Catheter-related thrombosis (CRT) in patients with solid tumors: a narrative review and clinical guidance for daily care
Laguna, J. C. Cooksley, Timothy J Ahn, S. Tsoukalas, N. Oo, T. H. Brito-Dellan, N. Esposito, F. Escalante, C. Font, C.
Laguna, J. C.
Cooksley, Timothy J
Ahn, S.
Tsoukalas, N.
Oo, T. H.
Brito-Dellan, N.
Esposito, F.
Escalante, C.
Font, C.
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Abstract
Central venous access devices (CVADs) including central venous catheters and peripherally inserted central catheters (PICCs) are essential in the treatment of cancer. Catheter-related thrombosis (CRT) is the most frequent non-infectious complication associated with the use of central lines. The development of CRT may cause to delays in oncologic treatment and increase morbidity leading to potentially life-threatening complications. Several local and systemic risk factors are associated with the development of CRT and should be taken into account to prevent CRT by standardizing appropriate catheter placement and maintenance. The use of primary pharmacological thromboprophylaxis in order to avoid CRT is not routinely recommended, although it can be considered in selected cases. Recommendations for the management of established CRT are based on the extrapolation of anticoagulation for lower limb venous thrombosis. The present review summarizes the current evidence and recommendations for the prevention and management of CRT and identifies areas that require further research.
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Date
2022
Publisher
Collections
Keywords
Type
Article
Citation
Laguna JC, Cooksley T, Ahn S, Tsoukalas N, Oo TH, Brito-Dellan N, et al. Catheter-related thrombosis (CRT) in patients with solid tumors: a narrative review and clinical guidance for daily care. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2022 Aug 6. PubMed PMID: 35932317. Epub 2022/08/07. eng.