The application of intracavitary electrocardiogram for tip location of femoral vein catheters in chemotherapy patients with superior vena cava obstruction
| Autor: | Zixin Hu, Shujie Chen, Mengdan Ma, Zhihong Gong, Jinghui Zhang, Xiaoya Kong, Zhengkun Shi, Jianmei Hou |
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| Rok vydání: | 2020 |
| Předmět: |
Catheterization
Central Venous Superior Vena Cava Syndrome Chemotherapy medicine.medical_specialty Vena Cava Superior business.industry medicine.medical_treatment 030232 urology & nephrology Femoral vein Femoral Vein 030204 cardiovascular system & hematology Electrocardiography 03 medical and health sciences Catheters Indwelling 0302 clinical medicine Nephrology Superior vena cava cardiovascular system Central Venous Catheters Humans Medicine Surgery Radiology business |
| Zdroj: | The Journal of Vascular Access. 22:613-622 |
| ISSN: | 1724-6032 1129-7298 |
| DOI: | 10.1177/1129729820958334 |
| Popis: | Background: Most studies focused on the application of intracavitary electrocardiogram (IC-ECG) location in superior vena cava access catheterization, this study aimed to explore the effect of IC-ECG for tip location of femoral vein catheters in chemotherapy patients with superior vena cava obstruction (SVCO). Methods: A total of 158 patients placed catheters through superficial femoral vein from July 2016 to May 2019 were enrolled in the randomized controlled study. The patients were divided into two groups by envelope lottery method: X-ray location was used in the control group ( n = 79); IC-ECG location was used in the observation group ( n = 79). The catheters should be located at or near the inferior vena cava (IVC)-right atrium (RA) junction (above the level of diaphragm within the IVC). The general information of patients, clinical catheterization effects and catheter-related complications were compared between the groups. Results No significant differences in general information, catheter obstruction, catheter-related thrombosis, catheter exit-site bleeding and infection were found between the groups. The rate of successful insertion at the first attempt and patient satisfaction in the observation group were significantly higher than that in the control group ( p Conclusion IC-ECG accurately located the tip of femoral vein catheters, reduced the incidence of catheter-related complications and the time and cost of location, improved patient satisfaction. |
| Databáze: | OpenAIRE |
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