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首页> 外文期刊>Journal of International Medical Research >Clinical impact of the Sherlock 3CG? Tip Confirmation System for peripherally inserted central catheters
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Clinical impact of the Sherlock 3CG? Tip Confirmation System for peripherally inserted central catheters

机译：Sherlock 3CG的临床影响？尖端确认系统，用于外围插入的中心导管

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Objective This study was performed to evaluate the technical success rate and catheter tip malposition rate of peripherally inserted central catheter (PICC) placement using the Sherlock 3CG? Tip Confirmation System (TCS). Methods In total, 114 patients who underwent PICC insertion via the Sherlock 3CG? TCS from October 2017 to February 2018 were retrospectively evaluated. The primary endpoints were the technical success rate, malposition rate, and mean procedure time. The secondary endpoints were the sex-related difference in the malposition rate, radiologist’s experience level, and side of insertion. Technical success was defined as procedure completion using only the Sherlock 3CG? TCS without a guidewire or fluoroscopy guidance. In accordance with the North American guidelines, an adequate position was defined as the lower third of the superior vena cava and the cavoatrial junction. Results The technical success rate was 97% (111/114). The malposition rate was 16% (18/111), and four catheters were repositioned. There were no significant differences in the malposition rate between the sexes, radiologist’s level of experience, or side of insertion. Conclusions PICC placement using the Sherlock 3CG? TCS yielded a high technical success rate and low catheter tip malposition rate regardless of the radiologist’s level of experience or side of insertion.
机译：目的进行本研究以评估使用Sherlock 3CG进行外围插入式中心导管（PICC）放置的技术成功率和导管尖端错位率。提示确认系统（TCS）。方法共有114例患者通过Sherlock 3CG进行了PICC插入？对2017年10月至2018年2月的TCS进行回顾性评估。主要终点是技术成功率，错位率和平均手术时间。次要终点是错位率，放射科医生的经验水平和插入侧与性别相关的差异。技术上的成功定义为仅使用Sherlock 3CG？无导丝或荧光检查指导的TCS。根据北美指南，适当的位置被定义为上腔静脉和腔房连接的下三分之一。结果技术成功率为97％（111/114）。错位率为16％（18/111），并重新放置了四个导管。性别，放射线医生的经验水平或插入侧之间的错位率没有显着差异。结论使用Sherlock 3CG放置PICC？无论放射线医师的经验水平或插入面如何，TCS都能带来较高的技术成功率和较低的导管尖端错位率。

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