scholarly journals SS35. Peripherally Inserted Central Catheter (PICC) Usage Patterns and Associated Upper Extremity Venous Thrombosis

2010 ◽  
Vol 51 (6) ◽  
pp. 83S
Author(s):  
Timothy K. Liem ◽  
Keenan E. Yanit ◽  
Shannon E. Moseley ◽  
Claudia A. Rumwell ◽  
Gregory J. Landry ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Upper Extremity ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Usage Patterns

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

2012 ◽  
Vol 55 (3) ◽  
pp. 761-767 ◽  
Author(s):  
Timothy K. Liem ◽  
Keenan E. Yanit ◽  
Shannon E. Moseley ◽  
Gregory J. Landry ◽  
Thomas G. DeLoughery ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Upper Extremity ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Usage Patterns

Peripherally Inserted Central Catheter-Related Upper Extremity Venous Thrombosis in Oncology Patients

2016 ◽  
Vol 35 (8) ◽  
pp. 1759-1763 ◽  
Author(s):  
Lei Luo ◽  
Xiao-mei Jing ◽  
Guo-rong Wang ◽  
Ying Qin ◽  
Hai-xin Liang ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Upper Extremity ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Oncology Patients

PERIPHERALLY INSERTED CENTRAL CATHETER (PICC) ASSOCIATED UPPER EXTREMITY DEEP VENOUS THROMBOSIS (UEDVT) IN CRITICAL CARE SETTING

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 193S ◽  
Author(s):  
Srinivas B. Chakravarthy ◽  
Jonathan Rettmann ◽  
Boaz A. Markewitz ◽  
Greg Elliott ◽  
Mark Sarfati ◽  
...  
Keyword(s):  
Critical Care ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Upper Extremity ◽  
Care Setting ◽  
Critical Care Setting ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter

scholarly journals Assessment of D-dimer for ruling out peripherally inserted central catheter-associated upper extremity venous thrombosis: a diagnostic accuracy study

2020 ◽  
Author(s):  
Wanli Liu ◽  
Lianxiang He ◽  
Wenjing Zeng ◽  
Liqing Yue ◽  
Jie Wei ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Upper Extremity ◽  
Diagnostic Marker ◽  
Color Doppler ◽  
Clinical Decision ◽  
Color Doppler Ultrasound ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Cancer Group ◽  
D Dimer

Abstract Background: With the extensive use of peripherally inserted central catheter (PICC), PICC-associated venous thrombosis (VT) has become one of the most important complications in the hospital. To reduce unnecessary Color Doppler Ultrasound (CDU) or imaging tests, D-dimer values are usually used to exclude VT for patients with low VT risk. There is little evidence for the usefulness of the D-dimer level as an independent diagnostic marker for excluding PICC-associated VT.Aims: To examine the effectiveness of D-dimer values to be used as an independent diagnostic marker for excluding PICC-associated Upper Extremity Venous Thrombosis(UEVT).Methods:Records were reviewed for 281 patients who underwent PICC insertion over the two years period in Xiangya Hospital Central South University.The patients were categorized into the UEVT unlikely group (<2 points) and the UEVT likely group (≥2 points) according to the Constans Clinical Decision Score( Constans score) post PICC insertion, before extubation. After the score was determined, the patients underwent a D-dimer test and CDU within 7 days after D-dimer test.Results: Among 281 patients, 180 patients (36%, 95%CI:30.6%-41.8%) had negative D-dimer results, 39 of 180 patients had VT despite having a negative D-dimer result, resulting in a failure rate of 21.7% (95% CI: 16.3–28.3%).The NPV of PICC-associated VT in the cancer group (80.0%,95% CI: 73.2–85.4%) was higher than that of the non-cancer group (60.0%,95% CI: 35.7–80.2%). The NPV of PICC-associated DVT(Deep Venous Thrombosis) (84.9%,95% CI: 78.7–89.6%) was lower than that of the PICC-associated SVT(Superficial Venous Thrombosis) (91.0% ,95% CI: 85.4–94.6%).Conclusion: The D-dimer levels maybe should not be used as a diagnostic index to rule out PICC-associated VT to avoid missed diagnosis of PICC-related VT, which may cause adverse consequences.

scholarly journals Assessment of D-dimer for ruling out peripherally inserted central catheter-associated upper extremity venous thrombosis: a diagnostic accuracy study

2020 ◽  
Author(s):  
Wanli Liu ◽  
Lianxiang He ◽  
Wenjing Zeng ◽  
Liqing Yue ◽  
Jie Wei ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Negative Predictive Value ◽  
Upper Extremity ◽  
Predictive Value ◽  
Diagnostic Marker ◽  
Color Doppler ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Wells Score ◽  
D Dimer

Abstract Background: With the extensive use of peripherally inserted central catheter (PICC), PICC-associated venous thrombosis (VT) has become one of the most important complications in the hospital. To reduce unnecessary color Doppler ultrasound (CDU) or imaging tests, D-dimer values are usually used to exclude VT. There is little evidence for the usefulness of the D-dimer level as an independent diagnostic marker for excluding PICC-associated VT.Objectives: To examine the effectiveness of D-dimer concentration to be used as an independent diagnostic marker for excluding PICC-associated UEVT. Design: A retrospective case cohort study. Settings: One teaching hospital in Hunan, China. Participants: In total, 281 subjects who underwent CDU and D-dimer values after PICC placement were eligible.Methods:The patients were categorized into the DVT unlikely group (<2 points) and the DVT likely group (≥2 points) according to their modified Wells score post PICC placement, before extubation. After the Wells score was determined, the patients underwent a D-dimer test and CDU within 7 days after D-dimer test.Results: 281 patients were included in the final analysis. Of them, 180 patients had D-dimer value <0.5 mgL-1. There were 39 patients with upper extremity venous thrombosis identified via CDU and 78.3% with negative predictive value of D-dimer for PICC-associated VT (95% CI: 71.7–83.7%). The negative predictive value of D-dimer for SVT was 91.0% (95% CI: 85.4–94.6%), which was higher than that for DVT (84.9%, 95% CI: 78.7–89.6%) and for VT in the cancer population (80.0%, 95% CI: 73.2–85.4%) and the non-cancer population (60.0%, 95% CI: 35.7–80.2%).Conclusion: the D-dimer concentration should not be used as a diagnostic index to rule out PICC-associated VT to avoid missed diagnosis of PICC-related venous thrombosis, which may cause adverse consequences or may even be life-threatening.

Venous thrombosis and stenosis after peripherally inserted central catheter placement in children

2017 ◽  
Vol 47 (12) ◽  
pp. 1670-1675 ◽  
Author(s):  
H. Stella Shin ◽  
Alexander J. Towbin ◽  
Bin Zhang ◽  
Neil D. Johnson ◽  
Stuart L. Goldstein
Keyword(s):  
Venous Thrombosis ◽  
Catheter Placement ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter
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