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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

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

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  • Media type: E-Article
  • Title: Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases
  • Contributor: 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
  • imprint: SAGE Publications, 2021
  • Published in: The Journal of Vascular Access
  • Language: English
  • DOI: 10.1177/1129729820944066
  • ISSN: 1724-6032; 1129-7298
  • Keywords: Nephrology ; Surgery
  • Origination:
  • Footnote:
  • Description: <jats:sec><jats:title>Background:</jats:title><jats:p> 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. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> 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. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> 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. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> 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. </jats:p></jats:sec>