Vascular and Interventional Radiology
Recommendations Regarding Pre-Procedure (Prophylactic) Antibiotics
|
|
|
Recommendation |
|
Vascular Procedures |
|
|
|
Vascular Diagnostic |
|
|
|
Arteriogram uncomplicated |
|
No Ab |
|
Arteriogram with graft puncture |
|
Ab |
|
Arteriogram with acute thromboembolic dx |
|
No Ab |
|
Arteriogram in patients with |
|
|
|
heart valve |
|
No Ab |
|
synthetic bypass graft |
|
Ab |
|
IVC filter |
|
No Ab |
|
joint replacement |
|
No Ab |
|
transplant organ |
|
No Ab |
|
vascular stent |
|
No Ab |
|
TIPS diagnostic only |
|
No Ab |
|
Dialysis conduit fistulogram |
|
No Ab |
|
Arterial Line |
|
No Ab |
|
|
|
|
|
Vascular Interventional Procedures |
|
|
|
TIPS |
|
Ab |
|
PTA |
|
No Ab |
|
Vascular Stent placement |
|
|
|
artery |
|
No Ab except after lysis |
|
vein |
|
No Ab |
|
Vascular Stent revision |
|
|
|
artery |
|
No Ab except after lysis |
|
vein |
|
No Ab |
|
TIPS |
|
No Ab |
|
Covered Stent/Stent Graft |
|
|
|
artery |
|
Ab |
|
vein |
|
Ab |
|
TIPS |
|
Ab |
|
Atherectomy |
|
No Ab |
|
Thrombolysis (pharmocologic) |
|
No Ab |
|
Mechanical Thrombectomy |
|
|
|
device or thromboaspiration |
|
Ab |
|
possible graft infection |
|
contraindication to declot |
|
|
|
|
|
Transjugular Liver Biopsy |
|
No Ab |
|
Foreign Body Retrieval |
|
No Ab |
|
Embolization |
|
|
|
particulate |
|
yes if of solid organ (ie spleen) |
|
coil |
|
yes if of solid organ (ie spleen) |
|
glue |
|
yes if of solid organ (ie spleen) |
|
detachable balloon |
|
yes if of solid organ (ie spleen) |
|
sclerosant (ie. alcohol) |
|
yes if of solid organ (ie spleen) |
|
Chembo |
|
Ab |
|
|
|
Recommendation |
|
|
|
|
|
Tunneled catheter placement |
|
No Ab |
|
Tunneled PICC placement |
|
No Ab |
|
Ports placement |
|
Ab |
|
Nontunneled catheter placement |
|
No Ab |
|
|
|
|
|
Tunnel catheter exchange |
|
Ab |
|
Tunneled catheter reposition |
|
No Ab |
|
Non-tunnel catheter exchange |
|
No Ab |
|
Non-tunneled catheter reposition |
|
No Ab |
|
|
|
|
|
Tunneled catheter removal |
|
|
|
uncomplicated |
|
No Ab |
|
infected tunnel |
|
Ab if not already started by clinical service |
|
Port removal |
|
|
|
uncomplicated |
|
No Ab |
|
infected pocket |
|
Ab if not already started by clinical service |
|
|
|
|
|
|
|
|
|
Non-Vacular Interventional Procedures |
|
|
|
PTC |
|
Ab |
|
PTBC |
|
Ab |
|
Perc Cholecystostomy |
|
Ab |
|
Antegrade Pyelogram |
|
Ab |
|
PCN or ureteral stent |
|
Ab |
|
G or J or GJ tube |
|
No Ab |
|
Abscess catheter placement |
|
Ab |
|
Whitaker |
|
Ab |
|
Scope diagnostic |
|
Ab |
|
Stone removal + scope |
|
Ab |
|
Tube Injection only |
|
No Ab |
|
Fistula/Sinus tract study |
|
No Ab |
|
Fistula/Sinus tract study + tube |
|
Ab |
|
Tube change |
|
|
|
enteric |
|
No Ab |
|
biliary |
|
Ab |
|
GU |
|
Ab |
|
abscess |
|
Ab |
|
thoracentesis |
|
No Ab |
|
paracentesis |
|
No Ab |
|
Biopsy fluor guided |
|
No Ab |
|
Fallopian tube recanalization |
|
Ab |
|
Peritoneal dialysis catheter manipulation |
|
Ab |