CC BY-NC-ND 4.0 · International Journal of Practical Otolaryngology 2021; 04(01): e29-e33
DOI: 10.1055/s-0041-1728747
Original Article

Peripherally Inserted Central Venous Catheters Provide Safe and Easy Central Venous Access in Patients with Head and Neck Cancer

Ryosuke Sato
1  Department of Otolaryngology–Head and Neck Surgery, Asahikawa Medical University, Asahikawa, Japan
,
Takumi Kumai
1  Department of Otolaryngology–Head and Neck Surgery, Asahikawa Medical University, Asahikawa, Japan
,
Ryusuke Hayashi
1  Department of Otolaryngology–Head and Neck Surgery, Asahikawa Medical University, Asahikawa, Japan
,
Hiroki Komatsuda
1  Department of Otolaryngology–Head and Neck Surgery, Asahikawa Medical University, Asahikawa, Japan
,
Kan Kishibe
1  Department of Otolaryngology–Head and Neck Surgery, Asahikawa Medical University, Asahikawa, Japan
,
Miki Takahara
1  Department of Otolaryngology–Head and Neck Surgery, Asahikawa Medical University, Asahikawa, Japan
,
Akihiro Katada
1  Department of Otolaryngology–Head and Neck Surgery, Asahikawa Medical University, Asahikawa, Japan
,
Tatsuya Hayashi
1  Department of Otolaryngology–Head and Neck Surgery, Asahikawa Medical University, Asahikawa, Japan
,
Yasuaki Harabuchi
1  Department of Otolaryngology–Head and Neck Surgery, Asahikawa Medical University, Asahikawa, Japan
› Author Affiliations
Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Abstract

Purpose The use of peripherally inserted central venous catheters (PICCs) has increased recently; several reports have revealed that they can be easily and safely used in patients with various diseases. However, there are few reports on the use of PICCs in patients with head and neck cancer. This study was aimed at evaluating the safety and feasibility of use of PICCs in patients with head and neck cancer.

Materials and Methods We retrospectively analyzed the date of 118 PICC insertions in 85 patients with head and neck cancer from January 2014 to December 2017. The PICCs have been placed under ultrasound guidance in all cases.

Results The PICC puncture success rate was 95.2%. Catheter-related bloodstream infection occurred in four cases. The most common complication necessitating PICC removal was suspected catheter-related bloodstream infection (24 cases). All cases with confirmed and suspected catheter-related bloodstream infection improved with administration of antimicrobial agents. Phlebitis occurred in five cases, in all of whom the PICC placement had been made via an antecubital vein; the condition improved without treatment in all five cases. Deep vein thrombosis occurred in two cases, both of which improved with oral anticoagulant therapy.

Conclusion This study demonstrated that the complications associated with ultrasound-guided PICC insertion are manageable, and improve with conservative treatment in the majority of cases. Therefore, use of PICCs may be considered for easy and safe central venous access in patients with head and neck cancer, because the insertion success rate was acceptable.



Publication History

Received: 22 June 2020

Accepted: 09 October 2020

Publication Date:
21 April 2021 (online)

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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