Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.jcrc.2013.08.010
Title: Clinically manifest thromboembolic complications of femoral vein catheterization for continuous renal replacement therapy
Authors: Lipcsey, M.
Chua, H.-R. 
Schneider, A.G.
Robbins, R.
Bellomo, R.
Keywords: Catheters
Femoral vein
Intensive care unit
Venous thromboembolism
Issue Date: Feb-2014
Citation: Lipcsey, M., Chua, H.-R., Schneider, A.G., Robbins, R., Bellomo, R. (2014-02). Clinically manifest thromboembolic complications of femoral vein catheterization for continuous renal replacement therapy. Journal of Critical Care 29 (1) : 18-23. ScholarBank@NUS Repository. https://doi.org/10.1016/j.jcrc.2013.08.010
Abstract: Purpose: The safety of femoral vein (FV) catheterization for continuous renal replacement therapy is uncertain. We sought to determine the incidence of clinically manifest venous thromboembolism (VTE) in such patients. Methods: We retrospectively studied patients with femoral high flow catheters (≥. 13F) (December 2005 to February 2011). Discharge diagnostic codes were independently screened for VTE. The incidence of VTE was also independently similarly assessed in a control cohort of patients ventilated for more than 2 days (January 2011 to December 2011) in the same intensive care unit (ICU). Results: We studied 380 patients. Their mean age was 61 years, and 59% were male. The mean Acute Physiology and Chronic Health Evaluation III score was 84; average duration of continuous renal replacement therapy was 74 hours, and 232 patients (61%) survived to hospital discharge with an average length of hospital stay of 22 days. Only 5 patients (1.3%) had clinically manifest VTE after FV catheterization. In the control cohort of 514 ICU patients, the incidence of VTE was 4.4% (P < .05 compared with FV group). Conclusion: The incidence of clinically manifest VTE after FV catheterization with high flow catheters is low and lower to that seen in general ICU patients. © 2014 Elsevier Inc.
Source Title: Journal of Critical Care
URI: http://scholarbank.nus.edu.sg/handle/10635/125372
ISSN: 08839441
DOI: 10.1016/j.jcrc.2013.08.010
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