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ABO blood group related venous thrombosis risk in patients with peripherally inserted central catheters

Chung Mo Koo1, Ravi Vissapragada2, Rebecca Sharp3

  • 11 Department of Radiology, Royal Adelaide Hospital , Royal Adelaide Hospital , Adelaide, SA , Australia.

The British Journal of Radiology
|November 11, 2017
PubMed

Insights

Patients with blood group B undergoing peripherally inserted central catheter (PICC) placement have a higher risk of upper limb venous thrombosis (VT). This finding is independent of cancer diagnosis and PICC procedure risks, highlighting a need for further research into preventative guidelines.

Area of Science:

  • Vascular Medicine
  • Hematology
  • Medical Devices

Background:

  • Venous thrombosis (VT) is a significant risk associated with peripherally inserted central catheters (PICCs).
  • ABO blood group has been investigated for its association with various thrombotic events.
  • Understanding specific risk factors for PICC-related VT is crucial for patient safety.

Purpose of the Study:

  • To determine the association between ABO blood group and the risk of upper limb venous thrombosis (VT) in patients receiving peripherally inserted central catheters (PICCs).

Main Methods:

  • A retrospective cohort study was conducted involving patients who underwent PICC insertion.
  • Data on symptomatic VT, diagnosed via ultrasound, were collected over a defined period.
  • Blood group status was retrieved from hospital information systems.

Main Results:

  • The study included 2270 participants with 3020 PICCs inserted, resulting in 124 cases of symptomatic VT (4% incidence).
  • Univariate analysis indicated that chemotherapy, multiple previous PICCs, larger catheter size, cancer diagnosis, and blood group B were associated with increased VT risk.
  • Multivariate analysis confirmed that PICC diameter, cancer diagnosis, and blood group B were independently associated with a higher risk of VT.

Conclusions:

  • Individuals with blood group B demonstrate an elevated risk of VT following PICC insertion, irrespective of the procedure or cancer-related risks.
  • This study provides a foundation for developing clinical guidelines for managing PICC-related VT.
  • The research offers valuable insights into blood group-specific risks in a focused PICC patient population, enabling robust multivariate analysis.
Abstract

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