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A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
10:26

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Published on: June 2, 2015

Reduction of peripherally inserted central catheter-associated DVT

R Scott Evans1, Jamie H Sharp2, Lorraine H Linford2

  • 1Medical Informatics, Intermountain Healthcare, Salt Lake City, UT; Biomedical Informatics, Salt Lake City, UT.

Chest
|August 11, 2012
PubMed

Insights

Reducing peripherally inserted central catheter (PICC) diameter and lumens significantly decreased upper extremity deep vein thrombosis (DVT) rates. This strategy lowered PICC-associated DVT by 1.9% compared to previous rates.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Device Safety

Background:

  • Increasing use of peripherally inserted central catheters (PICCs) correlates with a rise in upper extremity deep vein thrombosis (DVT).
  • PICC diameter is a critical, modifiable risk factor for PICC-associated DVT.

Purpose of the Study:

  • To evaluate the impact of reducing PICC diameter and lumen number on DVT rates.
  • To assess the effectiveness of an interdisciplinary approach to PICC selection.

Main Methods:

  • A 3-year prospective observational study at a level I trauma center.
  • Implementation of an intensified PICC team effort in 2010 focusing on lumen necessity and smaller diameter (5F triple-lumen) PICCs.
  • Consistent and replicable PICC insertion approach by a certified team.

Main Results:

  • The use of 4F single-lumen PICCs increased significantly in 2010.
  • PICC-associated DVT rates were lower in 2010 (1.9%) compared to 2008-2009 (3.0%), a statistically significant decrease (P < .04).
  • Rates with 5F triple-lumen PICCs were comparable to 5F double-lumen and lower than 6F triple-lumen catheters.

Conclusions:

  • Adoption of smaller diameter PICCs and increased use of single-lumen catheters significantly reduced PICC-associated DVT rates.
  • Interdisciplinary consensus on PICC selection and lumen use is effective in mitigating DVT risk.
  • This strategy offers a significant improvement in patient safety and potential cost savings.
Abstract

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