Percutaneous central venous catheter insertion in acute myocardial infarction is associated with a 16% incidence of phlebitis and notable rates of asymptomatic thrombosis that are not prevented by anticoagulant therapy.
Central venous catheters in AMI warrant caution for phlebitis and thrombosis; leaves open optimal prevention strategies.
The incidence of complications following the insertion of central venous catheters in acute myocardial infarction was determined in 240 cases. All catheters were inserted percutaneously. Infection occurred rarely: one patient was successfully treated forStaphylococcus aureussepticemia and one for a local infection. Phlebitis occurred in 16% of cases. Only four patients had symptomatic subclavian vein thrombosis, yet routine phlebograms in 20 consecutive patients showed four instances of asymptomatic axillary vein thrombosis. Anticoagulant therapy was of no value in preventing thrombus formation.
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M. B. Walters (1972) studied this question.