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Guide-wire replacement of midline catheter with central venous catheter

"We retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter" Brugioni et al (2020).

Abstract:

Background: Achieving a reliable venous access in a particular subset of patients and/or in emergency settings can be challenging and time-consuming. Furthermore, many hospitalized patients do not meet the criteria for central venous catheter positioning, unless an upgrade of the treatment is further needed. The mini-midline catheter has already showed to be reliable and safe as a stand-alone device, since it is easily and rapidly inserted and can indwell up to 1 month.

Methods: In this further case series, we retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter (the devices inserted in the arm replaced by peripherally inserted central catheter and others inserted “off-label” in the internal jugular replaced by single lumen centrally inserted central catheter), being used as introducer for the Seldinger guidewire.

Results: The guidewire replacement was been made even early (after 1 day) or late (more than 10 days), usually following a need for an upgrade in treatment. No early or late complications were reported.

Conclusion: According to the preliminary data we collected, this converting procedure seems to be feasible and risk-free, since neither infectious nor thrombotic complications were reported.

Reference:

Brugioni L, Bertellini E, Ravazzini M, et al. Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases . J Vasc Access. 2020;1129729820944066. doi:10.1177/1129729820944066