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

This article addresses the issues of diagnosis and management of CRT through a review of the available literature and makes a number of proposals based on the available evidence. In symptomatic patients, venous ultrasound is the most appropriate choice for first-line diagnostic imaging of CRT because it is noninvasive, and its diagnostic performance is high (which is not the case in asymptomatic patients). In the absence of direct comparative clinical trials, we suggest treating patients with CRT with a therapeutic dose of either a LMWH or a direct oral factor Xa inhibitor, with or without a loading dose. These anticoagulants should be given for a total of at least three months, including at least one month after catheter removal following initiation of therapy.PMID:38065755 | DOI:10.1016/j.acvd.2023.11.011

Source: Archives of Cardiovascular Diseases - December 8, 2023 Category: Cardiology Authors: Antoine Elias Philippe Debourdeau Olivier Espitia Marie-Antoinette Sevestre Philippe Girard Isabelle Mah é Olivier Sanchez INNOVTE CAT Working Group Source Type: research