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[Venous thrombosis in central venous catheterization: incidence and promoting factors]

P Magalhaes, L Humair, C Jacot

    Schweizerische Medizinische Wochenschrift
    |April 26, 1986
    PubMed

    Insights

    Central vein catheterization can lead to venous thrombosis, with upper limb insertion sites posing the highest risk. Alternative insertion methods, like jugular or subclavian veins, may reduce thrombosis risk but carry their own complications.

    Area of Science:

    • Vascular Surgery
    • Medical Devices
    • Thrombosis Research

    Background:

    • Central venous catheters are essential for patient care but associated with risks.
    • Venous thrombosis is a significant complication of central venous catheterization.
    • Identifying risk factors is crucial for patient safety.

    Purpose of the Study:

    • To prospectively investigate the incidence of venous thrombosis.
    • To identify risk factors associated with central venous catheterization.
    • To evaluate the safety of different catheter insertion sites.

    Main Methods:

    • Prospective study of 51 patients undergoing 53 central venous catheterizations.
    • Phlebography used to diagnose venous thrombosis.
    • Analysis of potential risk factors including insertion site and infusate properties.

    Main Results:

    • A 23% thrombosis rate was observed (12 out of 53 catheterizations).
    • Upper limb insertion sites were implicated in 11 of the 12 thrombosis cases.
    • No significant association found with fluid osmolality or catheter length.

    Conclusions:

    • Upper limb venous catheterization is a significant risk factor for thrombosis.
    • Jugular or subclavian vein insertion may be preferable to reduce thrombosis risk.
    • All central venous catheterization routes require careful consideration of potential complications.

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