Related Experiment Video
Updated: Oct 17, 2025
A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Comparison of Management for Central Venous Stenosis With or Without Previous Catheter Placement
Wei Ma1, Zhengde Zhao1, Qining Fu1
1Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Insights
Central venous stenosis/occlusion is more likely to recur after endovascular intervention in patients with a history of jugular catheter placement. While assisted patency rates were similar, previous catheter use led to earlier symptoms and worse outcomes.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Nephrology
Background:
- Central venous stenosis/occlusion poses a significant challenge, particularly in patients with a history of jugular catheter placement.
- Understanding the long-term outcomes of endovascular intervention in this patient group is crucial for optimizing treatment strategies.
Purpose of the Study:
- To compare the outcomes of endovascular intervention for central venous stenosis/occlusion in patients with and without a history of jugular catheter placement.
- To identify risk factors for recurrence and assess the effectiveness of different endovascular techniques.
Main Methods:
- Retrospective analysis of patients undergoing endovascular intervention for central venous stenosis/occlusion between January 2015 and December 2018.
- Comparison of outcomes between patients with (CVC group) and without (non-CVC group) previous jugular catheter placement history.
- Evaluation of primary patency, assisted primary patency, and reintervention rates.
Main Results:
- Patients with a history of jugular catheter placement (CVC group) showed a higher risk of postintervention recurrence (HR = 2.02).
- While assisted primary patency rates were comparable, the CVC group experienced earlier symptom onset and required more frequent reinterventions.
- Percutaneous transluminal stenting with a bare metal stent resulted in significantly lower primary patency compared to stent grafts (p = 0.011).
Conclusions:
- Previous jugular catheter placement is associated with a worse prognosis and earlier symptom development in patients with central venous stenosis/occlusion undergoing endovascular intervention.
- Stent grafts appear to offer better primary patency than bare metal stents for percutaneous transluminal stenting.
- Strategies to minimize the need for jugular catheter placement, especially in the context of end-stage kidney disease planning, are warranted.
Abstract:
Objective: To compare central venous stenosis/occlusion with or without previous jugular catheter placement history. Methods: Data of patients with central vein stenosis/occlusion receiving endovascular intervention in our hospital from January 2015 to December 2018 were collected and analyzed. Results: Twenty-nine patients with previous jugular catheter placement history (CVC group) and 33 patients (excluded two with technical failure) without such history (non-CVC group) are included in this study. Previous jugular catheter placement history raised the risk of postintervention recurrence 1.02 times (CVC group vs. non-CVC group, HR = 2.02 95%CI: 0.91-4.48). The primary patency rate at 6, 12, 18, and 24 months was 76.9, 54.2, 45.5, and 25.0% separately in the CVC group and 80.6, 70.0, 67.9, and 44.4% separately in the non-CVC group. The assisted primary patency rate at 6, 12, 18, and 24 months was 92.3, 91.7, 86.4, and 68.8% separately in the CVC group and 93.5, 90.0, 82.1, and 61.1% separately in the non-CVC group. Patients in the CVC group received a higher frequency of reintervention (0.7 times/year/patient vs. 0.3 times/year/patient). There was no significant difference in the assisted primary patency rate between the two groups. Different primary interventions (angioplasty alone, bare metal stent, stent graft) did not affect primary patency and assisted primary patency, but percutaneous transluminal stenting (PTS) with a bare metal stent had a significant lower primary patency rate between 3 and 24 months compared with PTS with a stent graft (p = 0.011). Conclusion: Central venous stenosis/occlusion with a previous jugular catheter placement history develops symptoms earlier and had a worse prognosis after endovascular intervention. More efforts are needed to carry out end-stage kidney disease life plan to reduce the harm of evitable catheter placement.
More Related Videos
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
01:26Cardiac Catheterization IV: Nursing Management
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:22Aneurysm IV: Nursing Management
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:30Venous Thrombosis IV: Nursing Management