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Usefulness of central venous catheter replacement with a guidewire in patients with intestinal failure: a single-center study

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This single-center retrospective study evaluated guidewire replacement (GWR) as a method for exchanging central venous catheters in 108 intestinal failure patients requiring long-term parenteral nutrition. The GWR technique achieved a 94.4% success rate with significantly longer time to first infection compared to primary placement, demonstrating it as a safe and effective alternative that does not increase infection risk.

Key takeaways

  • Guidewire replacement (GWR) of CVCs in intestinal failure patients achieved 94.4% success rate with minimal complications.
  • Time to first infection was significantly longer with GWR compared to primary placement (p=0.001).
  • GWR method did not increase catheter replacement frequency or infection rates versus new venipuncture placement.
  • Catheter survival rates were equivalent between GWR and primary placement methods in this 10-year single-center study.
  • GWR offers a safe, effective alternative to new venipuncture for CVC replacement in long-term parenteral nutrition patients.

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How to cite: GlobalCastMD. Usefulness of central venous catheter replacement with a guidewire in patients with intestinal failure: a single-center study. GlobalCastMD Medical Library. 2024-08-15. https://dev.library.globalcastmd.com/article/9007?via_space=staycurrentmd

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