Abstract
Placement of image-guided tunneled and non-tunneled large-bore central venous catheters (CVCs) are common procedures in interventional radiology. Although leukopenia and/or throm-bocytopenia are common at the time of placement, the roles these factors may have in subsequent catheter-related infection have yet to be investigated. A single-institution retrospective review was performed in patients who underwent CVC placement in interventional radiology between 11/2018–6/2019. The electronic medical record was used to obtain demographics, procedure details, pre-placement laboratory values, and the subsequent 90-day follow-up. A total of 178 tunneled and non-tunneled CVCs met inclusion criteria during this time period. White blood cell (WBC) and platelet counts were found to be significant risk factors for subsequent infection. Administration of pre-procedure antibiotics was not found to be a significant factor for subsequent infection (p = 0.075). Leukopenia and thrombocytopenia at the time of CVC placement are both risk factors of line infection for tunneled large-bore CVCs. This should lead to the consideration of using a non-tunneled CVC when clinically feasible, or the delayed placement of these catheters until counts recover.
Original language | English (US) |
---|---|
Pages (from-to) | 627-634 |
Number of pages | 8 |
Journal | Tomography |
Volume | 8 |
Issue number | 2 |
DOIs | |
State | Published - Apr 2022 |
Externally published | Yes |
Keywords
- Central venous catheter
- Infection
- Interventional radiology
- Leukopenia
- Thrombocytopenia
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging