Reducing Upper Extremity Deep Vein Thrombosis in the Peripherally Inserted
Central Catheter Patient
Dr. Hari Polenakovik; Anita Patton BSN, RN, VA-BC; Jaime Jenkins BSN, RN, VA-BC
ABSTRACT
Over 5 million PICCs are placed annually in
the United States. According to JVIR,
standard polyurethane PICCs have an
UEDVT rate of 3% to 6%.
If an UEDVT develops, it may lead to serious
complications such as: complete blockage
of the vein, pulmonary embolism or post-
thrombotic syndrome. Additional costs
and treatments are required for UEDVT.
New PICC technologies have emerged for
reducing fibrin accumulation on the
catheter surface. This new PICC
technology was trialed at a large institution
in the Midwest. UEDVT rates were tracked
and reviewed.
OBJECTIVES
To compare catheter related upper
extremity deep vein thrombosis rates
between two types of PICCs to improve
patient safety.
Poster #: ####-Fill in
A single-center retrospective study was completed over a 24 month period. CONCLUSION
A total of 8,323 PICC lines were inserted in patients by the Vascular Access Team This study demonstrated significantly
M including 4,432 standard polyurethane PICCs and 3,891 BioFlo™ PICCs with Endexo® decreased UEDVT rates in the trial group.
E Technology. Endexo® is a proprietary polymer which is a permanent, non-eluting
and creates a catheter material which is more resistant to the accumulation of Based on our data, we continue to use
T blood components (platelets and thrombus). (Lareu, Facchini, 2012). the BioFlo™ PICC with Endexo ®
H Technology.
The study evaluated the UEDVT rates of a standard polyurethane PICC and the
O
BioFlo™ PICCs with Endexo® Technology.
D
There were no changes in nursing practice or care in maintenance. UEDVTs were GRAPH/IMAGE TITLE
S
confirmed with duplex ultrasound scans. Chart Title
3.5
Standard PICC
3
2.5
BioFlo PICC
Over the 24 month period, the standard polyurethane PICC UEDVT rate was 3.1%; 2
Axis Title
the BioFlo PICC with Endexo Technology UEDVT rate was 2.1%. 1.5
R A 30% decrease in UEDVTs was noted in the trial PICC group as compared to the
1
0.5
E standard polyurethane PICC group.
0
S UEDVT Rates
U
To Edit, click on graph, Click on ‘Chart Tools’ Tag, and select Design. Select ‘Edit Data’
L REFERENCES
T Lareau, R. & Facchini, F. (2012). A new
S option for short or long term peripheral
QR CODE
access to the central venous system. White
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paper. Angiodynamics, Inc. See Slide #3 for
www.bioflopicc.com instructions.
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afterwards.
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