Peripherally inserted central catheter thrombosis incidence and risk factors in cancer patients: a double-center prospective investigation.

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Abstract

Peripherally inserted central catheters (PICCs) are widely used in chemotherapy, but the reported PICC thrombosis incidence varies greatly, and risks of PICC thrombosis are not well defined. This study was to investigate the incidence and risk factors of PICC-related upper extremity vein thrombosis in cancer patients.

Most cited references 15

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PICC-associated bloodstream infections: prevalence, patterns, and predictors.

Vineet Chopra, David Ratz, Latoya Kuhn … (2014)

Growing use of peripherally inserted central catheters (PICCs) has led to recognition of the risk of PICC-associated bloodstream infection. We sought to identify rates, patterns, and patient, provider, and device characteristics associated with this adverse outcome.

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Vascular access in oncology patients.

Maurizio Gallieni, Mauro Pittiruti, Roberto Biffi (2015)

Adequate vascular access is of paramount importance in oncology patients. It is important in the initial phase of surgical treatment or chemotherapy, as well as in the chronic management of advanced cancer and in the palliative care setting. We present an overview of the available vascular access devices and of the most relevant issues regarding insertion and management of vascular access. Particular emphasis is given to the use of ultrasound guidance as the preferred technique of insertion, which has dramatically decreased insertion-related complications. Vascular access management has considerably improved after the publication of effective guidelines for the appropriate nursing of the vascular device, which has reduced the risk of late complications, such as catheter-related bloodstream infection. However, many areas of clinical practice are still lacking an evidence-based background, such as the choice of the most appropriate vascular access device in each clinical situation, as well as prevention and treatment of thrombosis. We suggest an approach to the choice of the most appropriate vascular access device for the oncology patient, based on the literature available to date.

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Complication rates among cancer patients with peripherally inserted central catheters.

K. A. Sepkowitz, Joseph J Walshe, S F Malak … (2002)

Peripherally inserted central catheters (PICCs) are frequently used to deliver outpatient courses of intravenous therapy. However, the rates and risks of complication for this device have not been well-studied. Our objective was to determine the incidence and risk factors of PICC-related complications with a 1-year prospective observational study. All PICCs inserted in adult and pediatric patients at Memorial Sloan-Kettering Cancer Center (MSKCC) were followed prospectively. The device insertion team, inpatient nurses, and various home-care companies and outside institutions collected longitudinal data. Three hundred fifty-one PICCs were inserted during the study period and followed for a total of 10,562 catheter-days (median placement, 15 days; range, 1 to 487 days). Two hundred five PICCs (58%) were managed by home-care companies and outside institutions, and 146 PICCs (42%) were managed exclusively at MSKCC. For these 205 PICCs, 131 nurses from 74 home-care companies and institutions were contacted for follow-up clinical information. In all, 115 (32.8%) of 351 PICCs were removed as a result of a complication, for a rate of 10.9 per 1,000 catheter-days. Patients with hematologic malignancy or bone marrow transplant were more likely to develop a complication, whereas those with metastatic disease were less likely. Complications occur frequently among cancer patients with PICCs, and long-term follow-up is onerous. Despite a high complication rate, the ease of insertion and removal argues for continued PICC use in the cancer population.

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Author and article information

Journal

Journal ID (iso-abbrev): Ther Clin Risk Manag

Title: Therapeutics and clinical risk management

Publisher: Informa UK Limited

ISSN: 1176-6336

ISSN (Print): 1176-6336

Publication date (Electronic): 2015

Volume: 11

Affiliations

[1 ] Oncology Department, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.

[2 ] Nursing Department, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.

[3 ] Intensive Care Unit, Shanghai East Hospital, Shanghai, People's Republic of China.

[4 ] Department of Breast Oncology, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.

Article

Publisher Item ID: tcrm-11-153

DOI: 10.2147/TCRM.S73379

PMC ID: 4321638

PubMed ID: 25673995

SO-VID: e07cef77-aad5-428d-bbaa-baf5b152c296

History

Keywords: PICC,catheter-related thrombosis,clinical study,complication,upper extremity vein thrombosis

Data availability:

Keywords: PICC, catheter-related thrombosis, clinical study, complication, upper extremity vein thrombosis

Peripherally inserted central catheter thrombosis incidence and risk factors in cancer patients: a double-center prospective investigation.

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Abstract

Most cited references 15

PICC-associated bloodstream infections: prevalence, patterns, and predictors.

Vascular access in oncology patients.

Complication rates among cancer patients with peripherally inserted central catheters.

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Article

History

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