{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:07:17Z","timestamp":1777936037985,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T00:00:00Z","timestamp":1616716800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Innovation and Achievement Transformation Fund of Shandong Province","award":["No. 2013ZHZX2A0401"],"award-info":[{"award-number":["No. 2013ZHZX2A0401"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Safety and efficacy of ECG-guided PICC insertion using a new silicon catheter with a conductive tip was evaluated in daily practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective study was conducted on 1659 patients who accepted successful tip-conductive PICC placement and clinically followed-up until the catheter removal between January 2018 and April 2019. Baseline of patient characteristics, catheter placement characteristics, date of dressing changes as well as records of catheter-related complications were extracted from a special designed mobile APP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The first-attempt success (success of placing catheter tip to the ideal position by primary indwelling operation) rate of PICC placement was 99.3%. The average duration of PICC placement was 128.7\u2009\u00b1\u200939.5\u2009days and 1535 patients (92.5%) reached the therapy end-point without any complications and removed the catheter normally. The cumulative rates of total complications were 7.5%, including exit site infection (2.5%), phlebitis (0.9%), DVT (1.0%), catheter malposition (1.1%), catheter breakage (0.1%), and liquid extravasation (1.8%). In multivariable logistic regression analyses, hyperlipidemia, diabetes mellitus, lung cancer, stomach cancer, and lymphoma were significantly associated with increased risk of complications, as the independent risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This retrospective clinical study demonstrates that ECG-guided insertion of a new tip-conductive PICC is associated with a high rate of first-attempt success and low rate of catheter related complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298211002572","type":"journal-article","created":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T05:10:15Z","timestamp":1616735415000},"page":"567-573","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["ECG-guided PICC insertion using a new silicon catheter with a conductive tip: A retrospective clinical study"],"prefix":"10.1177","volume":"23","author":[{"given":"Yu-Xia","family":"Yin","sequence":"first","affiliation":[{"name":"Department of Vascular and Intervention, Tenth Peoples\u2019 Hospital of Tongji University, Shanghai, China"},{"name":"School of Materials Science and Engineering, University of Science and Technology, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9398-3306","authenticated-orcid":false,"given":"Wei","family":"Gao","sequence":"additional","affiliation":[{"name":"PICC Clinic, Qilu Hospital of Shandong University, Jinan, Shandong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng-Yu","family":"Feng","sequence":"additional","affiliation":[{"name":"National Engineering Research Center for Colloidal Materials & Key Laboratory of Special Functional Aggregated Materials, Ministry of Education, School of Chemistry and Chemical Engineering, Shandong University, Jinan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deng-Xu","family":"Wang","sequence":"additional","affiliation":[{"name":"National Engineering Research Center for Colloidal Materials & Key Laboratory of Special Functional Aggregated Materials, Ministry of Education, School of Chemistry and Chemical Engineering, Shandong University, Jinan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Wan","sequence":"additional","affiliation":[{"name":"Shandong Quality Inspection Center For Medical Devices, Jinan, Shandong, China"},{"name":"Shandong Provincial Key Laboratory of Biological Evaluation of Medical Devices, Jinan, Shandong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng-Hu","family":"Liu","sequence":"additional","affiliation":[{"name":"Shandong Quality Inspection Center For Medical Devices, Jinan, Shandong, China"},{"name":"Shandong Provincial Key Laboratory of Biological Evaluation of Medical Devices, Jinan, Shandong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu-Ning","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Materials Science and Engineering, University of Science and Technology, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Kun","family":"Cao","sequence":"additional","affiliation":[{"name":"National United Engineering Laboratory for Biomedical Material Modification, Dezhou, Shandong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3686-6346","authenticated-orcid":false,"given":"Hai-Jun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Vascular and Intervention, Tenth Peoples\u2019 Hospital of Tongji University, Shanghai, China"},{"name":"National United Engineering Laboratory for Biomedical Material Modification, Dezhou, Shandong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,26]]},"reference":[{"key":"bibr1-11297298211002572","unstructured":"RCN-Royal College of Nursing IV Therapy Forum. 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