High incidence of intravenous thrombi after short-term central venous catheterization of the internal jugular vein

Wu, Xianren; Studer, Wolfgang; Skarvan, K.; Seeberger, Manfred D.

doi:10.1016/s0952-8180(99)00093-8

Cited by 47 publications

(29 citation statements)

References 14 publications

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“…As seen in the present cases, the incidence of intravenous thrombi associated with short‐term catheterization of the internal jugular vein is not negligible. Our results reaffirm the importance of removing a CVC as soon as clinically possible (12).…”

Section: Discussionsupporting

confidence: 84%

Two cases of central venous catheter‐related thrombosis in living liver donors: how can the risk be minimized?

Hata

Fujimoto²,

Suzuki³

et al. 2009

Clinical Transplantation

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A central venous catheter (CVC) is commonly used for intraoperative management by anesthetists and surgeons during major operations, including donor operations for living donor liver transplantation (LDLT), in which donor safety is of utmost importance. Reasons for use of CVC for donors include measurement of central venous pressure and drug infusion when necessary. A potentially serious complication of a major operation is pulmonary thromboembolism. We report two cases of LDLT donors complicated by catheter related thrombosis (CRT) of the jugular vein, who were eventually discharged without long-term complications. To the best of our knowledge, there has been no report of CRT among LDLT donor population. In this report, in order to minimize the risks related to CRT in LDLT donors, we propose thorough screening for thrombophilic disorders, use of a silicone or polyurethane double-lumen CVC as thin as possible, placement of the tip of the CVC at the superior vena cava via the right jugular vein using ultrasonography as a guide for puncture, and removal of the catheter at the end of the operation based on our experience of CRT among LDLT donors.

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Section: Discussionsupporting

confidence: 84%

Two cases of central venous catheter‐related thrombosis in living liver donors: how can the risk be minimized?

Hata

Fujimoto²,

Suzuki³

et al. 2009

Clinical Transplantation

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“…Several authors agreed to report that fibrin sheaths are not associated with pulmonary embolism, and Wu et al . . specified that ultrasound‐detected fibrin sheaths shorter than 20 mm and thinner than 10 mm were never associated with pulmonary embolism.…”

Section: Discussionmentioning

confidence: 99%

Incidence of ultrasound‐detected asymptomatic long‐term central vein catheter‐related thrombosis and fibrin sheath in cancer patients

Boddi

Villa

Chiostri

et al. 2015

European J of Haematology

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“…Risk of CR-DVT is higher when CVC is inserted in IJV than in SCV (ref. [11][12][13] ). We confirmed CR-DVT as the more frequent complication following IJV cannulation (56%) as opposed to SCV cannulation (10%).…”

Section: Discussionmentioning

confidence: 99%

Central venous catheter-related thrombosis in intensive care patients - incidence and risk factors: A prospective observational study

Hrdý¹,

Straževská²,

Suk³

et al. 2017

BIOMED PAP

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Background. One of the complications associated with central venous catheter (CVC) placement is catheter related deep vein thrombosis (CR-DVT). However a literature search revealed little evidence of this recognised complication. The primary aim of this study was to establish the incidence rate and risk factors for the development of CR-DVT in our critically ill adult patients. Methods. All critically ill adult patients admitted to the medical-surgical ICU with CVC inserted were included in this observational prospective study. After catheter removal we performed duplex ultrasound examination to assess the patency of the vein and establish if CR-DVT was present. Results. A total number of 308 catheters met the inclusion criteria of which 198 were included in the statistical analysis. The CVC was inserted into a subclavian vein (SCV) in 139 (70%) cases and in an internal jugular vein (IJV) in 59 (30%) cases. The 28-day mortality rate was 14.1%. We found CR-DVT during duplex ultrasound examination in 47 (26%) of all cases. 33 (70%) of the CR-DVT were diagnosed in the IJV and 14 (30%) in the SCV. The risk factors for the development of CR-DVT we identified included cannulation of the IJV and the use of treatment dose of LMWH. The effect of CR-DVT on 28-day mortality was not statistically significant. Conclusion. The risk factors for CR-DVT we identified were IJV as a site for CVC cannulation and the use of therapeutic anticoagulation prior to cannulation. Our recommendation would be preferential cannulation of a subclavian vein as opposed to an internal jugular vein in order to reduce the risk of CR-DVT.

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High incidence of intravenous thrombi after short-term central venous catheterization of the internal jugular vein

Cited by 47 publications

References 14 publications

Two cases of central venous catheter‐related thrombosis in living liver donors: how can the risk be minimized?

Two cases of central venous catheter‐related thrombosis in living liver donors: how can the risk be minimized?

Incidence of ultrasound‐detected asymptomatic long‐term central vein catheter‐related thrombosis and fibrin sheath in cancer patients

Central venous catheter-related thrombosis in intensive care patients - incidence and risk factors: A prospective observational study

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