External Jugular Venous Catheterization With a Groshong Catheter for Central Venous Access

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Background:The Groshong catheter (GC) is commonly used as a peripherally inserted central catheter (PICC), and the external jugular vein (EJV) is not a common route for central venous access (CVA). Therefore, external jugular venous catheterization (EJVC) using a GC is rare. However, our experience has shown that this procedure is safe and simple for CVA.Purpose:To assess the utility of EJVC using the GC for CVA.Methods:CVA was done using a GC via the EJV with a single puncture employing the maximal barrier precaution technique.Results:Between March 2005 and June 2007, we attempted to perform EJVC using a GC via the EJV for 331 patients. Among of these patients, 301 patients received successful catheterization (success rate: 301/331 = 90.9%). The total period of catheter insertion was 4601 days, and the mean insertion period was 15.1 days (range 2–147 days). The main complications of catheter insertion were malposition (8/301; 2.7%) and, oozing or hematoma formation (8/301; 2.7%). There were no severe complications such as nerve injury, pneumothorax or arterial bleeding.Conclusions:Our experience demonstrates that EJVC using the GC is acceptable for CVA.

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