ArticleClinicoEconomics and outcomes research : CEOR2017
Time and resources of peripherally inserted central catheter insertion procedures: a comparison between blind insertion/chest X-ray and a real time tip navigation and confirmation system.
Article in ClinicoEconomics and outcomes research : CEOR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 49 citations in OpenAlex.
- Magnetic Tracking and Electrocardiography-Guided Tip Confirmation System Versus Fluoroscopy for Placement of Peripherally Inserted Central Catheters: A Randomized, Noninferiority Comparison.Cardiovascular and interventional radiology · 2020Trial
- Indications, Dwell Time, and Removal Reasons of Standardized Mid-Thigh Lower-Extremity PICCs in Adult ICU Patients: A Retrospective Cohort Study.Life (Basel, Switzerland) · 2026Article
- Effect of a prevention bundle for internal jugular vein malposition of peripherally inserted central catheters in children: a single-center before-after study.Frontiers in pediatrics · 2026Article
- Nursing Interventions to Prevent Complications in Patients with Peripherally Inserted Central Catheters: A Scoping Review.Journal of clinical medicine · 2024Article
- [A clinical study on the optimal placement depth for peripherally inserted central catheter through the great saphenous vein in preterm infants].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024Article
- Catheter detection by transthoracic echocardiography during placement of peripherally inserted central catheters: a real-time method for eliminating misplacement.Acute and critical care · 2024Article
- Determination of optimal tip position of peripherally inserted central catheters using electrocardiography: a retrospective study.Korean journal of anesthesiology · 2023Article
- The Evolving Use of Magnets in Surgery: Biomedical Considerations and a Review of Their Current Applications.Bioengineering (Basel, Switzerland) · 2023Review
- Beyond the gut: spectrum of magnetic surgery devices.Frontiers in surgery · 2023Review
- Classification of Central Venous Catheter Tip Position on Chest X-ray Using Artificial Intelligence.Journal of personalized medicine · 2022Article
- Inadequate positioning of central venous catheters inserted at intensive care units.Einstein (Sao Paulo, Brazil) · 2022Article
- Image Guidance for PICC Insertion: Commentary to "Magnetic Tracking and Electrocardiography-Guided Tip Confirmation System Versus Fluoroscopy for Placement of Peripherally Inserted Central Catheters: A Randomized, Noninferiority Comparison".Cardiovascular and interventional radiology · 2020Article
- A budget impact analysis of a magnetic sphincter augmentation device for the treatment of medication-refractory mechanical gastroesophageal reflux disease: a United States payer perspective.Surgical endoscopy · 2020Article
- Clinical impact of the Sherlock 3CG® Tip Confirmation System for peripherally inserted central catheters.The Journal of international medical research · 2018Article
- A Deep-Learning System for Fully-Automated Peripherally Inserted Central Catheter (PICC) Tip Detection.Journal of digital imaging · 2018Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Sherlock 3CG™ Tip Confirmation System (TCS) provides real-time peripherally inserted central catheter (PICC) tip insertion information using passive magnetic navigation and patient cardiac electrical activity. It is an alternative tip confirmation method to fluoroscopy or chest X-ray for PICC tip insertion confirmation in adults. The purpose of this study was to evaluate time and cost of the Sherlock 3CG TCS and blind insertion with chest X-ray tip confirmation (BI/CXR) for PICC insertions.
methodsA cross-sectional, observational Time and Motion study was conducted. Data were collected at four hospitals in the US. Two hospitals used Sherlock 3CG TCS and two hospitals used BI/CXR to place/confirm successful PICC tip location. Researchers observed PICC insertions, collecting data from the beginning (ie, PICC kit opening) to catheter tip confirmation (ie, released for intravenous [IV] therapy). An economic model was developed to project outcomes for a larger population.
resultsA total of 120 subjects were enrolled, with 60 subjects enrolled in each arm and 30 enrolled at each of the four US hospitals. The mean time from initiation of the PICC procedure to the time to release for IV therapy was 33.93 minutes in the Sherlock 3CG arm and 176.32 minutes in the BI/CXR arm (
conclusionThe results from this study demonstrate that Sherlock 3CG TCS, when compared with BI/CXR, is a superior alternative with regard to time to release subject to therapy, malposition rates, and minimization of X-ray exposure.
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