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Updated: May 22, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Prophylactic antibiotic guidelines in modern interventional radiology practice.

Eunice Moon¹, Matthew D B S Tam, Raghid N Kikano

¹Department of Vascular and Interventional Radiology, Cleveland Clinic Foundation, Cleveland, Ohio.

Seminars in Interventional Radiology

|May 3, 2012

Summary

This review examines the evidence for prophylactic antibiotics in interventional radiology. It questions their routine use due to rising antibiotic resistance and limited supporting data.

Keywords:

Antibiotic interventional radiology prophylactic

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Area of Science:

Interventional Radiology
Infectious Disease Prevention
Antibiotic Stewardship

Background:

Interventional radiology procedures are expanding, including central venous catheterizations and tumor treatments.
Newer procedures like stent-graft repair and varicose vein therapies are increasingly common.
Prophylactic antibiotic use is widespread but lacks robust clinical evidence.

Purpose of the Study:

To review the evidence supporting prophylactic antibiotic use in interventional radiology.
To evaluate antibiotic use in both standard and novel interventional radiology procedures.
To address concerns regarding antibiotic resistance and justify current practices.

Main Methods:

Systematic literature review of studies on prophylactic antibiotics in interventional radiology.
Analysis of evidence for standard procedures (e.g., catheter placement, drainage).
Evaluation of evidence for newer interventional radiology techniques.

Main Results:

Limited clinical data supports routine prophylactic antibiotic use in many interventional radiology procedures.
Rising rates of antibiotic-resistant organisms necessitate critical evaluation of antibiotic prophylaxis.
Evidence varies significantly between established and emerging interventional radiology interventions.

Conclusions:

The routine use of prophylactic antibiotics in interventional radiology requires re-evaluation based on current evidence.
Antibiotic stewardship is crucial in interventional radiology to combat resistance.
Further research is needed to establish evidence-based guidelines for antibiotic use.