Comparison of PICC and TIVAP in patients with brain glioma
10.3969/j.issn.1673-9701.2024.16.014
- VernacularTitle:PICC与TIVAP在脑胶质瘤患者中的应用比较
- Author:
Shuangshuang ZHAO
1
;
Hui DAI
Author Information
1. 杭州市肿瘤医院放疗科,浙江杭州 310002
- Keywords:
Peripherally inserted central venous catheter;
Totally implantable venous access port;
Glioma
- From:
China Modern Doctor
2024;62(16):57-60,65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the application difference between peripherally inserted central venous catheter(PICC)and totally implantable venous access port(TIVAP)in brain glioma patients.Methods The clinical data of 130 patients with brain glioma who received PICC or TIVAP catheterization in Hangzhou Cancer Hospital from January 2016 to October 2022 were retrospectively analyzed,and they were divided into PICC group(55 cases)and TIVAP group(75 cases)according to the catheterization method.The changes of plasma D-dimer(D-D)level one week before and after catheterization,total catheter-related complications,the success rate of one-time catheterization,extubation rate due to catheter complications and catheter indwelling time were compared between two groups.Results One week after catheterization,D-D level in PICC group was significantly higher than that before catheterization and TIVAP group(P<0.05).There was no significant difference in D-D level in TIVAP group before and after catheterization(P>0.05).The rate of catheter-related complications and extubation rate due to catheter complications in TIVAP group were significantly lower than those in PICC group,the success rate of one-time catheterization was significantly higher than that in PICC group,and the catheter indwelling time was significantly longer than that in PICC group(P<0.05).Conclusion D-D level in brain glioma patients increased one week after PICC catheterization,and the prevention and treatment of deep vein thrombosis should be strengthened during this period.Compared with PICC,TIVAP has less effect on D-D level and better clinical application effect,which is worthy of widespread promotion.
