Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review

Cao Mingkun; Yin Yuxia; Feng Shengyu; Wang Dengxu; Wan Min; Liu Chenghu; Wang Luning; Zhang Haijun

doi:doi:10.11648/j.ejcbs.20190504.12

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Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review

Cao Mingkun, Yin Yuxia, Feng Shengyu, Wang Dengxu, Wan Min, Liu Chenghu, Wang Luning, Zhang Haijun

Published in European Journal of Clinical and Biomedical Sciences (Volume 5, Issue 4)

Received: 10 October 2019 Accepted: 28 October 2019 Published: 31 October 2019

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Abstract

Peripherally inserted central catheters (PICCs) are widely used in cancer and critical patients for it’s convenience and performance compared to central venous catheters (CVCs), however, PICCs are still associated with some complications which increase disease burden and health care cost. No agreement about incidence and risk factors of PICC-related complications has reached from previous studies although much work has been done in this area. Lack of targeted prevention may lead to difficulties and stagnation in prevention of PICC-related complications. Our review reviewed current literatures on PICC-related complications and risk factors aiming to provide reference for further PICC research and prevention measures. In this review, we searched PICC relate literatures, and listed the incidence and risk factors of PICC-related complications. Different studies reported different data and risk factors, and we have detailed in this review. The total incidence rate of complications ranged from 3% to 61.67%, infection and venous thrombosis are the most two common complications. The risk factors varied from study to study, but it is basically divided into patient related-, operation related- and material related-. For the prevention measures, we considered standardized operation and nursing according to guidance played an important role. In this field, better research and conclusions are needed to guide the work of medical staff.

Published in	European Journal of Clinical and Biomedical Sciences (Volume 5, Issue 4)
DOI	10.11648/j.ejcbs.20190504.12
Page(s)	62-65
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Peripherally Inserted Central Catheters, Complications, Risk Factors

