Document Detail


Comparison of technical success and outcome of tunneled catheters inserted via the jugular and subclavian approaches.
MedLine Citation:
PMID:  10716395     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare the technical success and immediate and long-term outcomes of tunneled central venous catheters placed in comparative cohorts via the subclavian vein (SCV) and the internal jugular vein (IJV) routes. MATERIALS AND METHODS: This was a prospective observational single-center study of consecutive procedures. Between November 1993 and June 1995, 99 catheters were placed via the SCV and between December 1997 and July 1998, 109 catheters were placed via the IJV. Procedural data were recorded in both cohorts by completion of a proforma by the primary operator. RESULTS: Follow-up data were available in 96% of the SCV and 87% of the IJV cohorts. The average procedure time was significantly shorter in the IJV group and technical success was 100% versus 97% in the SCV group, but this did not reach statistical significance. The procedure-related pneumothorax rate and the rate of symptomatic venous thrombosis were significantly lower in the IJV cohort (P = .023, P = .015). Fewer catheters were removed prematurely due to sepsis in the IJV group (P = .043). CONCLUSIONS: The IJV route is associated with comparable technical success, and lower major procedural complication and venous thrombosis rates, with fewer catheters removed prematurely. The right IJV approach with ultrasound guidance is recommended as the route of choice for the placement of tunneled central venous catheters.
Authors:
S Macdonald; A J Watt; D McNally; R D Edwards; J G Moss
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  11     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-04-05     Completed Date:  2000-04-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  225-31     Citation Subset:  IM    
Affiliation:
Department of Radiology, Gartnavel General Hospital, West Glasgow Hospitals, University NHS Trust, United Kingdom. sumaira@primedia.co.uk
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MeSH Terms
Descriptor/Qualifier:
Catheterization, Central Venous* / instrumentation,  methods
Cohort Studies
Female
Follow-Up Studies
Humans
Jugular Veins*
Male
Middle Aged
Prospective Studies
Subclavian Vein*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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