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Titolo:
Catheter-related upper extremity deep venous thrombosis in cancer patients: A prospective study based on Doppler US
Autore:
Luciani, A; Clement, O; Halimi, P; Goudot, D; Portier, F; Bassot, N; Luciani, JA; Avan, P; Frija, G; Bonfils, P;
Indirizzi:
Hop Europeen Georges Pompidou, Dept Radiol, F-75908 Paris 15, France Hop Europeen Georges Pompidou Paris France 15 , F-75908 Paris 15, France Hop Europeen Georges Pompidou, Dept Head & Neck Surg, F-75908 Paris, France Hop Europeen Georges Pompidou Paris France F-75908 F-75908 Paris, France
Titolo Testata:
RADIOLOGY
fascicolo: 3, volume: 220, anno: 2001,
pagine: 655 - 660
SICI:
0033-8419(200109)220:3<655:CUEDVT>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUBCLAVIAN VEIN-THROMBOSIS; ACCESS DEVICES; COMPLICATIONS; PLACEMENT; CHEMOTHERAPY; ULTRASOUND; DIAGNOSIS; SYSTEMS; PORTS;
Keywords:
catheters and catheterization, complications; chemotherapy, complications; embolism, pulmonary; veins, thrombosis; veins, US;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Clement, O Hop Europeen Georges Pompidou, Dept Radiol, 20 Rue Leblanc, F-75908 Paris 15, France Hop Europeen Georges Pompidou 20 Rue Leblanc Paris France 15 e
Citazione:
A. Luciani et al., "Catheter-related upper extremity deep venous thrombosis in cancer patients: A prospective study based on Doppler US", RADIOLOGY, 220(3), 2001, pp. 655-660

Abstract

PURPOSE: This prospective study extending for more than 3 years had two objectives: (a) to use Doppler ultrasonography (US) to estimate the incidenceof asymptomatic: catheter-related upper extremity deep venous thrombosis (DVT) in a large population and (b) to study the effect of the catheter position as an individual risk factor for catheter-related DVT. MATERIALS AND METHODS: Between October 1995 and June 1998, a total of 145 patients who had oropharyngeal tract cancer and who were fitted with the same totally implantable central venous catheters (CVCs) were included in thestudy. Follow-up included (a) estimation of the position of each catheter tip on a chest radiograph obtained immediately after surgery and (b) regular monthly Doppler US screening for catheter-related DVT. RESULTS: Seventeen patients developed catheter related DVT, 13 of them were asymptomatic. The mean interval between CVC implantation and detection ofthrombosis was 42.2 days. Correct positioning of the distal catheter tip was associated with a significantly lower rate of catheter-related DVT. Onlyfive of 87 patients with a correctly positioned distal catheter tip (ie, either in the superior vena cava or at the junction between the right atriumand the superior vena cava) developed thrombosis, compared with 12 of 26 patients with a misplaced catheter (P < .001). The side on which the CVC wasimplanted did not influence the catheter-related DVT rate. CONCLUSION: The rate of asymptomatic catheter-related DVT is high and could be lowered with correct initial CVC positioning.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 10:13:48