References

[1]	Ng P K, Ault M J, Ellrodt A G, et al. Peripherally inserted central catheters in general medicine [J]. Mayo Clinic proceedings, 1997, 72 (3): 225-233.
[2]	Clemence B J, Maneval R E. Risk factors associated with catheter-related upper extremity deep vein thrombosis in patients with peripherally inserted central venous catheters: literature review: part 1 [J]. Journal of infusion nursing: the official publication of the Infusion Nurses Society, 2014, 37 (3): 187-196.
[3]	Fallouh N, Mcguirk H M, Flanders S A, et al. Peripherally Inserted Central Catheter-associated Deep Vein Thrombosis: A Narrative Review [J]. The American journal of medicine, 2015, 128 (7): 722-738.
[4]	Wang W, Zhao C, JiI Q, et al. Prevention of peripherally inserted central line-associated blood stream infections in very low-birth-weight infants by using a central line bundle guideline with a standard checklist: a case control study [J]. BMC pediatrics, 2015, 15 (69).
[5]	Chopra V, Ratz D, Kuhn L, et al. PICC-associated bloodstream infections: prevalence, patterns, and predictors [J]. The American journal of medicine, 2014, 127 (4): 319-328.
[6]	Kang J, Chen W, Sun W, et al. Peripherally inserted central catheter-related complications in cancer patients: a prospective study of over 50,000 catheter days [J]. J Vasc Access, 2017, 18 (2): 153-157.
[7]	Leung A, Heal C, Perera M, et al. A systematic review of patient-related risk factors for catheter-related thrombosis [J]. Journal of thrombosis and thrombolysis, 2015, 40 (3): 363-373.
[8]	Moran J, Colbert CY, Song J, et al. Screening for novel risk factors related to peripherally inserted central catheter-associated complications [J]. Journal of hospital medicine, 2014, 9 (8): 481-489.
[9]	Scrivens N, Sabri E, Bredeson C, et al. Comparison of complication rates and incidences associated with different peripherally inserted central catheters (PICC) in patients with hematological malignancies: a retrospective cohort study [J]. Leukemia & lymphoma, 2019, 1-9.
[10]	Al-Asadi O, Almusarhed M, Eldeeb H. Predictive risk factors of venous thromboembolism (VTE) associated with peripherally inserted central catheters (PICC) in ambulant solid cancer patients: retrospective single Centre cohort study [J]. Thrombosis journal, 2019, 17 (2).
[11]	Jones D, Wismayer K, Bozas G, et al. The risk of venous thromboembolism associated with peripherally inserted central catheters in ambulant cancer patients [J]. Thrombosis journal, 2017, 15 (25).
[12]	Curto-Garcia N, Garcia-Suarez J, Callejas Chavarria M, et al. A team-based multidisciplinary approach to managing peripherally inserted central catheter complications in high-risk haematological patients: a prospective study [J]. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 2016, 24 (1): 93-101.
[13]	Fracchiolla NS, Todisco E, Bilancia A, et al. Clinical management of peripherally inserted central catheters compared to conventional central venous catheters in patients with hematological malignancies: A large multicenter study of the REL GROUP (Rete Ematologica Lombarda - Lombardy Hematologic Network, Italy) [J]. 2017, 92 (12): E656-e9.
[14]	Morano SG, Latagliata R, Girmenia C, et al. Catheter-associated bloodstream infections and thrombotic risk in hematologic patients with peripherally inserted central catheters (PICC) [J]. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 2015, 23 (11): 3289-3295.
[15]	Hashimoto Y, Fukuta T, Maruyama J, et al. Experience of Peripherally Inserted Central Venous Catheter in Patients with Hematologic Diseases [J]. Internal medicine, 2017, 56 (4): 389-393.
[16]	Harter C, Ostendorf T, Bach A, et al. Peripherally inserted central venous catheters for autologous blood progenitor cell transplantation in patients with haematological malignancies [J]. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 2003, 11 (12): 790-794.
[17]	Herc E, Patel P, Washer LL, et al. A Model to Predict Central-Line-Associated Bloodstream Infection Among Patients With Peripherally Inserted Central Catheters: The MPC Score [J]. Infection control and hospital epidemiology, 2017, 38 (10): 1155-1166.
[18]	Maki DG, Kluger DM, Crnich CJ. The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies [J]. Mayo Clinic proceedings, 2006, 81 (9): 1159-1171.
[19]	Xie J, Xu L, Xu X, et al. Complications of peripherally inserted central catheters in advanced cancer patients undergoing combined radiotherapy and chemotherapy [J]. Journal of clinical nursing, 2017, 26 (23-24): 4726-4733.
[20]	Bertoglio S, Faccini B, Lalli L, et al. Peripherally inserted central catheters (PICCs) in cancer patients under chemotherapy: A prospective study on the incidence of complications and overall failures [J]. Journal of surgical oncology, 2016, 113 (6): 708-14.
[21]	Rykov MY, Zaborovskij SV, Shvecov AN, et al. Peripherally inserted central catheters in the treatment of children with cancer: Results of a multicenter study [J]. J Vasc Access, 2018, 19 (4): 378-381.
[22]	Campagna S, Gonella S, Berchialla P, et al. Can Peripherally Inserted Central Catheters Be Safely Placed in Patients with Cancer Receiving Chemotherapy? A Retrospective Study of Almost 400,000 Catheter-Days [J]. The oncologist, 2019, 24 (9): e953-e9.
[23]	Duwadi S, Zhao Q, Budal BS. Peripherally inserted central catheters in critically ill patients - complications and its prevention: A review [J]. International journal of nursing sciences, 2019, 6 (1): 99-105.
[24]	Lee GJ, Hong SH, Roh SY, et al. A case-control study to identify risk factors for totally implantable central venous port-related bloodstream infection [J]. Cancer research and treatment: official journal of Korean Cancer Association, 2014, 46 (3): 250-260.
[25]	Gao W, Luan XR, Sun YY, et al. Experiences of patients with abnormal extubation of PICC tubes: a qualitative study [J]. International journal of clinical and experimental medicine, 2015, 8 (10): 19297-19303.
[26]	Goossens GA. Flushing and Locking of Venous Catheters: Available Evidence and Evidence Deficit [J]. Nursing research and practice, 2015, 2015 (985686).
[27]	Yin YX, Gao W, Li XY, et al. Insertion of peripherally inserted central catheters with intracavitary electrocardiogram guidance: A randomized multicenter study in China. J Vasc Access [J]. 2019, 20 (5): 524-529.
[28]	Kelly. A practical guide to safe PICC placement [J]. British journal of nursing (Mark Allen Publishing). 2013, 22 (8): S13-4, s6, s8-9.

