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Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
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Central venous catheter placement in patients with disorders of hemostasis

H Mumtaz1, V Williams, M Hauer-Jensen

  • 1Department of Surgery, University of Arkansas for Medical Science, Little Rock, Arkansas, USA.

American Journal of Surgery
|February 22, 2001
PubMed

Insights

Central venous catheterization is safe for patients with bleeding disorders. Low platelet counts are the main predictor of bleeding complications, which are infrequent and manageable.

Area of Science:

  • Medical procedures
  • Hematology
  • Vascular access

Background:

  • Patients needing central venous access often have hemostasis disorders.
  • Identifying bleeding risk factors after central venous catheterization is crucial.

Purpose of the Study:

  • To determine factors predicting bleeding complications in patients undergoing central venous catheterization.
  • To assess the safety of central venous access in patients with hemostasis disorders.

Main Methods:

  • Retrospective analysis of 2,010 central venous catheter placements (1997-1999).
  • Data collected included patient demographics, coagulation status (platelet count, INR, aPTT), catheter details, and bleeding events.
  • Analysis focused on patients with underlying disorders of hemostasis.

Main Results:

  • 330 catheterizations were in patients with hemostasis disorders; 88 had uncorrected coagulopathy.
  • Bleeding complications occurred in 3 of 88 patients with uncorrected coagulopathy.
  • A low platelet count (<50 x 10(9)/L) was the only significant predictor of bleeding complications.

Conclusions:

  • Central venous access is safe for patients with hemostasis disorders.
  • Bleeding complications are infrequent even in patients with low platelet counts and are easily managed.
Abstract

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