Hemostatic Agent Injection for Treating Tract Bleeding from Tunneled Central Venous Catheter Insertion.

Area of Science:

• Interventional Radiology
• Vascular Access
• Hemostasis

Background:

• Tract hemorrhage is a complication of tunneled central venous catheter placement.
• Managing catheter tract bleeding presents challenges for clinicians.

Purpose of the Study:

• To evaluate the efficacy of injecting a hemostatic agent into the central venous catheter tract for treating tract bleeding.
• To report experience with a novel technique for managing catheter-related hemorrhage.

Main Methods:

• A hemostatic agent was injected into the central venous catheter tract using aseptic technique.
• The procedure involved local anesthesia and sterile dressing application.
• 21 patients with catheter tract hemorrhage were treated with this method.

Main Results:

• The technical success rate of the hemostatic agent injection was 100%.
• Initial clinical success was 66.6%, increasing to 95% after one re-intervention and 100% after two.
• The technique proved effective in achieving tract hemostasis.

Conclusions:

• Injection of hemostatic material into the central venous catheter tract is an effective method for achieving hemostasis.
• This technique offers a viable solution for managing challenging tract bleeding.
• The procedure demonstrates high success rates with minimal re-interventions.