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Factors Affecting Longevity of Tunneled Central Venous Catheters  

Park, Ji-Won (Department of Radiology, Kyungpook National University Hospital)
Lee, Jong-Min (Department of Radiology, Kyungpook National University Hospital)
Publication Information
Journal of the Korean Society of Radiology / v.65, no.6, 2011 , pp. 555-562 More about this Journal
Abstract
Purpose: To evaluate factors which affect the longevity of tunneled central venous catheters (T-CVCs). Materials and Methods: A retrospective study was conducted on 363 T-CVCs. We evaluated the relevant factors affecting the longevity of the T-CVCs, such as age, gender, indication for catheterization, site of entry vessel, diameter and type of T-CVC, catheter tip position, and underlying diseases. Results: Of the 363 T-CVCs which had been inserted, 331 (91%) were placed through the right internal jugular vein (RIJV). The catheter tip position was the strongest predictor for the longevity of the T-CVC. The short limb of the catheter tip placed either at the cavoatrial junction (CA junction) or below the lower margin of the right main bronchus had a good prognosis. The vessel through which the T-CVC was placed significantly influenced the longevity of the T-CVC; the RIJV was associated with better results than the left internal jugular vein. Also, a split-type catheter was significantly associated with a better result. Conclusion: A two distinct and separate type T-CVC placed through the RIJV in which the short limb catheter tip position was at the level of the CA junction, significantly increased the longevity of T-CVCs.
Keywords
Tunneled Central Venous Catheters; Longevity; Hemodialysis; Internal Jugular Vein; Catheter Tip;
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