Is Routine Preprocedural Bloodwork Needed for Elective Central Venous Access Device Removals in Children without Bleeding Dyscrasias

摘要: Abstract Purpose To assess the utility of routine preprocedural bloodwork during elective removal central venous access devices (CVADs) with respect to bleeding complications. Materials and Methods Patients who underwent a CVAD (tunneled catheter [CVC] or port) by interventional radiology service between January 2009 December 2013 were retrospectively reviewed. Removals for infection malfunction, without bloodwork, another concurrent procedure at time removal, in patients dyscrasia excluded. Peripherally inserted removals temporary also Routine included hemoglobin, platelet count, partial thromboplastin time, International Normalized Ratio. Postprocedural complications classified according Society Interventional Radiology clinical practice guidelines. Results There 802 777 (351 female, 426 male). Average patient age was 8.6 years (range, 5 wk 19 y). In total, 246 permanent CVCs 556 ports removed. A total cases had bloodwork. Of 49 complication after (6.1%; 802), 44 normal findings on abnormal findings. no statistically significant difference those results (P = .7740). Conclusions is not necessary before children dyscrasia. Most have incidence postprocedural low determined results.