Venous Thrombosis Associated with Peripherally Inserted Central Catheters: A Retrospective Analysis of the Cleveland Clinic Experience
Peripherally inserted central catheters (PICCs) have become popular for long courses of intravenously administration of antibiotics. Although these devices are generally regarded as safe, thrombotic complications have been associated with their use. In a retrospective review, 51 (2.47%) of 2063 pati...
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| Veröffentlicht in: | Clinical infectious diseases 2002-05, Vol.34 (9), p.1179-1183 |
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| creator | Chemaly, Roy F. Barbara de Parres, Joaquin Rehm, Susan J. Adal, Karim A. Lisgaris, Michelle V. Scott, Debbie S. Katz Curtas, Susan Gordon, Steven M. Steiger, Ezra Olin, Jeffrey Longworth, David L. |
| description | Peripherally inserted central catheters (PICCs) have become popular for long courses of intravenously administration of antibiotics. Although these devices are generally regarded as safe, thrombotic complications have been associated with their use. In a retrospective review, 51 (2.47%) of 2063 patients who had a PICC placed during 1994-1996 were found to have developed a total of 52 PICC-associated venous thromboses (VTs). Two patients received the diagnosis of pulmonary embolism that was a complication of VT. Risk factors for VT identified by multiple logistic regression analysis were younger age, history of VT, discharge to a skilled-nursing facility, and therapy with amphotericin B. VT is a significant complication of PICC placement. It may occur more frequently than previously recognized and may be complicated by pulmonary embolism. Clinicians should maintain a high index of suspicion, especially for high-risk patients. |
| doi_str_mv | 10.1086/339808 |
| format | Article |
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Katz ; Curtas, Susan ; Gordon, Steven M. ; Steiger, Ezra ; Olin, Jeffrey ; Longworth, David L.</creator><creatorcontrib>Chemaly, Roy F. ; Barbara de Parres, Joaquin ; Rehm, Susan J. ; Adal, Karim A. ; Lisgaris, Michelle V. ; Scott, Debbie S. Katz ; Curtas, Susan ; Gordon, Steven M. ; Steiger, Ezra ; Olin, Jeffrey ; Longworth, David L.</creatorcontrib><description>Peripherally inserted central catheters (PICCs) have become popular for long courses of intravenously administration of antibiotics. Although these devices are generally regarded as safe, thrombotic complications have been associated with their use. In a retrospective review, 51 (2.47%) of 2063 patients who had a PICC placed during 1994-1996 were found to have developed a total of 52 PICC-associated venous thromboses (VTs). Two patients received the diagnosis of pulmonary embolism that was a complication of VT. Risk factors for VT identified by multiple logistic regression analysis were younger age, history of VT, discharge to a skilled-nursing facility, and therapy with amphotericin B. VT is a significant complication of PICC placement. It may occur more frequently than previously recognized and may be complicated by pulmonary embolism. Clinicians should maintain a high index of suspicion, especially for high-risk patients.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1086/339808</identifier><identifier>PMID: 11941543</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. 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Hyperbaric oxygenotherapy ; Peripheral catherization ; Predisposing factors ; Pulmonary Embolism - etiology ; Pulmonary embolisms ; Retrospective Studies ; Risk Factors ; Subcutaneous injections ; Thrombosis ; Venous thrombosis ; Venous Thrombosis - etiology</subject><ispartof>Clinical infectious diseases, 2002-05, Vol.34 (9), p.1179-1183</ispartof><rights>Copyright 2002 The Infectious Diseases Society of America</rights><rights>2002 by the Infectious Diseases Society of America 2002</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-93c7177f7ec08886d92e895bb0e3959c4e44b11a5325e0936fdd606fa960ff63</citedby><cites>FETCH-LOGICAL-c422t-93c7177f7ec08886d92e895bb0e3959c4e44b11a5325e0936fdd606fa960ff63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/4483051$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/4483051$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>315,781,785,804,27929,27930,58022,58255</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14183359$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11941543$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chemaly, Roy F.</creatorcontrib><creatorcontrib>Barbara de Parres, Joaquin</creatorcontrib><creatorcontrib>Rehm, Susan J.</creatorcontrib><creatorcontrib>Adal, Karim A.</creatorcontrib><creatorcontrib>Lisgaris, Michelle V.</creatorcontrib><creatorcontrib>Scott, Debbie S. Katz</creatorcontrib><creatorcontrib>Curtas, Susan</creatorcontrib><creatorcontrib>Gordon, Steven M.</creatorcontrib><creatorcontrib>Steiger, Ezra</creatorcontrib><creatorcontrib>Olin, Jeffrey</creatorcontrib><creatorcontrib>Longworth, David L.</creatorcontrib><title>Venous Thrombosis Associated with Peripherally Inserted Central Catheters: A Retrospective Analysis of the Cleveland Clinic Experience</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><addtitle>Clinical Infectious Diseases</addtitle><description>Peripherally inserted central catheters (PICCs) have become popular for long courses of intravenously administration of antibiotics. Although these devices are generally regarded as safe, thrombotic complications have been associated with their use. In a retrospective review, 51 (2.47%) of 2063 patients who had a PICC placed during 1994-1996 were found to have developed a total of 52 PICC-associated venous thromboses (VTs). Two patients received the diagnosis of pulmonary embolism that was a complication of VT. Risk factors for VT identified by multiple logistic regression analysis were younger age, history of VT, discharge to a skilled-nursing facility, and therapy with amphotericin B. VT is a significant complication of PICC placement. It may occur more frequently than previously recognized and may be complicated by pulmonary embolism. Clinicians should maintain a high index of suspicion, especially for high-risk patients.