Venous thrombosis related to peripherally inserted central catheters

Jay R. Grove, William C Pevec

Research output: Contribution to journalArticle

192 Scopus citations

Abstract

Purpose: To determine factors that may lead to venous thrombosis in patients with peripherally inserted central catheters (PICC). Materials and methods: The medical records of 678 patients with 813 PICCs during 1997 were cross-referenced with all patients receiving venous duplex examinations (1,631) during the same time period. Multiple factors were examined in the patients with catheter-related thrombosis, including diagnosis, solution infused, catheter tip position, vein accessed, and catheter diameter. Results: Nurses placed 269 PICCs with 12 venous thromboses, for a rate of 4.5%. Radiologists placed 544 PICCs with 20 venous thromboses, for a rate of 3.7%. There was no significant difference in these rates. The overall thrombosis rate was 3.9%. After multi-variate analysis, only catheter diameter remained significant. There were no thromboses in catheters 3 F or smaller. The thrombosis rate was 1% for 4-F catheters, 6.6% for 5-F catheters, and 9.8% for 6-F catheters. Conclusions: Thrombosis rate associated with PICCs was low (3.9%). The smallest acceptable catheter diameter should be used to decrease the incidence of venous thrombosis.

Original languageEnglish (US)
Pages (from-to)837-840
Number of pages4
JournalJournal of Vascular and Interventional Radiology
Volume11
Issue number7
StatePublished - 2000

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Keywords

  • Catheters and catheterization, central venous access
  • Catheters and catheterization, complications
  • Thrombosis, venous

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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