title: The power peripherally inserted central catheter is superior to a central venous catheter in management of patients with esophageal variceal bleeding undergoing devascularization.
abstract: Peripherally-inserted central catheters (PICC) have a greater retention time and less complications compared to central venous catheters (CVC). The study was conducted from From January of 2014 to December 2015 at Beijing DiTan Hospital, Beijing, China, and comprised 70 patients undergoing devascularisation. Of the total, 36(51.4%) patients underwent placement of PICC (Group A), while 34(48.6%) underwent had CVC (Group B). Venous catheterisation was successful in all patients. The median duration of venous catheterization in Group A was greater than that in Group B (p=0.002). Catheter-associated complications did not differ between the groups (p=0.46). The level of blood platelet (PLT) count, Prothrombin activity (PTA) and white blood cell (WBC) count before venous catheterisation were independent risk factors for bleeding at the puncture site and catheter-related infections. A Power PICC may be a better choice than a CVC in patients undergoing devascularisation requiring catheterisation. For patients with a lower PLT count, a decreased PTA, or a decreased WBC, venous catheterisation should be performed with caution.
authors.affiliation: Department of Hepatobiliary Surgery, Beijing DiTan Hospital, Capital Medical University, Beijing, China.
authors.forename: Wen
authors.initials: W
authors.lastname: Jing
authors.affiliation: Department of Hepatobiliary Surgery, Beijing DiTan Hospital, Capital Medical University, Beijing, China.
authors.forename: He
authors.initials: H
authors.lastname: Rong
authors.affiliation: Department of Hepatobiliary Surgery, Beijing DiTan Hospital, Capital Medical University, Beijing, China.
authors.forename: Jiang
authors.initials: J
authors.lastname: Li
authors.affiliation: Nursing Department, Beijing DiTan Hospital, Capital Medical University, Beijing, China.
authors.forename: Zhang Hai
authors.initials: ZH
authors.lastname: Xia
authors.affiliation: Nursing Department, Beijing DiTan Hospital, Capital Medical University, Beijing, China.
authors.forename: Zhang Hong
authors.initials: ZH
authors.lastname: Yu
authors.affiliation: Department of Spine Surgery, CMH, Rawalpindi.
authors.forename: Zhang
authors.initials: Z
authors.lastname: Ke
mesh_terms: D055499:Catheter-Related Infections; D002405:Catheterization, Central Venous; D062905:Central Venous Catheters; D002681:China; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage; D006801:Humans
keywords: Portal hypertension, Oesophageal bleeding varices, Devascularisation, Peripherally-inserted central catheters, PICC, Central venous catheterisation, CVC.