Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Intracavitary ECG (IC-ECG) for central venous access devices (CVADs) tip location is one of the most significant innovations in the field of venous access in recent years. Despite there is evidence demonstrating its effect in improving outcomes, data regarding its cost-effectiveness are still scarce.
Methods: We conducted a retrospective observational study at a tertiary care Italian hospital comparing IC-ECG versus fluoroscopy plus postprocedural chest X-ray (CXR) and IC-ECG versus postprocedural CXR for port and peripherally inserted central catheters (PICC) tip location respectively. The primary outcome was to assess the impact of the adoption of IC-ECG versus radiological tip location on annual cost reduction.
Results: Between January 1st and December 31st, 2022, 1722 medium-long term CVADs (753 ports and 969 PICC) were placed at the authors' Vascular Access Center. Costs of single port insertion using fluoroscopy plus CXR or IC-ECG for tip location were €921,04 and €351,42 respectively, with a net saving of €569,62 per procedure in favor of IC-ECG. Costs of a single PICC insertion using postprocedural CXR and IC-ECG for tip location were €364,38 and €320,85 respectively, with a net saving of €43,53 per procedure in favor of IC-ECG. Costs related to primary malpositioning were also calculated, being €926,17 and €52.962,63 for port and PICC respectively. Based on the authors' annual volume of CVAD placements, annual savings by utilizing IC-ECG instead of fluoroscopy for port tip location and IC-ECG instead of post procedural CXR for PICC tip location, were €425.836,58 and €92.361,97 respectively, with an overall net total saving of €518.198,55.
Conclusion: Utilizing IC-ECG instead of X-ray guidance (CXR or fluoroscopy) for medium and long term CVAD tip location (PICC and port) has resulted in significant cost reduction. This strategy should strongly be considered for improving the cost-effectiveness of CVADs implantation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/11297298251345989 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Disseminated Tuberculosis Complicated by Pulmonary Thromboembolism.
Cureus
August 2025
Respiratory Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Tuberculosis (TB) is a multisystem infectious disease with both pulmonary and extrapulmonary manifestations. TB can also induce a hypercoagulable state, setting off a cascade of changes in the body, including systemic inflammation, endothelial dysfunction, and abnormalities in the coagulation and fibrinolytic pathways. Collectively, these factors significantly increase the risk of venous thromboembolism, such as deep vein thrombosis and pulmonary embolism.
View Article and Find Full Text PDFThe impact of minimally invasive dialysis access.
J Vasc Access
September 2025
Prince of Wales Hospital, Sydney, NSW, Australia.
Objective: Minimal Invasive Dialysis Access (MIDA) for renal dialysis encompasses percutaneous arteriovenous fistula (pAVF) creation and the modified percutaneous Seldinger peritoneal dialysis catheter insertions (pPD). This review examines the impact of MIDA on technical success, maturation rates, patency, clinical benefits, complications, and cost.
Methods: A review was made of the literature on MIDA including pAVF creation and pPD insertion regarding technical success rates, maturation rates, patency, clinical benefits, complications, and cost.
[Vascular anatomy and its variants in pancreatic surgery].
Chirurgie (Heidelb)
September 2025
Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburgerallee 160, 23538, Lübeck, Deutschland.
A profound understanding of pancreatic anatomy and its vascular supply is essential for safely performing complex surgical procedures such as pancreaticoduodenectomy. Historically, anatomical exploration began with Herophilos and Ruphos of Ephesos in ancient times, evolving through major surgical innovations by Wirsung, Kausch and Whipple. The pancreas is located secondarily retroperitoneally and therefore has a close relationship of the pancreatic head to the superior mesenteric artery (SMA) and portal vein (PV) and the celiac trunc.
View Article and Find Full Text PDFRecurrent Bloodstream Infections Without Sepsis in a Patient With Short Bowel Syndrome on Parenteral Nutrition: A Case of Potential Sepsis Tolerance.
Cureus
August 2025
Medicine, Hadassah-Hebrew University Medical Center, Mount Scopus Campus and the Hebrew University-Hadassah Medical School, Jerusalem, ISR.
Adults with short bowel syndrome (SBS), malabsorption, and malnutrition often require long-term parenteral nutrition (PN), typically as total PN (TPN). These patients are susceptible to bloodstream infections and sepsis. We present a case of a 63-year-old male patient who developed SBS following an acute mesenteric event.
View Article and Find Full Text PDFA Case of Paget-Schroetter Syndrome in a Young, Healthy Woman.
Cureus
August 2025
Internal Medicine, University of California Los Angeles, Los Angeles, USA.
This report discusses a case of a 33-year-old healthy woman who presented with upper extremity swelling and pain, which she attributed to an injury sustained during her work as a professional dancer. Given her persistent symptoms, she was eventually referred to the emergency room for evaluation of possible thrombosis. She was found to have an elevated D-dimer, and a CT angiogram of the chest revealed narrowing of the bilateral subclavian veins suggestive of venous thoracic outlet syndrome (VTOS).
View Article and Find Full Text PDF