ABO blood group related venous thrombosis risk in patients with peripherally inserted central catheters

Koo, Chung Mo; Vissapragada, Ravi; Sharp, Rebecca; Nguyen, Phi; Ung, Thomas; Solanki, Chrismin; Esterman, Adrian

doi:10.1259/bjr.20170560

Cited by 20 publications

(20 citation statements)

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“…We found that PICC‐RT was associated with the diameter of the catheters (>4Fr), consistent with previous evidence (Chopra et al, 2017; Koo et al., 2018). Mechanically, larger PICC devices are more likely to cause endothelial damage and vascular reactivity as well as up‐regulate the coagulation process (Bahl et al., 2019; Song et al., 2020).…”

Section: Discussionsupporting

confidence: 92%

“…Mechanically, larger PICC devices are more likely to cause endothelial damage and vascular reactivity as well as up‐regulate the coagulation process (Bahl et al., 2019; Song et al., 2020). For older patients, a 4‐Fr PICC has been the optimal choice (Chopra et al, 2017; Koo et al., 2018). For other patients, they can receive a PICC of different diameters such as 4‐Fr, 5‐Fr, and 6‐Fr.…”

Section: Discussionmentioning

confidence: 99%

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Incidence and risk factors of symptomatic thrombosis related to peripherally inserted central catheter in patients with lung cancer

Chen

Wan

Zhu

2020

Journal of Advanced Nursing

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Aims To determine the incidence and risk factors associated with peripherally inserted central catheter‐related thrombosis (PICC‐RT) in patients with lung cancer. Design A retrospective cross‐sectional design. Methods Patients with lung cancer receiving PICC insertion during 1 March 2014‐31 May 2019 at a tertiary hospital in Shanghai, China were enrolled (N = 748). Symptomatic PICC‐RT was confirmed by Doppler ultrasonography in the presence of clinical symptoms and signs. Univariate and multivariate logistic regression analyses were performed to identify risk factors of symptomatic PICC‐RT. Results Among the patients (mean age, 60.7 years; males, 67.1%), 55 (7.35%) had symptomatic PICC‐RT. Based on the multivariate analysis, history of smoking [OR 2.49 (1.13–5.46), p < .05], use of Carboplatin [OR 2.23 (1.19–4.17), p < .05] or Docetaxel [OR 7.23 (1.65–31.56), p < .05], PICC size [OR 3.52 (1.78–6.99), p < .001], and level of D‐dimer [OR 5.32 (2.39–11.83), p < .001] were significant risk factors of PICC‐RT. Conclusion Several modifiable factors (e.g., PICC size and level of D‐dimer) were related to PICC‐RT. In the future, prospective studies are warranted to examine whether those factors could increase the risk of PICC‐RT. Meanwhile, healthcare professionals are recommended to perform a comprehensive assessment of the patients receiving PICC insertion. Close attention should be paid to those at risk for PICC‐RT. Impact Identification of risk factors associated with PICC‐RT is an important step towards individualizing the care plan for patients receiving PICC. Our findings provided evidence for the management of PICC‐RT in patients with lung cancer. In clinical practice, nurses could deliver appropriate interventions against modifiable risk factors to reduce the risk of PICC‐RT.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors of symptomatic thrombosis related to peripherally inserted central catheter in patients with lung cancer

Chen

Wan

Zhu

2020

Journal of Advanced Nursing

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“…Although this study is the first evaluation of these characteristics in MCs, the literature for PICCs supports the use of smaller diameter catheters as larger diameter catheters are associated with higher rates of CR thrombosis. [19][20][21] The relationship between the number of lumens and thrombosis is less conclusive. [22][23][24] Increase in contralateral arm thrombosis was an interesting finding of this study.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Venous Thrombosis Complications in Midlines Versus Peripherally Inserted Central Catheters: Are Midlines the Safer Option?

