|ECR 2018 / C-1774|
|Venous thrombosis and infection associated with peripherally inserted central catheter|
Aims and objectives
Peripherally inserted central catheters (PICC) are an alternative to central venous catheters (CVC's) in patients requiring long-term venous access (1). The introduction and growing demand of these catheters is based on the fact that, although they share the same indications and uses of central venous catheters, they are considered to be safer at the time of insertion. This is due to the fact that they do not have the risk of pneumothorax or puncture of the subclavian artery because the puncture site is in a peripheral vein, usually of an arm and with ultrasound guidance.
The literature describes that the main complications in the use of PICCs are venous thrombosis and infection, although in some studies it is reported that the risk of the latter appears to be similar to CVCs (2). However, the use of PICCs, as well as multi-lumen catheters, in critically ill patients has been discouraged because of an increased risk of infection. They not only seem to increase this risk, but also accelerate the time of developing complications due to infections (1).
Although it has generally been associated with an increased risk of thrombosis with smaller gauge veins, the minimum caliber misadvised for catheter placement remain uncertain.
The purpose of this study is to determine the incidence of thrombosis and infection associated with the use of PICCs in the Zambrano-Hellion and San José Tec Salud Hospitals. The importance of this study lies in the fact that in the last three years the Department of Interventional Radiology has seen a substantial increase in requests for PICC placements. The first PICC included in this study was placed in March 2015, with a total of 37 PICC for 2015, increasing to 143 in 2016 and 56 in the first half of 2017.
AIMS AND OBJECTIVES
- To determine the incidence of thrombosis and infection associated with peripheral insertion central catheters implanted by the interventional radiology service of Tec Salud hospitals.
- Determine if there is a relationship between vein caliber and the incidence of thrombosis.
- Determine which vein is most frequently accessed.
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