Venous Thrombosis Associated with the Placement of Peripherally Inserted Central Catheters

Allen, Anthony W.; Megargell, Jocelyn L.; Brown, Daniel B.; Lynch, Frank C.; Singh, Harjit; Singh, Yuvraj; Waybill, Peter N.

doi:10.1016/s1051-0443(07)61307-4

Cited by 233 publications

(133 citation statements)

References 17 publications

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“…[7][8][9]12,14 Few data are available on upper extremity DVT; most of the observational studies have focused on lower extremity DVT. In one study, 11 compared with nonobese patients, obese patients had a 23-fold increase in upper extremity DVT.…”

Section: Discussionmentioning

confidence: 99%

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Use of Peripherally Inserted Central Catheters As an Alternative to Central Catheters in Neurocritical Care Units

DeLemos

Abi-Nader

Akins

2011

Critical Care Nurse

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Background Patients in neurological critical care units often have lengthy stays that require extended vascular access and invasive hemodynamic monitoring. The traditional approach for these patients has relied heavily on central venous and pulmonary artery catheters. The aim of this study was to evaluate peripherally inserted central catheters as an alternative to central venous catheters in neurocritical care settings. Methods Data on 35 patients who had peripherally inserted central catheters rather than central venous or pulmonary artery catheters for intravascular access and monitoring were collected from a prospective registry of neurological critical care admissions. These data were cross-referenced with information from hospital-based data registries for peripherally inserted central catheters and subarachnoid hemorrhage. Results Complete data were available on 33 patients with Hunt-Hess grade IV–V aneurysmal subarachnoid hemorrhage. Catheters remained in place a total of 649 days (mean, 19 days; range, 4–64 days). One patient (3%) had deep vein thrombosis in an upper extremity. In 2 patients, central venous pressure measured with a peripherally inserted catheter was higher than pressure measured concurrently with a central venous catheter. None of the 33 patients had a central catheter bloodstream infection or persistent insertion-related complications. Conclusions Use of peripherally inserted central catheters rather than central venous catheters or pulmonary artery catheters in the neurocritical care unit reduced procedural and infection risk without compromising patient management.

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Section: Discussionmentioning

confidence: 99%

“…Placement in the cephalic veins was avoided because of the high risk for thrombosis. [7][8][9][10][11] The brachial or basilic vein was selected on the basis of the suitability of the site.…”

Section: Placementmentioning

confidence: 99%

Use of Peripherally Inserted Central Catheters As an Alternative to Central Catheters in Neurocritical Care Units

DeLemos

Abi-Nader

Akins

2011

Critical Care Nurse

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“…The occurrence of symptomatic PICC-associated UEDVT is small, but due to the large number of PICCs placed each year, they account for up to 35% of all diagnosed UEDVTs [13]. Roughly 1% to 7% of hospitalized patients who undergo PICC placement will develop venous thrombosis; and, the majority of these events will occur after the 14 th day post placement [10,[14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

The Incidence of Peripherally Inserted Central Catheter Symptomatic Pulmonary Embolism after Line Removal: A Retrospective Analysis

Wasan¹,

Esponda²,

Feland³

et al. 2017

Vasc Med Surg

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“…Chopra et al (1), in a meta-analysis, reported that PICCs were strongly associated with deep venous thrombosis but not pulmonary embolism. Allen et al (10) found a relatively high rate of venous thrombosis associated with PICCs, particularly cephalic thrombus. Allen et al (10) recommended that all patients with a history of PICC placement requiring dialysis access undergo upper extremity venography before the placement of permanent access.…”

mentioning

confidence: 99%

Nephrologists Versus Peripherally Inserted Central Catheters: Are the PICCs Winning?

Kalloo

Wish

2016

CJASN

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Venous Thrombosis Associated with the Placement of Peripherally Inserted Central Catheters

Cited by 233 publications

References 17 publications

Use of Peripherally Inserted Central Catheters As an Alternative to Central Catheters in Neurocritical Care Units

Use of Peripherally Inserted Central Catheters As an Alternative to Central Catheters in Neurocritical Care Units

The Incidence of Peripherally Inserted Central Catheter Symptomatic Pulmonary Embolism after Line Removal: A Retrospective Analysis

Nephrologists Versus Peripherally Inserted Central Catheters: Are the PICCs Winning?

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