Bahl

Karabon

Chu

2019

Clin Appl Thromb Hemost

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Catheter-related (CR) thrombosis is a significant complication of midline catheters (MCs) and peripherally inserted central catheters (PICCs). Limited existing data for MCs suggest a favorable complication profile for MCs. To compare incidence of CR thrombosis between MCs and PICCs and to evaluate the impact of quantity of lumens and catheter diameter on CR thrombosis. This was a retrospective comparison spanning 13 months of MCs and PICCs for symptomatic CR thrombosis at an 1100 bed tertiary care academic medical center. Adult patients who had an MC or a PICC placed by the were included. Data were collected using the electronic medical record. Statistical analysis was performed using SAS software. A total of 2577 catheters were included in the analysis with 1094 MCs and 1483 PICCs. One hundred thirty (11.88%) MCs developed CR thrombosis (deep vein thrombosis [DVT] or superficial venous thrombophlebitis [SVT]) as compared to 112 (6.88%) PICCs (odds ratio [OR]: 1.82; P < .0001). Midline catheters had a 53% greater odds of developing CR DVT than PICCs (7.04% MCs and 4.72% PICCs; OR: 1.53; P = .0126). For CR SVT, MCs have a 2.29-fold greater odds of developing CR SVT than PICCs (4.84% MCs and 2.16% PICCs; OR: 2.29; P = .0002). For MCs and PICCs, the incidence of CR thrombosis was 13.50% for double lumen/5F lines and was 6.92% for single lumen/4F lines (OR: 2.10; P = <.0001). Symptomatic CR thrombosis is a serious, life-threatening complication that occurs more frequently in MCs compared to PICCs. Inserters should consider placement of single lumen catheters with the smallest diameter to reduce this risk when a midline is used.

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“…The incidence of PICC-related venous thrombosis is 5%~20%, among which symptomatic PICCrelated venous thrombosis accounts for 1%~4%. 1,2,[4][5][6][7] Symptomatic venous thrombosis might result in a series of adverse consequences. ① Venous thrombosis may result in the following clinical manifestations: an enlarged arm circumference; reddening, flushing and swelling of the skin on the upper extremity; and tenderness at the catheter site or neighboring sites.…”

Section: Introductionmentioning

confidence: 99%

<p>The Influence of Venous Characteristics on Peripherally Inserted Central Catheter-Related Symptomatic Venous Thrombosis in Cancer Patients</p>

Wang¹,

Wang²,

Shen³

et al. 2020

CMAR

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Background: With increasing use, peripherally inserted central catheters (PICCs) are associated with the risk of venous thrombosis. Few studies have focused on the relationships between venous thrombosis and venous characteristics. This study aimed to identify effects of venous characteristics on symptomatic PICC-related venous thrombosis in cancer patients and explore the relationship between venous characteristics and blood flow velocity. Methods: The data of patients who underwent placement of PICC were retrospectively studied between January 2015 and September 2017. Symptomatic PICC-related venous thrombosis was confirmed by ultrasound. Univariable, multivariable logistic regression analyses were performed to identify the risk factors associated with PICC-related venous thrombosis. In October 2017, 169 patients with PICCs were enrolled prospectively, and the relationships between blood flow velocity and venous characteristics were recorded and analyzed. Results: A total of 2933 cancer patients were enrolled in this study; of these patients, 68 experienced symptomatic venous thrombosis. In the bivariate analysis, body mass index (BMI), history of venous thrombosis, triglycerides, tumor category, vessel diameter, vessel depth and arm circumference were associated with thrombosis. The multivariable analyses showed that arm circumference, vascular diameter, triglyceride level and tumor category were independent risk factors for thrombosis. Blood flow velocity was positively correlated with vessel depth and arm circumference but not with vessel diameter. Conclusion: Different venous characteristics can lead to different blood flow rates, which can affect the incidence of thrombosis. A vein depth of greater than 1.07cm or less than 0.57cm was associated with a higher incidence of PICC-related venous thrombosis, and the greater the arm circumference and vessel diameter, the greater the risk of venous thrombosis.

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ABO blood group related venous thrombosis risk in patients with peripherally inserted central catheters

Cited by 20 publications

References 21 publications

Incidence and risk factors of symptomatic thrombosis related to peripherally inserted central catheter in patients with lung cancer

Incidence and risk factors of symptomatic thrombosis related to peripherally inserted central catheter in patients with lung cancer

Comparison of Venous Thrombosis Complications in Midlines Versus Peripherally Inserted Central Catheters: Are Midlines the Safer Option?

<p>The Influence of Venous Characteristics on Peripherally Inserted Central Catheter-Related Symptomatic Venous Thrombosis in Cancer Patients</p>

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