Complications of Peripherally Inserted Central Catheters in Adults with Cystic Fibrosis or Bronchiectasis. Issue 3 (May 2015)

• Record Type: Journal Article
• Authors: Dupont, Christian; Gouya, Hervé; Panzo, Rozy; Hubert, Dominique; Correas, Jean-Michel; Agrario, Line; Chapron, Jeanne; Honoré, Isabelle; Kanaan, Reem; Legmann, Paul; Dusser, Daniel; Vignaux, Olivier; Burgel, Pierre-Régis
• Is Part Of: Journal of vascular access. Volume 16:Issue 3(2015)
• Page Start: 245
• Page End: 249
• Publication Date: 2015-05
• Subjects: Catheter-associated bloodstream infection -- Deep vein thrombosis -- Pain -- Venous access; Arterial catheterization -- Periodicals; Intravenous catheterization -- Periodicals; 612.13
• DOI: 10.5301/jva.5000347
• Languages: English
• ISSNs: 1129-7298

Abstract

Background: Peripherally inserted central catheters (PICCs) are increasingly used in patients with cystic fibrosis (CF) or with non-CF bronchiectasis, but little data exist on catheter-related complications in this setting. Methods: Prospective follow-up of consecutive PICCs inserted for intravenous (IV) antibiotics in adults with CF or with non-CF bronchiectasis at Cochin Hospital (Paris, France). Results: Between March 2009 and December 2011, 182 PICCs were prescribed in 117 adults (67 CF and 50 non-CF patients). Ultrasound-guided placement of catheter was successful in 174/182 (95.6%) procedures; no insertion complication occurred. The mean ± SD catheter dwell time was 15 ± 9 days. No catheter-associated bloodstream infection occurred; main complications were symptomatic upper limb deep vein thrombosis (2%), catheter obstruction (18%) and persistent pain after catheter insertion (18%). Patients' satisfaction was high and PICC could be used to perform antibiotic courses in most patients. Conclusions: PICCs were generally safe for performing IV antibiotic courses in patients with CF or non-CF bronchiectasis, but prolonged pain and/or catheter obstruction occurred in approximately 20% of cases.