Central venous catheter associated upper extremity deep vein thrombosis in cancer patients: Diagnosis and therapeutic management

Elias, Antoine; Debourdeau, Philippe; Espitia, Olivier; Sevestre, Marie-Antoinette; Girard, Philippe; Mahé, Isabelle; Sanchez, Olivier

doi:10.1016/j.acvd.2023.11.011

Archives of Cardiovascular Diseases

2024

DOI: 10.1016/j.acvd.2023.11.011

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Central venous catheter associated upper extremity deep vein thrombosis in cancer patients: Diagnosis and therapeutic management

Antoine Elias,

Philippe Debourdeau,

Olivier Espitia

et al.

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2024

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Cited by 5 publications

(1 citation statement)

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“…However, there appears to be some confusion in the discussion as the authors cite 4 references (35-38) that pertain to superficial thromboses of the lower limbs, for which anticoagulant treatment is recommended due to their risks of extension into the deep network and of embolic migration. The results of treatment for anticoagulated asymptomatic thromboses from 3 studies included in a recent literature review [ 2 ] and 2 prospective observational studies [ 3 , 4 ] without anticoagulants appear to be comparable. Identifying predictive factors for symptomatic thrombosis occurrence on ultrasound and, above all, conducting a randomized study comparing anticoagulants to therapeutic abstention in asymptomatic thromboses could help answer this question.…”

mentioning

confidence: 99%

Do we need to treat asymptomatic catheter-related thrombosis?

Debourdeau,

Hugret,

Debourdeau

2024

Research and Practice in Thrombosis and Haemostasis

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mentioning

confidence: 99%

Do we need to treat asymptomatic catheter-related thrombosis?

Debourdeau,

Hugret,

Debourdeau

2024

Research and Practice in Thrombosis and Haemostasis

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Long-term intravenous devices: a narrative review of their placement

Roche

2024

Current Opinion in Anaesthesiology

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Purpose of review This review summarizes the latest findings and recommendations about the characteristics, indications and use of peripheral and central long-term venous access devices. The various complications inherent in these devices are becoming better known, and their contributing factors determined, which could make it possible to reduce their incidence. Recent findings Some measures are integrated into recommendations for good practice, such as appropriate selection of devices, the preferential use of the thinnest catheters, and cyanoacrylate glue and dressings impregnated with chlorhexidine. Summary Improving understanding of the phenomena leading to infectious and thrombotic complications, as well as better knowing the differences between intravenous devices and their respective indications, should lead to improvement of in-hospital and out-of-hospital care.

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Catheter‐related deep vein thrombosis: Where are we at and where are we going? Updates and ongoing unmet clinical needs

Girardi,

Di Nisio,

Candeloro

et al. 2024

Eur J Clin Investigation

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BackgroundCatheter‐related thrombosis (CRT) is one of the major complications affecting patients with indwelling venous catheters, usually involving the upper extremity deep venous system. This condition can lead to potentially life‐threatening complications such as pulmonary embolism and sepsis. The risk of developing CRT varies depending on type of catheters and patient characteristics. Despite advances in materials and technologies, the actual incidence of CRT is still considerable. Available evidence on CRT management remains controversial, and clinical guidelines base their recommendations on data from non‐catheter related upper extremity or lower extremity deep venous thromboses.AimsThis narrative review aims to describe the epidemiology of CRT, to review the available evidence on its management and to highlight the current unmet needs.MethodsNo formal search strategy was applied for the revision of the literature. The main sources of information used were Medline and guidelines from international societies.ContentThe management of CRT requires a careful balance between the risk of thrombus progression, recurrent events, and systemic embolization and the increased bleeding risk in often fragile patients. Open issues include the optimal management of the catheter and the type and duration of anticoagulant therapy. Direct oral anticoagulants are increasingly prescribed, representing an important alternative to the standard of care low molecular weight heparins in selected cases. The development of new anticoagulant drugs such as factors XI and XII inhibitors may offer further advantages in this context.ConclusionsThe management of CRT is still challenging with constant need for updated evidence to support tailored approaches.

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Central venous catheter associated upper extremity deep vein thrombosis in cancer patients: Diagnosis and therapeutic management

Cited by 5 publications

References 65 publications

Do we need to treat asymptomatic catheter-related thrombosis?

Do we need to treat asymptomatic catheter-related thrombosis?

Long-term intravenous devices: a narrative review of their placement

Catheter‐related deep vein thrombosis: Where are we at and where are we going? Updates and ongoing unmet clinical needs

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