My new favorite resource Pubmed key word PICC gets me daily Emails whenever Peripherally Inserted Central Catheter is referenced--Below is a study re the incicidence of thrombosis--A subject we were just discussing
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Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
[EMAIL PROTECTED]
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
[EMAIL PROTECTED]
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1: Australas Radiol. 2006 Oct;50(5):451-4. Related Articles, Books
Peripherally inserted central catheters and upper extremity deep vein thrombosis.
Ong B, Gibbs H, Catchpole I, Hetherington R, Harper J.
Department of Vascular Med icine, Department of Diagnostic Radiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
The purpose of the study was to determine the incidence and risk factors for venous thrombosis in patients with a peripherally inserted central catheter (PICC). A retrospective study of all upper extremity venous duplex scans was carried out in the Vascular Medicine department from year 2000 to 2002 inclusive. A chart review of positive scans was undertaken to identify possible thrombotic risk factors. Of 317 upper extremity venous duplex scans carried out, 115, or 32%, were positive for upper extremity deep vein thrombosis. Three main risk factors were identified - presence of a central line, malignancy and administration of chemotherapy. PICC were the most common central line present. Symptomatic thrombosis occurred in 7% of PICC inserted for chemotherapy compared with 1% of PICC inserted for other reasons. Ten per cent of the patients receiving chemotherapy through a PICC dev eloped a thrombosis. The post-thrombotic syndrome was infrequent following upper extremity deep vein thrombosis. Patients receiving chemotherapy through a PICC are at increased risk of thrombosis. There may be a role for prophylactic low-dose anticoagulation in these high-risk patients.
PMID: 16981942 [PubMed - in process]
