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Efficacy and safety of the integrated puncture method vs. the conventional puncture method in Peripherally Inserted Central Catheter placement for cancer patients

Year: 2025
Type: article
Study design: Observational Study
Abstract: Objective This study aims to assess the efficacy and safety of the integrated puncture method compared to the conventional puncture method in cancer patients undergoing PICC placement. Methods The retrospective analysis included 224 cancer patients who underwent PICC placement at the vascular access center of Beijing cancer hospital from March 2023 to September 2023, with 111 patients in the integrated puncture method group and 114 patients in the conventional puncture method group. Results The integrated puncture method group demonstrated a significantly higher one-needle puncture success compared to the conventional puncture method group (P = .01). Additionally, the group exhibited notably lower rates of blood-borne exposure and post-operative subcutaneous congestion (P < .001, P = .04). The integrated puncture method group also led to significantly shorter durations for tourniquet application, puncture time, and overall catheterization time compared to the conventional puncture method group (All P < .001). No statistically significant differences were observed between the two groups regarding post-operative complications such as dermatitis, catheter-related infection, catheter blockage, and catheter-related thrombosis (P > 0.05). Conclusion The integrated puncture method for PICC placement enhances one-time puncture success rates, improves catheterization efficiency, and reduces the risks of blood-borne exposure and subcutaneous congestion.
DOI: 10.3389/fsurg.2025.1632030
Language: English
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W4414086505
FWCI:
Cites: 24
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Related to: 10