Purpose: To describe a quick tunnelling technique for peripherally inserted central catheter (PICC) insertion called the “extended subcutaneous route” technique. Methods: The “extended subcutaneous route” technique is described step by step. Results: In 18 consecutive PICCs, inserted with extended route technique in ASST Monza, no complications during insertion were registered. In 969 catheter days observed, we identified only one accidental dislodgement. No other mid-term complications were observed. Conclusions: Extended subcutaneous route technique allows the creation of a subcutaneous tunnel <5 cm, without skin incision and additional manipulation. Extended subcutaneous route technique may be feasible and useful, particularly for patients with high risk of bleeding or infection.

Elli, S., Abbruzzese, C., Cannizzo, L., Vimercati, S., Vanini, S., Lucchini, A. (2017). “Extended subcutaneous route” technique: a quick subcutaneous tunnelling technique for PICC insertion. JOURNAL OF VASCULAR ACCESS, 18(3), 269-272 [10.5301/jva.5000647].

“Extended subcutaneous route” technique: a quick subcutaneous tunnelling technique for PICC insertion

Elli, Stefano
;
Abbruzzese, Chiara;Lucchini, Alberto
2017

Abstract

Purpose: To describe a quick tunnelling technique for peripherally inserted central catheter (PICC) insertion called the “extended subcutaneous route” technique. Methods: The “extended subcutaneous route” technique is described step by step. Results: In 18 consecutive PICCs, inserted with extended route technique in ASST Monza, no complications during insertion were registered. In 969 catheter days observed, we identified only one accidental dislodgement. No other mid-term complications were observed. Conclusions: Extended subcutaneous route technique allows the creation of a subcutaneous tunnel <5 cm, without skin incision and additional manipulation. Extended subcutaneous route technique may be feasible and useful, particularly for patients with high risk of bleeding or infection.
Articolo in rivista - Articolo scientifico
PICC; Subcutaneous; Technique; Tunnel; Anatomic Landmarks; Catheterization, Peripheral; Catheters, Indwelling; Feasibility Studies; Humans; Risk Factors; Time Factors; Ultrasonography, Interventional; Vascular Access Devices; Surgery; Nephrology
English
2017
18
3
269
272
none
Elli, S., Abbruzzese, C., Cannizzo, L., Vimercati, S., Vanini, S., Lucchini, A. (2017). “Extended subcutaneous route” technique: a quick subcutaneous tunnelling technique for PICC insertion. JOURNAL OF VASCULAR ACCESS, 18(3), 269-272 [10.5301/jva.5000647].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/196288
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