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article · QJM

Long Term Efficacy of Peripherally Inserted Central Catheter in Oncology Patients with Non Feasible or Complicated Port A Cath

Abstract

Abstract Introduction Peripherally Inserted Central Catheter (PICC) is a safe and efficient method of long-term intravenous access, particularly in oncology patients. They are inserted via a non surgical procedure by interventional radiologists in the radiology suite. They offer advantages over other central venous access methods due to their less invasive insertion and avoidance of surgical implantation. Methods one-arm clinical trial, aimed to evaluate the effectiveness of Peripherally Inserted Central Catheters in oncology patients where port-a-cath was not feasible or complicated. This trial assessed their patency and complications in 20 patients for 1 and 3-month Results 18 patients maintained patency throughout the study, while occlusion occurred in one patient after a month and another after three months. Complications encompassed infection of insertion site, pain, catheter-related deep vein thrombosis, catheter damage. Revealed that 35% of Peripherally Inserted Central Catheters encountered complications, prompting removal in some instances. However, 65% of them were removed without complications after completing their treatment regimens. Conclusion the insertion of Peripherally Inserted Central Catheter was mostly successful, displaying a favorable maintenance rate. Patients expressed enhanced comfort with parenteral access following Peripherally Inserted Central Catheter insertion. Considering the unique circumstances of terminally ill cancer patients, who often have compromised general health and limited life expectancy, Peripherally Inserted Central Catheteremerges as a secure and effective intravenous access method.

Research topics

  • Central Venous Catheters and Hemodialysis
  • Vascular Procedures and Complications
  • Radiation Dose and Imaging

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DOI: 10.1093/qjmed/hcae175.922

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