Related Experiment Video
Updated: Sep 21, 2025
06:23
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
593
Peripherally Inserted Central Catheter by Interventional Nephrologists: Experiences from a Single Center.
A Young Kim1, Jun Young Do1, Kyu Hyang Cho1
1Division of Nephrology, Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
International Journal of General Medicine
|June 1, 2022
Summary
Nephrologists can safely and successfully perform peripherally inserted central catheter (PICC) procedures, demonstrating high catheter survival rates and low complication incidence. This expands their clinical practice capabilities.
Area of Science:
- Nephrology
- Vascular Access
- Interventional Procedures
Background:
- Increasing prevalence of chronic kidney disease necessitates expanded nephrologist roles.
- Peripherally inserted central catheters (PICCs) are crucial for patient management.
- Evaluating nephrologist-led PICC insertion is important for expanding their scope of practice.
Purpose of the Study:
- To assess the safety and success rates of peripherally inserted central catheter (PICC) procedures performed by nephrologists.
- To determine the complication rates associated with nephrologist-performed PICCs.
Main Methods:
- Retrospective analysis of medical records from a single medical center.
- Review of 335 PICC procedures performed by two nephrologists.
- Classification of reasons for catheter removal and overall complications (occlusion, thrombosis, infection).
Main Results:
- High success rate for PICC insertion by nephrologists.
- Low incidence of catheter-related complications (19.1% of removals).
- Diabetes mellitus was linked to catheter-related infections, while diabetes and fluoroscopy guidance correlated with better survival.
Conclusions:
- Nephrologist-performed PICC insertion is safe and successful.
- Low complication rates support the expansion of nephrologists' interventional activities.
- Skilled nephrologists can effectively incorporate PICC procedures into their practice.
Keywords:
catheter survivalcatheter-related complicationfluoroscopyinterventional nephrologyperipheral inserted central catheterMore Related Videos
Related Concept Videos
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
329
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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,...
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,...
329
01:28Cardiac Catheterization I: Pre-Procedure Overview
200
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
200
01:24Hemodialysis II: Procedure and Complications
149
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
149
01:26Cardiac Catheterization IV: Nursing Management
214
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
214
01:24Cardiac Catheterization III: Left Heart Catheterization
240
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
240
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
114
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
114