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J Surg Oncol. 2008 Jul 1;98(1):67-9. doi: 10.1002/jso.21064.

External jugular venous catheterization with a Groshong catheter for central venous access.

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1
Department of Gastroenterological Surgery, Dokkyo Medical University, Tochigi, Japan. mm-ishizuka@umin.ac.jp

Abstract

BACKGROUND:

The Groshong catheter (GC) is commonly used as a peripherally inserted central catheter (PICC), and the external jugular vein (EJV) is not a common route for central venous access (CVA). Therefore, external jugular venous catheterization (EJVC) using a GC is rare. However, our experience has shown that this procedure is safe and simple for CVA.

PURPOSE:

To assess the utility of EJVC using the GC for CVA.

METHODS:

CVA was done using a GC via the EJV with a single puncture employing the maximal barrier precaution technique.

RESULTS:

Between March 2005 and June 2007, we attempted to perform EJVC using a GC via the EJV for 331 patients. Among of these patients, 301 patients received successful catheterization (success rate: 301/331 = 90.9%). The total period of catheter insertion was 4601 days, and the mean insertion period was 15.1 days (range 2-147 days). The main complications of catheter insertion were malposition (8/301; 2.7%) and, oozing or hematoma formation (8/301; 2.7%). There were no severe complications such as nerve injury, pneumothorax or arterial bleeding.

CONCLUSIONS:

Our experience demonstrates that EJVC using the GC is acceptable for CVA.

PMID:
18452215
DOI:
10.1002/jso.21064
[Indexed for MEDLINE]
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