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Updated: May 2, 2026

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
Published on: January 13, 2026
[Retrospective evaluation of predictors and risks of multiple puncture in central venous catheterization]
Mitsuru Ida1, Yuu Tanaka1, Yasunobu Kawano2
1Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.
Background:
It has been reported that multiple puncture more than or equal to 3 times is a factor associated with the development of CVC-related complications. The present retrospective study was undertaken to evaluate the predictors and risks of multiple puncture during the insertion of CVC.
Methods:
After the IRB approval, 1296 patients who underwent CVC in the operating room were enrolled. Data were collected using CVC report and the medical charts. Multiple puncture was defined as the puncture performed more than or equal to three times during the insertion of CVC. Univariate and multivariate logistic regression analysis were performed to assess the predictors of multiple puncture during the CVC insertion.
Results:
Univariate analysis revealed that age less than 6 years, complications during insertion and the way to use ultrasound echo were associated with multiple puncture. Multivariate analysis also revealed that age less than 6 years was a significant predictor for multiple puncture (odds ratio 2.08, 95% CI 1.01-4.29).
Conclusions:
The results of the study indicate that the age less than 6 years is a significant predictor for multiple puncture during the CVC insertion.
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