Application of intracavitary ECG for positioning the totally implantable venous access port in the upper arm of cancer patients

Shi,Lihua; Chen,Huihui; Yang,Yaping; Li,Huifen; Zhang,Jianfang

doi:10.3892/etm.2022.11404

Application of intracavitary ECG for positioning the totally implantable venous access port in the upper arm of cancer patients

Authors:
- Lihua Shi
- Huihui Chen
- Yaping Yang
- Huifen Li
- Jianfang Zhang
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Affiliations: Nursing Department, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu 215008, P.R. China, Nursing Department, The Affiliated Suzhou Science & Technology Town Hospital of Nanjing Medical University, Suzhou, Jiangsu 215153, P.R. China
Published online on: June 1, 2022 https://doi.org/10.3892/etm.2022.11404
Article Number: 477
Copyright: © Shi et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Accurate positioning of the catheter tip is one of the most critical procedures in central venous catheter insertion. The traditional surface measurement method frequently has a large deviation and increases the X‑ray exposure of doctors and patients. In the present retrospective study, cancer patients who received a totally implantable venous access port (TIVAP) in the upper arm using intracavitary electrocardiogram (ECG) guidance were compared with those where the traditional surface measurement method was used in terms of the rate of correct placement of the catheter tip, the rate of achieving the best position, the operation time and the complications. The results indicated that the correct placement rate and the best position rate of the catheter tip at the first attempt were higher in the ECG‑guided group than in the traditional surface measurement method group (95.65 vs. 82.91% and 90.58 vs. 68.38%, respectively). The mean operation time was shorter in the ECG‑guided group than in the surface measurement group (46.28 vs. 63.26 min). The incidence of complications in the ECG‑guided group was 6.52%, while that in the surface measurement group was 10.26%. This indicated that the intracavitary ECG‑guided tip positioning technique may improve the accuracy of tip catheter placement and shorten the operation time, thus reducing ionizing radiation caused by repeated positioning. Therefore, the intracavitary ECG‑guided tip positioning technique is able to effectively place the tip of the TIVAD in the upper arm, holding great promise as a clinical application.

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