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APA Style

Cao Mingkun, Yin Yuxia, Feng Shengyu, Wang Dengxu, Wan Min, et al. (2019). Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review. European Journal of Clinical and Biomedical Sciences, 5(4), 62-65. https://doi.org/10.11648/j.ejcbs.20190504.12

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ACS Style

Cao Mingkun; Yin Yuxia; Feng Shengyu; Wang Dengxu; Wan Min, et al. Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review. Eur. J. Clin. Biomed. Sci. 2019, 5(4), 62-65. doi: 10.11648/j.ejcbs.20190504.12

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AMA Style

Cao Mingkun, Yin Yuxia, Feng Shengyu, Wang Dengxu, Wan Min, et al. Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review. Eur J Clin Biomed Sci. 2019;5(4):62-65. doi: 10.11648/j.ejcbs.20190504.12

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@article{10.11648/j.ejcbs.20190504.12,
  author = {Cao Mingkun and Yin Yuxia and Feng Shengyu and Wang Dengxu and Wan Min and Liu Chenghu and Wang Luning and Zhang Haijun},
  title = {Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {5},
  number = {4},
  pages = {62-65},
  doi = {10.11648/j.ejcbs.20190504.12},
  url = {https://doi.org/10.11648/j.ejcbs.20190504.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20190504.12},
  abstract = {Peripherally inserted central catheters (PICCs) are widely used in cancer and critical patients for it’s convenience and performance compared to central venous catheters (CVCs), however, PICCs are still associated with some complications which increase disease burden and health care cost. No agreement about incidence and risk factors of PICC-related complications has reached from previous studies although much work has been done in this area. Lack of targeted prevention may lead to difficulties and stagnation in prevention of PICC-related complications. Our review reviewed current literatures on PICC-related complications and risk factors aiming to provide reference for further PICC research and prevention measures. In this review, we searched PICC relate literatures, and listed the incidence and risk factors of PICC-related complications. Different studies reported different data and risk factors, and we have detailed in this review. The total incidence rate of complications ranged from 3% to 61.67%, infection and venous thrombosis are the most two common complications. The risk factors varied from study to study, but it is basically divided into patient related-, operation related- and material related-. For the prevention measures, we considered standardized operation and nursing according to guidance played an important role. In this field, better research and conclusions are needed to guide the work of medical staff.},
 year = {2019}
}

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TY  - JOUR
T1  - Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review
AU  - Cao Mingkun
AU  - Yin Yuxia
AU  - Feng Shengyu
AU  - Wang Dengxu
AU  - Wan Min
AU  - Liu Chenghu
AU  - Wang Luning
AU  - Zhang Haijun
Y1  - 2019/10/31
PY  - 2019
N1  - https://doi.org/10.11648/j.ejcbs.20190504.12
DO  - 10.11648/j.ejcbs.20190504.12
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 62
EP  - 65
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20190504.12
AB  - Peripherally inserted central catheters (PICCs) are widely used in cancer and critical patients for it’s convenience and performance compared to central venous catheters (CVCs), however, PICCs are still associated with some complications which increase disease burden and health care cost. No agreement about incidence and risk factors of PICC-related complications has reached from previous studies although much work has been done in this area. Lack of targeted prevention may lead to difficulties and stagnation in prevention of PICC-related complications. Our review reviewed current literatures on PICC-related complications and risk factors aiming to provide reference for further PICC research and prevention measures. In this review, we searched PICC relate literatures, and listed the incidence and risk factors of PICC-related complications. Different studies reported different data and risk factors, and we have detailed in this review. The total incidence rate of complications ranged from 3% to 61.67%, infection and venous thrombosis are the most two common complications. The risk factors varied from study to study, but it is basically divided into patient related-, operation related- and material related-. For the prevention measures, we considered standardized operation and nursing according to guidance played an important role. In this field, better research and conclusions are needed to guide the work of medical staff.
VL  - 5
IS  - 4
ER  -

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Author Information

Cao Mingkun

National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Yin Yuxia

National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Feng Shengyu

National Engineering Technology Research Center for Colloidal Materials & Key Laboratory of Special Functional Aggregated Materials, Ministry of Education, School of Chemistry and Chemical Engineering, Shandong University, Jinan, China
Wang Dengxu

National Engineering Technology Research Center for Colloidal Materials & Key Laboratory of Special Functional Aggregated Materials, Ministry of Education, School of Chemistry and Chemical Engineering, Shandong University, Jinan, China
Wan Min

