Skip to main content
Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1980 Sep;62(5):364–368.

Infusion thrombophlebitis: the histological and clinical features.

C R Woodhouse
PMCID: PMC2493749  PMID: 7436293

Abstract

Thrombophlebitis was induced in 8 greyhounds by intravenous infusion of naftidrofuryl (Praxilene), dextrose saline being used as a control. The histological features were the same in the treated and the control veins: circulating polymorphonuclear leucocytes became attached to and later infiltrated the vein endothelium. In more severe cases the deeper layers of the vein wall were affected. The clinical features in 97 patients receiving intravenous infusions of physiological saline, dextrose saline, 5% dextrose, or Hartman's solution are reviewed. Twenty-eight cases of thrombophlebitis were seen after an average of 54 h infusion; 22 presented with signs of inflammation and in 6 thrombosis occurred first. Thrombophlebitis occurs as a response to a number of different chemical and physical stimuli. The histological features are the same whatever the insult to the vein. It is an acute sterile inflammation without bacterial infection.

Full text

PDF
364

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CARTER J. F. B. Reduction in thrombophlebitis by limiting duration in intravenous infusions. Lancet. 1951 Jul 7;2(6671):20–21. doi: 10.1016/s0140-6736(51)93456-3. [DOI] [PubMed] [Google Scholar]
  2. Crossley K., Matsen J. M. The scalp-vein needle. A prospective study of complications. JAMA. 1972 May 15;220(7):985–987. [PubMed] [Google Scholar]
  3. Elfving G., Hästbacka J., Tammisto T. Infusion thrombophlebitis and its prevention. Am Heart J. 1967 May;73(5):717–718. doi: 10.1016/0002-8703(67)90185-8. [DOI] [PubMed] [Google Scholar]
  4. Ghidyal S. K., Pande R. C., Misra T. R. Histopathology and bacteriology of postinfusion phlebitis. Int Surg. 1975 Jun-Jul;60(6-7):341–342. [PubMed] [Google Scholar]
  5. MCCABE M., CUNNINGHAM G. J., WYATT A. P., TAYLOR G. W. VEIN GRAFTS; CHANGES IN PHOSPHOLIPID STRUCTURE DUE TO STORAGE IN SALINE SOLUTION. Lancet. 1965 Jul 17;2(7403):109–111. doi: 10.1016/s0140-6736(65)92224-5. [DOI] [PubMed] [Google Scholar]
  6. Maki D. G., Goldman D. A., Rhame F. S. Infection control in intravenous therapy. Ann Intern Med. 1973 Dec;79(6):867–887. doi: 10.7326/0003-4819-79-6-867. [DOI] [PubMed] [Google Scholar]
  7. McCabe M., Cunningham G. J., Wyatt A. P., Rothnie N. G., Taylor G. W. A histological and histochemical examination of autogenous vein grafts. Br J Surg. 1967 Feb;54(2):147–155. doi: 10.1002/bjs.1800540216. [DOI] [PubMed] [Google Scholar]
  8. Mostert J. W. The pH and osmolality of intravenously used drugs. JAMA. 1971 May 31;216(9):1483–1483. [PubMed] [Google Scholar]
  9. Ritchie W. G., Lynch P. R., Stewart G. J. The effect of contrast media on normal and inflamed canine veins. A scanning and transmission electron microscopic study. Invest Radiol. 1974 Nov-Dec;9(6):444–455. doi: 10.1097/00004424-197411000-00005. [DOI] [PubMed] [Google Scholar]
  10. Stewart G. J., Ritchie W. G., Lynch P. R. Venous endothelial damage produced by massive sticking and emigration of leukocytes. Am J Pathol. 1974 Mar;74(3):507–532. [PMC free article] [PubMed] [Google Scholar]
  11. VERE D. W., SYKES C. H., ARMITAGE P. Venous thrombosis during dextrose infusion. Lancet. 1960 Sep 17;2(7151):627–630. doi: 10.1016/s0140-6736(60)91697-4. [DOI] [PubMed] [Google Scholar]
  12. Woodhouse C. R., Eadie D. G. Severe thrombophlebitis with Praxilene. Br Med J. 1977 May 21;1(6072):1320–1320. doi: 10.1136/bmj.1.6072.1320. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Woodhouse C. R. Movelat in the prophylaxis of infusion thrombophlebitis. Br Med J. 1979 Feb 17;1(6161):454–455. doi: 10.1136/bmj.1.6161.454-a. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England

RESOURCES