{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:10:40Z","timestamp":1777936240442,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Peripherally Inserted Central Catheters play an increasingly important role in Central Venous Access Devices. However, the use of these devices should be carefully considered in specific situations such as central catheterisation in patients with chronic kidney disease. When evaluating the feasibility of placement for a patient undergoing dialysis, the relationship between changes in circulating volume before and after dialysis treatment, and potential variations in the size of deep veins in the upper limbs, should be considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials:<\/jats:title>\n                    <jats:p>Upper limb veins, specifically the basilic or brachial veins, were identified and measured before and after dialysis treatment. Patient data and weight loss data during dialysis treatment were also collected. Linear regression analysis was performed to assess the correlation between the variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The average variation in vein size for the entire sample was +0.17\u2009\u00b1\u20090.43\u2009mm. The mean volume removed was 2.2\u2009\u00b1\u20090.8\u2009l. In subgroup 1 (fluid volume loss &lt;2000\u2009ml), the population experienced a decrease in the measured vein size after dialysis. In subgroup 2 (fluid volume loss \u2a7e2000\u2009ml), the population experienced an increase in the measured vein size after dialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Upper arm vascular access placement in dialysed patients with fluid removal of less than 2000\u2009ml should be performed after the dialysis session. Conversely, in dialysed patients with fluid removal of more than 2000\u2009ml, where a significant increase in vein size was observed, vascular access placement should be performed before the dialysis session when the veins are smaller. Additionally, it should be noted that in patients with chronic kidney disease, the venous system of the upper limbs should be preserved as much as possible to prevent thrombosis and stenosis in potential arteriovenous fistula creation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298241238455","type":"journal-article","created":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T03:13:10Z","timestamp":1711077190000},"page":"646-650","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["PICC insertion and veins of the arm size variation during dialysis treatment: A prospective observational study"],"prefix":"10.1177","volume":"26","author":[{"given":"Elena","family":"Ajello","sequence":"first","affiliation":[{"name":"IRCCS S. Gerardo dei Tintori Foundation, Monza (MB), Lombardia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Arresta","sequence":"additional","affiliation":[{"name":"Santa Chiara Hospital, Trento (TN), Trentino-Alto Adige, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Rutili","sequence":"additional","affiliation":[{"name":"ASST Mantova, Carlo Poma Hospital, Mantova, Lombardy, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Aronica","sequence":"additional","affiliation":[{"name":"IRCCS S. Gerardo dei Tintori Foundation, Monza (MB), Lombardia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rigo","family":"Lorenzo","sequence":"additional","affiliation":[{"name":"ASST Brianza, Vimercate (MB), Lombardy, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elia","family":"Monti","sequence":"additional","affiliation":[{"name":"IRCCS Istituto Ortopedico Rizzoli, Bologna, Emilia-Romagna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Galletti","sequence":"additional","affiliation":[{"name":"Papa Giovanni XXIII Hospital, Bergamo (BG), Lombardia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Cannizzo","sequence":"additional","affiliation":[{"name":"IRCCS S. Gerardo dei Tintori Foundation, Monza (MB), Lombardia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano","family":"Giannini","sequence":"additional","affiliation":[{"name":"IRCCS S. Gerardo dei Tintori Foundation, Monza (MB), Lombardia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7475-277X","authenticated-orcid":false,"given":"Alberto","family":"Lucchini","sequence":"additional","affiliation":[{"name":"IRCCS S. Gerardo dei Tintori Foundation, Healthcare Professions Department, University of Milan-Bicocca, Monza (MB), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1302-6846","authenticated-orcid":false,"given":"Federico","family":"Pieruzzi","sequence":"additional","affiliation":[{"name":"University of Milan-Bicocca, IRCCS S. Gerardo dei Tintori Foundation, Monza (MB), Lombardia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8785-824X","authenticated-orcid":false,"given":"Stefano","family":"Elli","sequence":"additional","affiliation":[{"name":"IRCCS S. Gerardo dei Tintori Foundation, Healthcare Professions Department, University of Milan-Bicocca, Monza (MB), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000396"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir138"},{"key":"e_1_3_2_4_2","article-title":"Rapid assessment of vascular exit site and tunneling pptions (RAVESTO): a new decision tool in the management of the complex vascular access patients","author":"Ostroff MD","year":"2021","unstructured":"Ostroff MD, Moureau N, Pittiruti M. Rapid assessment of vascular exit site and tunneling pptions (RAVESTO): a new decision tool in the management of the complex vascular access patients. J Vasc Access 2021.","journal-title":"J Vasc Access"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000001180"},{"key":"e_1_3_2_6_2","article-title":"ECHOTIP: a structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in adult patients","author":"Greca AL","year":"2021","unstructured":"Greca AL, Iacobone E, Elisei D, et al. ECHOTIP: a structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in adult patients. J Vasc Access 2021.","journal-title":"J Vasc Access"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231153517"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000228"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000647"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211025897"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2012.05.007"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211023284"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.7326\/M18-2937"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231152499"},{"key":"e_1_3_2_16_2","article-title":"The SIP protocol update: eight strategies, incorporating Rapid Peripheral Vein Assessment (RaPeVA), to minimize complications associated with peripherally inserted central catheter insertion","author":"Brescia F","year":"2022","unstructured":"Brescia F, Pittiruti M, Spencer TR, et al. The SIP protocol update: eight strategies, incorporating Rapid Peripheral Vein Assessment (RaPeVA), to minimize complications associated with peripherally inserted central catheter insertion. J Vasc Access 2022.","journal-title":"J Vasc Access"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.2309\/java.16-3-5"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2018.06.013"},{"key":"e_1_3_2_19_2","first-page":"864","article-title":"Comparison of the dilatory effect of three strategies on peripheral veins of the upper extremity in adults","volume":"87","author":"VAN Loon FH","year":"2021","unstructured":"VAN Loon FH, Korsten HH, Dierick-VAN Daele AT, et al. Comparison of the dilatory effect of three strategies on peripheral veins of the upper extremity in adults. Minerva Anestesiol 2021; 87: 864\u2013872.","journal-title":"Minerva Anestesiol"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2020.1726384"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00310106"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298221124405"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241238455","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298241238455","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241238455","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:24:23Z","timestamp":1777692263000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298241238455"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,22]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1177\/11297298241238455"],"URL":"https:\/\/doi.org\/10.1177\/11297298241238455","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,22]]}}}