CardioVascular and Interventional Radiology

, Volume 34, Issue 1, pp 120–123 | Cite as

Previous PICC Placement May Be Associated With Catheter-Related Infections in Hemodialysis Patients

  • Philip J. Butler
  • Shreya Sood
  • Hamid Mojibian
  • Michael G. Tal
Clinical Investigation



Catheter-related infections (CRIs) are a significant source of morbidity and mortality in hemodialysis patients. The identification of novel, modifiable risk factors for CRIs may lead to improved outcomes in this population. Peripherally inserted central catheters (PICCs) have been hypothesized to compromise vascular access due to vascular damage and venous thrombosis, whereas venous thrombosis has been linked to the development of CRIs. Here we examine the association between PICC placement and CRIs.


A retrospective review was performed of all chronic hemodialysis catheter placements and exchanges performed at a large university hospital from September 2003 to September 2008. History of PICC line use was determined by examining hospital radiologic records from December 1993 to September 2008. Catheter-related complications were assessed and correlated with PICC line history.


One hundred eighty-five patients with 713 chronic tunneled hemodialysis catheter placements were identified. Thirty-eight of those patients (20.5%) had a history of PICC placement; these patients were more likely to have CRIs (odds ratio = 2.46, 95% confidence interval = 1.71–3.53, p < .001) compared with patients without a history of PICC placement. There was no difference between the two groups in age or number of catheters placed.


Previous PICC placement may be associated with catheter-related infections in hemodialysis patients.


PICC Hemodialysis Infection Catheter-related infection Dialysis Dialysis catheter Catheter 


Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010

Authors and Affiliations

  • Philip J. Butler
    • 1
  • Shreya Sood
    • 1
  • Hamid Mojibian
    • 1
  • Michael G. Tal
    • 1
  1. 1.Department of Diagnostic RadiologyYale University School of MedicineNew HavenUSA

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