Peripherally inserted central catheter usage patterns and associated symptomatic upper extremity venous thrombosis

Timothy Liem, Keenan E. Yanit, Shannon E. Moseley, Gregory Landry, Thomas Deloughery, Claudia A. Rumwell, Erica Mitchell, Gregory (Greg) Moneta

Research output: Contribution to journalArticle

77 Scopus citations

Abstract

Objectives: Peripherally inserted central catheters (PICCs) may be complicated by upper extremity (UE) superficial (SVT) or deep venous thrombosis (DVT). The purpose of this study was to determine current PICC insertion patterns and if any PICC or patient characteristics were associated with venous thrombotic complications. Methods: All UE venous duplex scans during a 12-month period were reviewed, selecting patients with isolated SVT or DVT and PICCs placed ≤30 days. All UE PICC procedures during the same period were identified from an electronic medical record query. PICC-associated DVTs, categorized by insertion site, were compared with all first-time UE PICCs to determine the rate of UE DVT and isolated UE SVT. Technical and clinical variables in patients with PICC-associated UE DVT also were compared with 172 patients who received a PICC without developing DVT (univariable and multivariable analysis). Results: We identified 219 isolated UE SVTs and 154 UE DVTs, with 2056 first-time UE PICCs placed during the same period. A PICC was associated with 44 of 219 (20%) isolated UE SVTs and 54 of 154 UE DVTs (35%). The rates of PICC-associated symptomatic UE SVT were 1.9% for basilic, 7.2% for cephalic, and 0% for brachial vein PICCs. The rates of PICC-associated symptomatic UE DVT were 3.1% for basilic, 2.2% for brachial, and 0% for cephalic vein PICCs (χ 2 P

Original languageEnglish (US)
Pages (from-to)761-767
Number of pages7
JournalJournal of Vascular Surgery
Volume55
Issue number3
DOIs
Publication statusPublished - Mar 2012

    Fingerprint

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this