Peripherally Inserted Central Catheter (PICC) and port-a-cath (PAC) are the most commonly medical devices used for the administration of chemotherapy. Placement of these devices via central venous access is sometimes responsible for complications. The incidence of these complications is correlated with the device holding time. A strategy of iterative PICC placement could significantly reduce these complications.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Intervention is the catheterisation strategy (not the device)
Intervention is the catheterisation strategy (not the device)
Julien GAUTIER
Lyon, France
Compare complication rate for iterative placement (PICC) versus long term placement (PAC).
Complication rate will be defined by the proportion of patients with at least one of the following complications from the date of randomization to the end of the study: pneumothorax , hemothorax ,veinous thrombosis, migration or expulsion of the device, fissure or rupture of the catheter, catheter obstruction, extravasation.
Time frame: 6 months after randomization
Success rate for each strategy
Success rate will be determined with the proportion of patients in whom the allocation strategy was conducted until the end of the last cycle of chemotherapy
Time frame: 6 months after randomization
Description of failure causes for each strategy
Causes of failures will be described
Time frame: 6 months after randomization
Level of pain for each strategy
Level of pain will be assessed with the verbal scale rated from 0 to 10
Time frame: At Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1, Cycle 6 Day 1
Quality of Life in both arms
Quality of Life will be assessed with the EQ-5D questionnaire
Time frame: At Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1, Cycle 6 Day 1
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