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A New Simple Technique for the Insertion of Cuffed Central Venous Catheters: An Initial Experience
Author(s) -
François Bruno,
Roustan Jérôme,
Vig Philippe
Publication year - 2001
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/014860710102500293
Subject(s) - medicine , parenteral nutrition , catheter , surgery , seldinger technique , dilator , subclavian vein , vein , complication , anesthesia
Background: Although tunneled polyurethane catheters with polyester cuffs are useful when prolonged central venous access is necessary but their insertion still remains challenging at times. We report the first study of a new cuffed polyurethane catheter (Seldicuff) that can be easily inserted using the Seldinger technique without the need of a vein dilator and that incorporates a tunneling needle onto the catheter. A Seldicuff catheter was placed in 15 patients (mean age: 53 ± 11 years) who required prolonged parenteral nutrition. All catheters were inserted into the right subclavian vein. The procedure lasted 6.4 ± 0.8 minutes and no complication directly related to catheter placement was noted. Catheters remained in position for a mean duration of 103 days (range, 58 to 220 days). During this period, no infectious or mechanical complications were observed. Conclusion: These results demonstrate that placement of this novel cuffed catheter is as simple as inserting a conventional central venous catheter. (journal of Parenteral and Enteral Nutrition 25: 93–94, 2001)