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Antibiotics</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Catheters</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Intravenous injections</subject><subject>Major Articles</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Perfusions. Catheterizations. Hyperbaric oxygenotherapy</subject><subject>Peripheral catherization</subject><subject>Predisposing factors</subject><subject>Pulmonary Embolism - etiology</subject><subject>Pulmonary embolisms</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Subcutaneous injections</subject><subject>Thrombosis</subject><subject>Venous thrombosis</subject><subject>Venous Thrombosis - etiology</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9v0zAchi0EYmPAJ0DIHNgtw67_xOZWhbFOmgSqKjRxsRznF9UjTTLbHesX4HPPVar1xMmW38ev7ccIvafkghIlvzCmFVEv0CkVrCyk0PRlnhOhCq6YOkFvYrwjhFJFxGt0QqnmVHB2iv79gn7YRrxah2FTD9FHPI9xcN4maPBfn9b4JwQ_riHYrtvh6z5C2EcV9Ckv4cqmNSQI8Sue4yWkMMQRXPIPgOe97Xb7xqHFGcJVBw_Q2T5v7nzvHb58HHM39A7eolet7SK8O4xnaPX9clUtipsfV9fV_KZwfDZLhWaupGXZluCIUko2egZKi7omwLTQjgPnNaVWsJkAoplsm0YS2VotSdtKdobOp9oxDPdbiMlsfHTQ5UtBtmBKmsVxUh5Bl98TA7RmDH5jw85QYvbCzSQ8gx8Pjdt6A80ROxjOwOcDYKOzXRts73w8cpwqxoTO3KeJG7bj_w_7MDF3MQ3hmeL5i4mgOS6m2McEj8-xDX-MLFkpzOL2t1kuq2-L5a00K_YEoD-rsw</recordid><startdate>20020501</startdate><enddate>20020501</enddate><creator>Chemaly, Roy F.</creator><creator>Barbara de Parres, Joaquin</creator><creator>Rehm, Susan J.</creator><creator>Adal, Karim A.</creator><creator>Lisgaris, Michelle V.</creator><creator>Scott, Debbie S. Katz</creator><creator>Curtas, Susan</creator><creator>Gordon, Steven M.</creator><creator>Steiger, Ezra</creator><creator>Olin, Jeffrey</creator><creator>Longworth, David L.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020501</creationdate><title>Venous Thrombosis Associated with Peripherally Inserted Central Catheters: A Retrospective Analysis of the Cleveland Clinic Experience</title><author>Chemaly, Roy F. ; Barbara de Parres, Joaquin ; Rehm, Susan J. ; Adal, Karim A. ; Lisgaris, Michelle V. ; Scott, Debbie S. 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Katz</creatorcontrib><creatorcontrib>Curtas, Susan</creatorcontrib><creatorcontrib>Gordon, Steven M.</creatorcontrib><creatorcontrib>Steiger, Ezra</creatorcontrib><creatorcontrib>Olin, Jeffrey</creatorcontrib><creatorcontrib>Longworth, David L.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chemaly, Roy F.</au><au>Barbara de Parres, Joaquin</au><au>Rehm, Susan J.</au><au>Adal, Karim A.</au><au>Lisgaris, Michelle V.</au><au>Scott, Debbie S. Katz</au><au>Curtas, Susan</au><au>Gordon, Steven M.</au><au>Steiger, Ezra</au><au>Olin, Jeffrey</au><au>Longworth, David L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Venous Thrombosis Associated with Peripherally Inserted Central Catheters: A Retrospective Analysis of the Cleveland Clinic Experience</atitle><jtitle>Clinical infectious diseases</jtitle><stitle>Clinical Infectious Diseases</stitle><addtitle>Clinical Infectious Diseases</addtitle><date>2002-05-01</date><risdate>2002</risdate><volume>34</volume><issue>9</issue><spage>1179</spage><epage>1183</epage><pages>1179-1183</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>Peripherally inserted central catheters (PICCs) have become popular for long courses of intravenously administration of antibiotics. Although these devices are generally regarded as safe, thrombotic complications have been associated with their use. In a retrospective review, 51 (2.47%) of 2063 patients who had a PICC placed during 1994-1996 were found to have developed a total of 52 PICC-associated venous thromboses (VTs). Two patients received the diagnosis of pulmonary embolism that was a complication of VT. Risk factors for VT identified by multiple logistic regression analysis were younger age, history of VT, discharge to a skilled-nursing facility, and therapy with amphotericin B. VT is a significant complication of PICC placement. It may occur more frequently than previously recognized and may be complicated by pulmonary embolism. Clinicians should maintain a high index of suspicion, especially for high-risk patients.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>11941543</pmid><doi>10.1086/339808</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical infectious diseases, 2002-05, Vol.34 (9), p.1179-1183 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; JSTOR Archive Collection A-Z Listing; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Antibiotics Biological and medical sciences Case-Control Studies Catheterization, Central Venous - adverse effects Catheters Emergency and intensive care: techniques, logistics Female Hospitals Humans Intensive care medicine Intravenous injections Major Articles Male Medical sciences Middle Aged Perfusions. Catheterizations. Hyperbaric oxygenotherapy Peripheral catherization Predisposing factors Pulmonary Embolism - etiology Pulmonary embolisms Retrospective Studies Risk Factors Subcutaneous injections Thrombosis Venous thrombosis Venous Thrombosis - etiology |
| title | Venous Thrombosis Associated with Peripherally Inserted Central Catheters: A Retrospective Analysis of the Cleveland Clinic Experience |
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