Usefulness of exchanging a tunneled central venous catheter using a subcutaneous fibrous sheath

Kouji Masumoto, Genshiro Esumi, Risa Teshiba, Kouji Nagata, Tomoaki Taguchi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objectives: The reserve of the venous route to the central veins is important for long-term parenteral nutrition (PN). Frequent catheter-related bloodstream infection (CRBSI) induces occlusion of the venous routes. Therefore, a modified exchange procedure using a tunneled central venous catheter (CVC) with a fibrous sheath was developed to preserve the route to the central veins. Methods: Seven patients who required long-term PN received the modified exchange procedure and the outcome of exchanged CVC was retrospectively reviewed. Results: The procedure was performed 10 times in seven patients. The venous routes were either the subclavicular or the internal jugular vein in all patients. The exchange of the catheter was due to CRBSI or occlusion in almost all patients. The mean duration of new catheter use was 296.2 days following the exchange. Four catheters continued to be used, and the remaining ones were removed. The reasons for removal were severe CRBSI and occlusion, each of which occurred in two catheterized patients, while the reason for removing the remaining catheters was because the patients no longer needed the catheters. Conclusion: The modified catheter exchange using fibrous sheath, even in patients with CRBSI, appears to be an effective procedure for reserving the venous route to the central veins in patients who require either long-term PN or other treatments.

Original languageEnglish
Pages (from-to)526-529
Number of pages4
JournalNutrition
Volume27
Issue number5
DOIs
Publication statusPublished - May 1 2011

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Central Venous Catheters
Catheter-Related Infections
Catheters
Parenteral Nutrition
Veins
Jugular Veins

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Usefulness of exchanging a tunneled central venous catheter using a subcutaneous fibrous sheath. / Masumoto, Kouji; Esumi, Genshiro; Teshiba, Risa; Nagata, Kouji; Taguchi, Tomoaki.

In: Nutrition, Vol. 27, No. 5, 01.05.2011, p. 526-529.

Research output: Contribution to journalArticle

Masumoto, Kouji ; Esumi, Genshiro ; Teshiba, Risa ; Nagata, Kouji ; Taguchi, Tomoaki. / Usefulness of exchanging a tunneled central venous catheter using a subcutaneous fibrous sheath. In: Nutrition. 2011 ; Vol. 27, No. 5. pp. 526-529.
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