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.

Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases / Brugioni, L.; Bertellini, E.; Ravazzini, M.; Barchetti, M.; Borsatti, A.; Martella, P.; Girardis, M.; Serra, F.; Tricoli, A.; Nicolini, M.; Bianchini, M.; Schepis, F.; Tazzioli, G.; Pinelli, G.; Romagnoli, E.; Gelmini, R.. - In: JOURNAL OF VASCULAR ACCESS. - ISSN 1129-7298. - 1129729820944066:(2020), pp. 1-4. [10.1177/1129729820944066]

Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases

Ravazzini M.
Membro del Collaboration Group
;
Borsatti A.
Investigation
;
Girardis M.
Membro del Collaboration Group
;
Serra F.
Membro del Collaboration Group
;
Tricoli A.
Investigation
;
Schepis F.;Tazzioli G.;Romagnoli E.;Gelmini R.
Membro del Collaboration Group
2020

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.
23-lug-2020
1129729820944066
1
4
Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases / Brugioni, L.; Bertellini, E.; Ravazzini, M.; Barchetti, M.; Borsatti, A.; Martella, P.; Girardis, M.; Serra, F.; Tricoli, A.; Nicolini, M.; Bianchini, M.; Schepis, F.; Tazzioli, G.; Pinelli, G.; Romagnoli, E.; Gelmini, R.. - In: JOURNAL OF VASCULAR ACCESS. - ISSN 1129-7298. - 1129729820944066:(2020), pp. 1-4. [10.1177/1129729820944066]
Brugioni, L.; Bertellini, E.; Ravazzini, M.; Barchetti, M.; Borsatti, A.; Martella, P.; Girardis, M.; Serra, F.; Tricoli, A.; Nicolini, M.; Bianchini, M.; Schepis, F.; Tazzioli, G.; Pinelli, G.; Romagnoli, E.; Gelmini, R.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11380/1208167
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