francesco Serra, Massimo Girardis, Giovanni Tazzioli, Elisa Romagnoli, Giovanni Pinelli, Filippo Schepis, Mirco Ravazzini, Angelo Tricoli, and Marco Barchetti
- Subjects
Male ,Catheterization, Central Venous ,medicine.medical_specialty ,Time Factors ,peripherally inserted central catheter ,Hospitalized patients ,medicine.medical_treatment ,case series ,centrally inserted central catheter ,JLB ,mini-midline ,ultrasound-guided ,Peripherally inserted central catheter ,03 medical and health sciences ,Catheters, Indwelling ,0302 clinical medicine ,Catheterization, Peripheral ,medicine ,Central Venous Catheters ,Humans ,030212 general & internal medicine ,Device Removal ,Ultrasonography, Interventional ,Aged ,Retrospective Studies ,business.industry ,030208 emergency & critical care medicine ,Retrospective cohort study ,Ultrasound guided ,Surgery ,Venous access ,Catheter ,Treatment Outcome ,Nephrology ,Female ,business ,Central venous catheter - Abstract
Background: Achieving a reliable venous access in a particular subset of patients and/or in emergency settings can be challenging and time-consuming. Furthermore, many hospitalized patients do not meet the criteria for central venous catheter positioning, unless an upgrade of the treatment is further needed. The mini-midline catheter has already showed to be reliable and safe as a stand-alone device, since it is easily and rapidly inserted and can indwell up to 1 month. Methods: In this further case series, we retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter (the devices inserted in the arm replaced by peripherally inserted central catheter and others inserted “off-label” in the internal jugular replaced by single lumen centrally inserted central catheter), being used as introducer for the Seldinger guidewire. Results: The guidewire replacement was been made even early (after 1 day) or late (more than 10 days), usually following a need for an upgrade in treatment. No early or late complications were reported. Conclusion: According to the preliminary data we collected, this converting procedure seems to be feasible and risk-free, since neither infectious nor thrombotic complications were reported.
- Published
- 2020