Shandong Quality Inspection Center for Medical Devices, Jinan, China
Liu Chenghu

Shandong Quality Inspection Center for Medical Devices, Jinan, China
Wang Luning

School of Materials Science and Engineering, University of Science and Technology, Beijing, China
Zhang Haijun

National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China

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APA Style

Cao Mingkun, Yin Yuxia, Feng Shengyu, Wang Dengxu, Wan Min, et al. (2019). Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review. European Journal of Clinical and Biomedical Sciences, 5(4), 62-65. https://doi.org/10.11648/j.ejcbs.20190504.12

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ACS Style

Cao Mingkun; Yin Yuxia; Feng Shengyu; Wang Dengxu; Wan Min, et al. Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review. Eur. J. Clin. Biomed. Sci. 2019, 5(4), 62-65. doi: 10.11648/j.ejcbs.20190504.12

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AMA Style

Cao Mingkun, Yin Yuxia, Feng Shengyu, Wang Dengxu, Wan Min, et al. Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review. Eur J Clin Biomed Sci. 2019;5(4):62-65. doi: 10.11648/j.ejcbs.20190504.12

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@article{10.11648/j.ejcbs.20190504.12,
  author = {Cao Mingkun and Yin Yuxia and Feng Shengyu and Wang Dengxu and Wan Min and Liu Chenghu and Wang Luning and Zhang Haijun},
  title = {Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {5},
  number = {4},
  pages = {62-65},
  doi = {10.11648/j.ejcbs.20190504.12},
  url = {https://doi.org/10.11648/j.ejcbs.20190504.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20190504.12},
  abstract = {Peripherally inserted central catheters (PICCs) are widely used in cancer and critical patients for it’s convenience and performance compared to central venous catheters (CVCs), however, PICCs are still associated with some complications which increase disease burden and health care cost. No agreement about incidence and risk factors of PICC-related complications has reached from previous studies although much work has been done in this area. Lack of targeted prevention may lead to difficulties and stagnation in prevention of PICC-related complications. Our review reviewed current literatures on PICC-related complications and risk factors aiming to provide reference for further PICC research and prevention measures. In this review, we searched PICC relate literatures, and listed the incidence and risk factors of PICC-related complications. Different studies reported different data and risk factors, and we have detailed in this review. The total incidence rate of complications ranged from 3% to 61.67%, infection and venous thrombosis are the most two common complications. The risk factors varied from study to study, but it is basically divided into patient related-, operation related- and material related-. For the prevention measures, we considered standardized operation and nursing according to guidance played an important role. In this field, better research and conclusions are needed to guide the work of medical staff.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Complications and Risk Factors of Peripherally Inserted Central Catheters: A Review
AU  - Cao Mingkun
AU  - Yin Yuxia
AU  - Feng Shengyu
AU  - Wang Dengxu
AU  - Wan Min
AU  - Liu Chenghu
AU  - Wang Luning
AU  - Zhang Haijun
Y1  - 2019/10/31
PY  - 2019
N1  - https://doi.org/10.11648/j.ejcbs.20190504.12
DO  - 10.11648/j.ejcbs.20190504.12
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 62
EP  - 65
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20190504.12
AB  - Peripherally inserted central catheters (PICCs) are widely used in cancer and critical patients for it’s convenience and performance compared to central venous catheters (CVCs), however, PICCs are still associated with some complications which increase disease burden and health care cost. No agreement about incidence and risk factors of PICC-related complications has reached from previous studies although much work has been done in this area. Lack of targeted prevention may lead to difficulties and stagnation in prevention of PICC-related complications. Our review reviewed current literatures on PICC-related complications and risk factors aiming to provide reference for further PICC research and prevention measures. In this review, we searched PICC relate literatures, and listed the incidence and risk factors of PICC-related complications. Different studies reported different data and risk factors, and we have detailed in this review. The total incidence rate of complications ranged from 3% to 61.67%, infection and venous thrombosis are the most two common complications. The risk factors varied from study to study, but it is basically divided into patient related-, operation related- and material related-. For the prevention measures, we considered standardized operation and nursing according to guidance played an important role. In this field, better research and conclusions are needed to guide the work of medical staff.
VL  - 5
IS  - 4
ER  -

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