Ultra-Long Peripheral Catheter Versus Accelerated Seldinger Technique Long Peripheral Catheter in Difficult IV Access Patients

NCT ID: NCT07005310

Last Updated: 2025-06-05

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 100 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-07-01
• Study Completion Date: 2026-04-30

Brief Summary

The aim of this study is to perform a comparative analysis of clinical outcomes associated with the use of an ultra-long peripheral catheter using (catheter-over-the-needle technique) versus an AST-long peripheral catheter in adult patients with difficult intravenous access (DIVA) in a real-world clinical setting. Specifically, the study will assess potential benefits, including longer mean catheter dwell time and improved catheter usability, as well as potential harms, such as increased incidence of catheter-related thrombosis, infections, phlebitis, infiltration, and unplanned catheter removal.

Conditions

Difficult Intravenous Access; Adults

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: DIAGNOSTIC
• Blinding Strategy: NONE

Study Groups

Accelerated seldinger technique LPC

One study arm will be assigned the AST-long peripheral catheter (Powerglide Pro long peripheral catheter, BD) available in 18G 100 mm, 20G 100 mm (approx. 3.94 inches) and 22G 80 mm (approx. 3.15 inches).

Group Type: ACTIVE_COMPARATOR

Powerglide pro™

Intervention Type: DEVICE

A long peripheral catheter will be placed under ultrasound guidance. This catheter will be placed by using the Accelerated seldinger technique.

Ultra-long peripheral catheter

The other study arm will be assigned the ultralong peripheral catheter (Introcan Safety deep access catheter, B. Braun) available in 18, 20 and 22G and 63.5 mm (approx. 2.5 inches) in length.

Group Type: EXPERIMENTAL

Introcan safety deep access

Intervention Type: DEVICE

The catheter will be placed using ultrasound guidance and by using the 'catheter-over-the needle' approach.

Interventions

Powerglide pro™

A long peripheral catheter will be placed under ultrasound guidance. This catheter will be placed by using the Accelerated seldinger technique.

Intervention Type: DEVICE

Introcan safety deep access

The catheter will be placed using ultrasound guidance and by using the 'catheter-over-the needle' approach.

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Adult inpatients with DIVA, requiring placement of a long peripheral catheter, will be included in the study.
• A digital request form for venous access must be completed by the treating physician at the ward.
• Patients must be proficient in either Dutch or French
• Patients must have decision-making capacity or be represented by a legal representative.

Exclusion Criteria

• Expected therapy duration of less than 24 hours
• pregnancy
• Need for central venous access
• Inability to locate a deep peripheral vein in the upper extremity prior enrollment in the study
• Veins located deeper than 1.6cm prior enrollment in the study
• withdrawal of consent, or presentation at a time when study personnel are unavailable.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University Ghent

OTHER

Sponsor Role: lead

Responsible Party

Tim Torsy

Prof. Dr.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Universitair ziekenhuis Brussel

Brussels, Jette, Belgium

Countries

Belgium

Facility Contacts

Wouter Pieteraerens

Role: primary

wouter.pieteraerens@uzbrussel.be

024763840

Other Identifiers

ONZ-2024-0303

Identifier Type: -

Identifier Source: org_study_id