Incidencia de infección y trombosis asociadas a catéter central de inserción periférica (PICC) colocado por Radiología Intervencionista

Medicina Crítica Pub Date : 1900-01-01 DOI:10.35366/93968
Ana Escobar Luna, Miguel Angel Carrillo Martínez, Francisco Edgardo Puente Gallegos, Jesús Héctor Salinas Sepúlveda, V. Nava, José Fernando Vasco Leal
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Abstract

infection thrombosis peripheral insertion central catheter (PICC) Interventional Radiology ABSTRACTObjective: To determine the incidence of venous thrombosis (VT) and infection associated with PICC lines. Material and methods: A retrospective, replicative and descriptive study was conducted over 38 months. The PICC line was inserted in the upper extremities by the Interventional Radiology Service with the same technique. An image of the procedure with the name and diameter of the selected vein was saved. Venous thrombosis, demonstrated by Doppler ultrasound, the duration of the catheter and bacteremia related to the PICC line (BRC-PICC) were recorded. Results: 448 PICCs were placed and 78 were excluded. The remaining 370 catheters added 3,363 catheter days. 99.45% of the procedures were technically successful. The incidence of thrombosis was 0.016% (n = 6) and that of infection 0.03% (n = 12). The most frequently selected vessel was the right basilic vein. Conclusions: The incidence of thrombosis and infection were below the reported in the literature. Veins greater than 3.8 mm have a very low probability of having TV. da relatada na literatura. Veias com diâmetro superior a 3.8 mm têm uma probabilidade muito baixa de apresentar trombose venosa. Palavras-chave: Cateter de inserção periférica central, bacteremia, trombose venosa.
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介入放射学与外周插入中心导管(PICC)相关的感染和血栓发生率
【摘要】目的:了解PICC系静脉血栓形成(VT)及感染的发生率。材料与方法:回顾性、重复性、描述性研究,为期38个月。介入放射科采用同样的技术将PICC线插入上肢。保存了带有所选静脉名称和直径的手术图像。记录多普勒超声显示的静脉血栓形成、导管持续时间和与PICC线相关的菌血症(BRC-PICC)。结果:置入PICCs 448例,排除PICCs 78例。剩下的370个导管增加了3363个导管天数。99.45%的手术技术上成功。血栓发生率为0.016% (n = 6),感染发生率为0.03% (n = 12)。最常选择的血管是右基底静脉。结论:血栓和感染发生率低于文献报道。静脉大于3.8毫米,有电视的可能性很低。没有关系,没有文学。Veias com di metro superior一个3.8 mm têm的肿块,可能存在多血栓性静脉。Palavras-chave: cater de inserter de o periifacimrica central,菌血症,tromose venosa。
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