Intravenous electrocardiography helps inexperienced operators to place totally implantable venous access device more accurately
Journal
Journal of Surgical Oncology
Journal Volume
105
Journal Issue
8
Pages
848-851
Date Issued
2012
Abstract
Background Proper tip position is a major determinant of totally implantable venous access device (TIVAD) outcome. The aim of this study is to analyze the potential utilization of intravenous electrocardiography (IV-ECG) to help inexperienced operators for TIVAD placement. Patients and Methods This is a retrospective, observational, uni-institutional study. 331 patients receiving TIVAD implantation from July 2008 to December 2008 were recruited. In IV-ECG group, IV-ECG was used to help decide catheter tip location and catheter length. In Landmark group, catheter length was decided by surface landmarks. Catheter tip position was confirmed by post-operative supine chest X-ray. Results There were 153 patients in IV-ECG group, and 178 patients in Landmark group. No immediate reoperation due to catheter mal-position was noted in IV-ECG group, but it happened in eight patients in Landmark group. In IV-ECG group, 97.3% of the catheter tip located at proper position (within 2cm from junction of right atrium and superior vena cava, as compared to 88.8% of the tip position in Landmark group was proper. The difference was statistically significant (P<0.05). There was no complication associated with the use of IV-ECG. Conclusion IV-ECG is a safe and convenient method to help inexperienced operators placing TIVAD. Copyright © 2011 Wiley Periodicals, Inc.
Type
journal article