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KMID : 1033420100130010133
Journal of Korean Society of Cardio-Vascular Interventional Technology
2010 Volume.13 No. 1 p.133 ~ p.143
Statistical significance of complication according to the Central Venous Catheter Tip position
Seo Eun-Hee

Kim Seong-Ryong
Kim Young-Joo
Seong Yeol-Hun
Go Joong-Seok
Min Kwan-Hong
Abstract
Purpose: The purpose of this paper is how it effects on the central venous catheter tip position, and it brings other functions and complication problems. Also, to recognize connection between function evaluation and catheter position. In addition, to make out statistical signification along a suitable catheter tip position as well.

Material & Method: In this study, 490 the central venous catheterization patients whomprocedure at our hospital interventional room, and they were selected. In addition, this was studied from 1st of January 2009 to 31st of December 2009. We found out the position of catheter through chest X-ray after central venous catheterizationwas progressed by two departments of radiology residents. It was classified to other four groups which were the Superior Vena Cava(SVC), junction of the Superior Vena Cava and the Right Atrium(SVC-RA junction), Right atrium(RA), and the other group. Moreover, it was investigated a complication along a catheter position. The complications were compared by occurrence of the arrhythmia and a functional loss of the catheter.

Result: According to the results ofposition is group of the Superior Vena Cava (SVC) 115 patients, the junction of the Superior Vena Cava and Right Atrium (SVC-RA junction) 177 patients, Right Atrium(RA) 188 patients and the other 10 patients. There were a few statistical sample medical charges, and other group became an exception. The arrhythmia occurrence rate the Superior Vena Cava are 1.33(p=1.000) lower than junction of RA, which are 0.538(p=0.687) times higherjunction of Right atrium.However, in functional evaluate of catheter, rate of the Superior Vena Cava functionalis 0.640(p=0.523) times higher than junctionsRight Atrium that is 0.361(p=0.059) times higher.

Conclusion: Many of the studies recommend position of catheter tip during the central catheter insertion, but as a result, having compared by focus on junctions of the Superior Vena Cava and the Right Atrium. Also, statistical signification of the Superior Vena Cava and the Right Atrium. Finally, if patients doesn"t have basal disease, it will be fine to fix any positions.
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