Catheter-related Upper Extremity Deep Venous Thrombosis in Cancer Patients: A Prospective Study Based on Doppler US

Luciani, Alain; Clémеnt, Olivier; Halimi, P.; Goudot, D; Portier, F.; Bassot, V.; Luciani, J A; Avan, Paul; Frija, G.; Bonfils, P.

doi:10.1148/radiol.2203001181

Cited by 243 publications

(57 citation statements)

References 23 publications

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“…As the right jugular vein runs almost in a straight line to the superior caval vein, there is less likelihood of incorrect catheter placements. Recent studies identified catheter tip position as an important risk factor for catheter occlusion or catheter-related thrombosis in venous ports [10,11,12] and in peripherally inserted central lines in children [13]. As all of our catheters were located centrally with an equal distribution of catheter tip location among these groups, an influence of tip position on the results of this study is unlikely.…”

Section: Discussionmentioning

confidence: 81%

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Keeping central venous lines open: a prospective comparison of heparin, vitamin C and sodium chloride sealing solutions in medical patients

et al. 2002

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Section: Discussionmentioning

confidence: 81%

“…After correction, the chest X-ray was repeated. Corrected catheter tip positions were classed according to Luciani et al [10].…”

Section: Methodsmentioning

confidence: 99%

Keeping central venous lines open: a prospective comparison of heparin, vitamin C and sodium chloride sealing solutions in medical patients

et al. 2002

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“…To minimize the risk of venous thrombosis, catheter occlusion, and catheter migration, we positioned the catheter tip as close as possible to the cavoatrial junction or the upper right atrium [12,16,17]. We found no evidence of an increased incidence of venous thrombosis with right-SCV compared with left-SCV catheterization.…”

Section: Discussionmentioning

confidence: 91%

Right- and Left-Subclavian Vein Port-A-Cath Systems: Comparison of Complications

Tsai

Ku²,

Chen³

et al. 2012

Eur Surg Res

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Background: Central venous access systems are frequently used for delivery of medications; however, few studies have compared surgical and postoperative complications of right versus left access via the subclavian vein (SCV). The aim of this study was to compare the surgical and postoperative complications associated with Port-A-Cath system insertion via the right and left SCV. Methods: The medical records of patients who received Port-A-Cath insertion via the SCV for parenteral chemotherapy between August 2004 and July 2008 were reviewed. The incidence of surgical and postoperative complications was compared between patients who received right- versus left-SCV Port-A-Cath insertion. Results: A total of 1,848 patients were included in the study. Right-SCV catheterization was attempted in 1,029 (55.7%) patients and was successful in 866 (84.2%). Left-SCV catheterization was attempted in 819 (44.3%) patients and was successful in 651 (79.5%). The mean length of postoperative follow-up was 417.3 ± 401.3 and 396.7 ± 379.9 days for the right- and left-SCV groups, respectively. The incidence of SCV puncture failure was significantly lower in the right-SCV group (12.3%) compared with the left-SCV group (16.8%, p = 0.006). The incidence of catheter knotting at the ipsilateral brachiocephalic vein was also significantly lower in the right-SCV group (0.0%) compared with the left-SCV group (0.5%, p = 0.038), as was the incidence of catheter occlusion (1.0% for right SCV vs. 3.5% for left SCV, p = 0.001). Conclusion: These findings suggest that the right-SCV approach is superior to the left-SCV approach for Port-A-Cath insertion.

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“…As a result, the incidence of deep vein thrombosis associated with subclavian and jugular lines has increased in parallel. In a prospective study of 145 patients with cancer, the incidence of catheter-related DVTUE was 12% [6]. In a recently published study, two suspected adult cases per month were seen in a 900-bed teaching hospital, with ten confirmed cases per year [7].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and management of deep vein thrombosis of the upper extremity: a review

et al. 2004

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Deep vein thrombosis of the upper extremity is an increasing clinical problem due to the use of long-term indwelling catheters for chemotherapy or long-term feeding. The clinical diagnosis is difficult to make, and various imaging modalities have been used for this purpose. The use of (interventional) radiological procedures has been advancing in recent years. This review describes the clinical background, the imaging modalities that may be employed, treatment options and outcome of patients with upper extremity thrombosis.

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Catheter-related Upper Extremity Deep Venous Thrombosis in Cancer Patients: A Prospective Study Based on Doppler US

Abstract: The rate of asymptomatic catheter-related DVT is high and could be lowered with correct initial CVC positioning.

Cited by 243 publications

References 23 publications

Keeping central venous lines open: a prospective comparison of heparin, vitamin C and sodium chloride sealing solutions in medical patients

Keeping central venous lines open: a prospective comparison of heparin, vitamin C and sodium chloride sealing solutions in medical patients

Right- and Left-Subclavian Vein Port-A-Cath Systems: Comparison of Complications

Diagnosis and management of deep vein thrombosis of the upper extremity: a review

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