{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:27:22Z","timestamp":1792621642134,"version":"4.5.0"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>Resumo  Contexto Os cateteres venosos centrais de inser\u00e7\u00e3o perif\u00e9rica (PICC) s\u00e3o dispositivos intravenosos, introduzidos atrav\u00e9s de uma veia superficial ou profunda da extremidade superior ou inferior at\u00e9 o ter\u00e7o distal da veia cava superior ou proximal da veia cava inferior. Apresentam maior seguran\u00e7a para infus\u00e3o de solu\u00e7\u00f5es vesicantes\/irritantes e hiperosmolares, antibioticoterapia, nutri\u00e7\u00e3o parenteral prolongada (NPT) e uso de quimioter\u00e1picos; demonstram reduzido risco de infec\u00e7\u00e3o em compara\u00e7\u00e3o a outros cateteres vasculares e maior rela\u00e7\u00e3o custo\/benef\u00edcio se comparados ao cateter venoso de inser\u00e7\u00e3o central (CVCIC).  Objetivos Apresentar os resultados de implantes de PICCs ecoguiados e posicionados por fluoroscopia realizados no Hospital e Maternidade S\u00e3o Luiz (HMSL) Itaim, Rede D\u2019or, Brasil.  M\u00e9todos Estudo prospectivo, n\u00e3o randomizado, realizado entre fevereiro de 2015 e novembro de 2016. Utilizou-se protocolo pr\u00e9-estabelecido pela institui\u00e7\u00e3o em casos de solicita\u00e7\u00e3o de acesso vascular. Foram analisadas indica\u00e7\u00f5es, doen\u00e7as prevalentes, tipo do cateter implantado, sucesso t\u00e9cnico, complica\u00e7\u00f5es relacionadas ao cateter, e estabelecidos crit\u00e9rios de inclus\u00e3o e exclus\u00e3o.  Resultados Solicitados 256 acessos vasculares, sendo implantados 236 PICCs (92,1%) e 20 CVCICs (7,9%). Principais indica\u00e7\u00f5es: antibioticoterapia prolongada (52,0%), NPT (19,3%) e acesso venoso dif\u00edcil (16,0%). Houve sucesso t\u00e9cnico em 246 cateteres implantados (96,1%). A veia bas\u00edlica direita foi a principal veia puncionada em 192 pacientes (75,0%), seguida da braquial direita em 28 pacientes (10,9%).  Conclus\u00f5es O implante dos PICCs ecoguiados e posicionados por fluoroscopia demonstrou baixa incid\u00eancia de complica\u00e7\u00f5es, reduzidos \u00edndices de infec\u00e7\u00e3o e \u00e9 seguro e eficaz em casos de acessos vasculares dif\u00edceis, sendo esses cateteres considerados dispositivos de escolha em acesso vascular central.<\/jats:p>","DOI":"10.1590\/1677-5449.011516","type":"journal-article","created":{"date-parts":[[2017,8,8]],"date-time":"2017-08-08T14:34:09Z","timestamp":1502202849000},"page":"104-112","source":"Crossref","is-referenced-by-count":29,"title":["Cateteres venosos centrais de inser\u00e7\u00e3o perif\u00e9rica: alternativa ou primeira escolha em acesso vascular?"],"prefix":"10.1590","volume":"16","author":[{"given":"Marcelo Kalil","family":"Di Santo","sequence":"first","affiliation":[{"name":"Rede D\u2019or Hospital e Maternidade S\u00e3o Luiz,  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