Technical factors at the moment of catheter insertion might have a role in peripherally inserted central catheter-related thrombotic risk. We performed a systematic review and meta-analysis to define the actual rate of peripherally inserted central catheter-related symptomatic deep vein thrombosis in patients in whom catheter insertion was performed according to ultrasound guidance, appropriate catheter size choice, and proper verification of tip location.

Conclusions: A proper technique is crucial at the moment of peripherally inserted central catheter insertion. Peripherally inserted central catheter-related deep vein thrombosis rate appears to be low when evidence-based technical factors are taken into consideration during the insertion procedure.

Authors: Paolo Balsorano 1, Gianni Virgili 2, Gianluca Villa 3, Mauro Pittiruti 4, Stefano Romagnoli 1, Angelo Raffaele De Gaudio 3, Fulvio Pinelli 1

1 Division of Oncological Anesthesia and Intensive Care, Department of Anesthesia and Intensive Care, Azienda Ospedaliero Universitaria Careggi, Florence, Italy.
2 Department of Ophthalmology, University of Florence, Florence, Italy.
3 Division of Anesthesiology, Intensive Care and Pain medicine, Department of Health Sciences, University of Florence, Florence, Italy.
4 Department of Surgery, Catholic University, Rome, Italy.

J Vasc Access. 2020 Jan; 21(1):45-54
Epub 2019 Jun 10

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