A Single-Center Experience of 2153 Tunneled-Cuffed Catheter Insertions Radiologically Placed via the Internal Jugular Vein: An Evaluation of Technical Success and Complication Rates Relative to Underlying Disease Conditions

• Published in: Journal of the Korean Society of Radiology 2015, 72(1), , pp.46-56
• Main Authors: Park, Chan, Yim, Nam Yeol, Kim, Yong Tae, Noh, Hoon, Ki, So Yeon, Kim, Jae Kyu, Kim, Hyoung Ook, Chang, Nam Kyu
• Format: Article
• Language: English
• Subjects: catheterization; central venous catheters; fluoroscopy; interventional; radiology; ultrasonography; 방사선과학
• ISSN: 1738-2637; 2288-2928; 2951-0805
• DOI: 10.3348/jksr.2015.72.1.46

Purpose To evaluate the technical success and complication rates of tunneled-cuffed catheter insertions radiologically placed via the internal jugular vein in patients with different types of underlying diseases. Materials and Methods A total of 2153 tunneled-cuffed catheter insertions performed in 1926 patients between January 2008 and December 2012 were retrospectively reviewed. All procedures were conducted using sonography and fluoroscopy. The number of catheter maintenance days, technical success rates, and complication rates were analyzed based on radiologic and medical records. Results A total of 204809 catheter maintenance days (mean, 95.35 days; range, 0-1710 days) were recorded. Technical success was achieved in 2148 insertions (99.77%). A total of 185 complications (8.61%, 0.903/1000 catheter days) were observed, including 22 procedure-related complications (1.02%). A total of 143 catheters (6.66%) were removed due to complications. Significant differences in complication rates were observed between patients with or without underlying hematologic diseases (11.65% vs. 7.02%, respectively; p = 0.000). Significant differences in catheter thrombosis were observed between patients in which right-sided or left-sided venous approaches were used (0.81% vs. 2.70%, respectively; p = 0.010). Conclusion The very high technical success rates and very low procedure-related complication rates indicate insertion of a tunneled-cuffed catheter radiologically placed via the internal jugular vein is safe and effective.