PICC (Peripherally Inserted Central Catheter) are commun used. Just one paper report morbidity with suture as fixation system for PICC (dislodgement, infection) In the guidelines it's recommended to use sutureless device. The devices actually used are unsatisfactory because of the high risk of migration, accidental removal. A new device, called KTFIX PLUS, seem to be more secure for PICC fixation and offer the possibility to simplify the after care. This device may stay on patient for 4 weeks. Others devices may be changed 1/week. The investigators aimed to compare morbidity between this new device and the old one. The investigators also want to perform an economic evaluation of this device and compare patient quality of life.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
500
Caen University Hospital
Caen, France
RECRUITINGmorbidity assessed as a composite of:
* Catheter infection * Symptomatic superficial or deep venous thrombosis * Catheter occlusion * Premature withdrawal * Catheter migration * Hematoma occurred within 24 hours after installation in incidence density
Time frame: from baseline up to 1 year
quality of life
internal satisfaction scale
Time frame: 1 year
cost
direct costs of PICCS fastening systems
Time frame: 1 year
efficacy of urokinase
recanalization rates of PICC after application of urokinase protocol
Time frame: 1 year
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