Effectiveness of the ECG method in the correct positioning of PICC type central venous catheters in patients with atrial fibrillation.

Effectiveness of the ECG method in the correct positioning of PICC type central venous catheters in patients with atrial fibrillation. Minerva Cardioangiol. 2019 Jun;67(3):207-213 Authors: Albertini F, Struglia M, Faraone V, Fioravanti R, Boursier Niutta S Abstract The peripherally inserted central catheters (PICCs) are third generation silicone or polyurethane catheters, used as venous accesses for long- and medium-term care, and recommended in therapies that require venous access for more than six days. Current implantation methods recommend the radiological method, using standard chest RX in antero-posterior projection, as a method of assessing the correct positioning of the catheter tip. The observational study evaluated the effectiveness in terms of reliability of the intracavitary tip location system (ITLS) method, better known as the ECG method, for the correct positioning of the catheter tip in patients with atrial fibrillation (AFIB); the method exploits the recording of the electrical potential produced by the f waves, expression of the fibrillation of the atrium typical in patients with this disease, the measurement is based on the calculation of the peak-to-peak value of the f waves. They were implanted using this method 101 subjects with previous determination of anthropometric measurement, according to the rule of Peres modified according to Pittiruti, and then subjected to standard thoracic RX in projection antero-post...
Source: Minerva Cardioangiologica - Category: Cardiology Tags: Minerva Cardioangiol Source Type: research