Abstract:
Purpose: Tract hemorrhage following tunneled central venous catheter placement can be a challenging issue for some patients. We report our experience with the injection of a hemostatic agent into the central venous catheter tract for treatment of tract bleeding.
Materials and methods: The patient’s central venous catheter exit site and surrounding area were cleaned with surgical preparation liquid and draped using an aseptic technique. The tract was infiltrated with 1% lignocaine. A hemostatic agent was injected along the tract alongside the central venous catheter using an 18G x1.5″ blunt needle (Agani, Terumo, Japan) to fill the potential space around the catheter. The site was then re-dressed in a sterile manner, and an antimicrobial dressing was placed around the catheter exit site.
Results: A total of 21 patients were treated. The technical success rate was 100%. The clinical success rate following the initial procedure was 66.6%, improving to 95% and 100% after one and two re-interventions respectively.
Conclusions: This described technique of central venous catheter tract injection with hemostatic material assists in achieving tract hemostasis.
Reference:Aung E, Lukies M, Clements W, Bolger M, Joseph T, Phan T, Koukounaras J, S Goh G. Hemostatic Agent Injection for Treating Tract Bleeding from Tunneled Central Venous Catheter Insertion. Interv Radiol (Higashimatsuyama). 2026 Mar 18;11:e20250070. doi: 10.22575/interventionalradiology.2025-0070. PMID: 41940175; PMCID: PMC13044550.