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Title: Clinically manifest thromboembolic complications of femoral vein catheterization for continuous renal replacement therapy.
Austin Authors: Lipcsey, Miklos;Chua, Horng-Ruey;Schneider, Antoine G;Robbins, Raymond J ;Bellomo, Rinaldo 
Affiliation: Division of Nephrology, University Medicine Cluster, National University Hospital, National University Health System, Singapore.
Department of Intensive Care, Austin Health, Heidelberg, Victoria, Australia
Department of Administrative Informatics, Austin Hospital, Melbourne, Australia
Department of Surgery, Section of Anaesthesiology and Intensive care, Uppsala University, Uppsala, Sweden
Australian and New Zealand Intensive Care Research Centre, Melbourne, Australia
Issue Date: 30-Sep-2013
Publication information: Journal of Critical Care 2013; 29(1): 18-23
Abstract: 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.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).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).The incidence of clinically manifest VTE after FV catheterization with high flow catheters is low and lower to that seen in general ICU patients.
DOI: 10.1016/j.jcrc.2013.08.010
Type: Journal Article
Subjects: Catheters
Femoral vein
Intensive care unit
Venous thromboembolism
Aged, 80 and over
Catheterization, Peripheral.adverse effects
Critical Care
Femoral Vein
Hematologic Tests
Intensive Care Units
Middle Aged
Renal Replacement Therapy.methods
Retrospective Studies
Venous Thromboembolism.epidemiology.etiology
Appears in Collections:Journal articles

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