Repair of long-term venous catheters

Leider, Zena L.; Sweeney, Donna; Telesca, Kathy; Bachman, Yvonne

doi:10.1016/0002-9610(85)90136-9

Cited by 7 publications

(5 citation statements)

References 1 publication

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“…Soon after this report, Leider et al published a detailed step-by-step protocol utilizing the Leider longterm venous catheter repair kit. 16 Since then, additional kits have come on the market with modification of repair protocol; however, reported repair rates have been quite variable. Blasiak et al noted that in their cohort of 99 patients receiving HPN, there were 108 mechanical complications including occlusion by parenteral nutrition deposition (22.2%), thrombofibrotic occlusion (6.5%), extraction of catheter (6.5%), and catheter rupture (64.8%).…”

Section: Discussionmentioning

confidence: 99%

“…They encountered 12 incidences of mechanical damage and reported that all 12 were successfully repaired in the emergency room (ER) or on a general medical floor with the use of a catheter repair kit. Soon after this report, Leider et al published a detailed step‐by‐step protocol utilizing the Leider long‐term venous catheter repair kit . Since then, additional kits have come on the market with modification of repair protocol; however, reported repair rates have been quite variable.…”

Section: Discussionmentioning

confidence: 99%

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Repair of Central Venous Catheter in a Single‐Center Adult Home Parenteral Nutrition Cohort

Velapati

Schroeder

Kuchkuntla

et al. 2019

J Parenter Enteral Nutr

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Background Patients with chronic intestinal failure who require long‐term parenteral nutrition rely on central venous catheters (CVCs) for access to nutrition and hydration. With prolonged use, complications such as central line–associated bloodstream infection (CLABSI), damage to CVC, and central venous thrombosis (CVT) can threaten the availability of life‐preserving access. Because of this, all efforts should be made to preserve CVCs with techniques such as catheter salvage in case of CLABSI and catheter repair when damaged. The present study was conducted to evaluate the effectiveness and safety of catheter repair in our patient population. Methods Retrospective review in 1253 adult patients who received home parenteral nutrition at the Mayo Clinic between September 1, 1997, and April 30, 2018, was conducted to determine the incidence of CLABSI and CVT in patients who underwent CVC repair. Results Fifty‐five CVC repairs were performed in 36 patients (n = 23 female) with mean age of 57.05 ± 16.96 years. A total of 14 catheters (25.45%) were complicated with 24 episodes of CLABSI. CLABSI rate before and after repair was 0.23/1000 catheter days and 0.21/1000 catheter days, respectively. Most common indications for eventual catheter replacement were mechanical damage (32%), infection (32%), and switching to alternate mode of nutrition (24%). We had a 100% success rate of catheter repair procedure, and no post‐procedural complications were present. Conclusion Catheter repair can increase the catheter survival without increasing the risk of CLABSI, providing not only socioeconomic benefit but also decreasing risk of compromising future vascular access.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Repair of Central Venous Catheter in a Single‐Center Adult Home Parenteral Nutrition Cohort

Velapati

Schroeder

Kuchkuntla

et al. 2019

J Parenter Enteral Nutr

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“…Two studies reported the efficacy of CVC repair kits in terms of restoring function to the broken catheter, and suggested that repair was cost-effective compared to the alternative of surgery to place a new catheter. 8,9 However, the infectious consequences of repairing a CVC are unknown.…”

Section: Introductionmentioning

confidence: 99%

Central Venous Catheter Repair Is Associated With an Increased Risk of Bacteremia and Central Line-associated Bloodstream Infection in Pediatric Patients

Lundgren¹,

Zhou²,

Malone³

et al. 2012

Pediatric Infectious Disease Journal

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Background Repair of broken central venous catheters (CVCs) is common in pediatric patients. We hypothesized that this practice predisposes to bacteremia and CVC-associated bloodstream infections (CLABSI). Methods We conducted a retrospective case-crossover study of pediatric patients aged 1 month to 21 years with CVC breakages who underwent a first-time repair at our institution, using repair kits provided by CVC manufacturers. We compared rates of bacteremia and CLABSI (defined by Centers for Disease Control and Prevention criteria) in the 30 days pre-repair (control period) and the 30 days post-repair (exposure period), with adjustment for within-patient correlation using conditional Poisson regression. Results The mean pre-repair rate of bacteremia was 9.9 per 1000 catheter days, which increased to 24.5 post-repair, resulting in an adjusted incidence rate ratio (IRR) of 1.87 (95% CI 1.05 – 3.33, p = 0.034). Risk of CLABSI demonstrated a greater than two-fold increase (IRR 2.15, 95% CI 1.02 – 4.53, p = 0.045) when all catheter days were included, and a four-fold increase when days on antibiotics were excluded (IRR 4.07, 95% CI 1.43 – 11.57, p = 0.008). Conclusions We found that repair of a broken CVC was associated with a two to four-fold higher risk of developing CLABSI within 30 days of repair in pediatric patients. Further studies are needed to determine interventions to reduce this risk and to better define the relative merits of CVC repair compared with replacement in selected patient populations.

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“…Two studies reported the efficacy of CVC repair kits in terms of restoring function to the broken catheter, and suggested that repair was cost-effective compared with the alternative of surgery to place a new catheter. 8,9 However, the infectious consequences of repairing a CVC are unknown.…”

mentioning

confidence: 99%

Mass Distribution of Azithromycin for Trachoma Control Is Associated With Short-term Reduction in Risk of Acute Lower Respiratory Infection in Young Children

Coles

Levens

Seidman

et al. 2012

Pediatric Infectious Disease Journal

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Repair of long-term venous catheters

Cited by 7 publications

References 1 publication

Repair of Central Venous Catheter in a Single‐Center Adult Home Parenteral Nutrition Cohort

Repair of Central Venous Catheter in a Single‐Center Adult Home Parenteral Nutrition Cohort

Central Venous Catheter Repair Is Associated With an Increased Risk of Bacteremia and Central Line-associated Bloodstream Infection in Pediatric Patients

Mass Distribution of Azithromycin for Trachoma Control Is Associated With Short-term Reduction in Risk of Acute Lower Respiratory Infection in Young Children

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