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- Title
Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases.
- Authors
Brugioni, Lucio; Bertellini, Elisabetta; Ravazzini, Mirco; Barchetti, Marco; Borsatti, Andrea; Martella, Pietro; Girardis, Massimo; Serra, Francesco; Tricoli, Angelo; Nicolini, Matteo; Bianchini, Marcello; Schepis, Filippo; Tazzioli, Giovanni; Pinelli, Giovanni; Romagnoli, Elisa; Gelmini, Roberta
- 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.
- Publication
Journal of Vascular Access, 2021, Vol 22, Issue 3, p394
- ISSN
1129-7298
- Publication type
Article
- DOI
10.1177/1129729820944066