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ECR 2018 / C-1774
Venous thrombosis and infection associated with peripherally inserted central catheter
Congress: ECR 2018
Poster No.: C-1774
Type: Scientific Exhibit
Keywords: Interventional vascular, Vascular, Extremities, Ultrasound-Colour Doppler, Ultrasound-Spectral Doppler, PACS, Catheters, Embolism / Thrombosis, Infection, Image verification
Authors: A. Escobar, F. Puente, M. Á. Carrillo, M. Del Río; Monterrey/MX
DOI:10.1594/ecr2018/C-1774

Results

RESULTS

The study period was a total of 30 months, from March 2015 to August 2017, during this time, 236 PICCS were placed, of which 180 met the inclusion criteria. These were placed in 115 patients, totaling 1718 catheter days.

On average, catheter placement lasted 9.6 days. The minimum duration was 1 day and the maximum was 74 days (Table 4).

 

Fig. 2
References: Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey - Monterrey/MX

 

The vessel most frequently accessed was the right basilic vein (97 catheters), most likely due to the fact that on average it has a larger caliber (4.03 mm), followed by the left basilic vein (52 catheters).

 

The vessel that most frequently presented thrombosis was the basilic vein, however it is also the most commonly accessed. (Table 1)

 

Fig. 3
References: Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey - Monterrey/MX

 

The vessel caliber was on average 3.93 mm (Table 3). The minimum diameter recorded was 1.2 mm and the maximum diameter was of 8.10 mm.

 

Table 1
References: Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey - Monterrey/MX

 

The incidence of thrombosis was 1.7%. This includes 3 of the 180 catheters that were inserted into the basilic vein with gauges ranging from 3.0 to 3.8 mm, with an average of 5 to 9 catheter days. The incidence of infection was 2.7% which includes 5 of the 180 catheters, 4 inserted in the basilic vein and one in the cephalic vein, with gauges ranging from 1.2 to 2.6 mm, with a span of 7 to 29 catheter days. Infections were caused by K. pneumoniae (3), K. oxytoca (1) and S. epidermidis (1). None of the PICCs placed in vessels  with a diameter above 3 mm presented thrombosis or infection.

 

 

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