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- Title
A Retrospective Analysis of Catheter-Related Upper Extremity Deep Vein Thrombosis in Peripherally Inserted Catheters With and Without a Dermatotomy.
- Authors
Suleman, Adam; McDiarmid, Sheryl
- Abstract
Background Successful placement of peripherally inserted central catheters (PICCs) has increased with the use of a modified Seldinger technique (MST). However, differences exist between MST kits related to the transition between the introducer and dilator. When blunt, a skin nick (dermatotomy) is necessary to allow the dilator/sheath combination to pass through the skin. However, this does not reduce the trauma on the vein. Upper extremity deep vein thrombosis (UEDVT) is a PICC-related complication. It is unclear what effect the MST kit has on this complication. Our previous study found a rate of 0.76% UEDVT ≤ 2 weeks postinsertion using a MST kit without dermatotomy. Methods We performed a retrospective analysis on a cohort of patients at The Ottawa Hospital undergoing a PICC insertion using a MST kit requiring a dermatotomy between November 1, 2016, and January 1, 2017. We obtained a complete dataset for 701 patients and determined the incidence of UEDVT ≤ 2 weeks postinsertion. Results Of 701 patients included in the study, 8 patients developed symptomatic UEDVT ≤ 2 weeks postinsertion, for a rate of 1.14%. The odds ratio comparing the group that received a dermatotomy to the previous group who did not was 1.50% (95% confidence interval 0.40-4.62). Conclusions The odds ratio of UEDVT ≤ 2 weeks post-PICC insertion with a dermatotomy compared with those without was not significantly different. We conclude that a MST kit requiring a dermatotomy does not increase the risk of early UEDVT.
- Subjects
VEINS; SKIN; LONGITUDINAL method; UPPER extremity deep vein thrombosis; MEDICAL technology; RETROSPECTIVE studies; CENTRAL venous catheters; DIAGNOSIS; ANATOMY; DISEASE risk factors
- Publication
Journal of the Association for Vascular Access, 2017, Vol 22, Issue 4, p178
- ISSN
1552-8855
- Publication type
Article
- DOI
10.1016/j.java.2017.07.005