American Society of Clinical Oncology Clinical Practice Guideline on central venous catheter care for the patient with cancer

Source: JCO Area: News This evidence-based guideline addresses catheter type, insertion site, and placement as well as effective prophylaxis and management of catheter related infections, prophylaxis of catheter related thrombosis and treatment of catheter related occlusions.
Source: NeLM - Cardiovascular Medicine - Category: Cardiology Source Type: news

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ConclusionsThere is a significantly increased risk for TEE pre-cystectomy during chemotherapy administration in MIBC patients receiving NAC, compared to the risk in NAC-na ïve NAC-eligible MIBC patients. In 64% of the pre-RC TEEs in NAC patients, there was a clinical connection to placement of central venous access.
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
Patients with hematological malignancies and peripherally inserted central venous catheters (PICCs) tend to develop catheter-associated upper extremity venous thromboses (UEVTs) and pulmonary emboli (PE) [1,2]. Active cancer, malposition and PICC gauge are common risk factors for PICC-UEVTs [2,3]. The association between D-dimer thresholds before catheter insertion and the development of PICC-UEVT in cancer patients remains unknown. D-dimers have been widely used in clinical practice as a high-sensitivity diagnostic approach for suspected venous thromboembolisms (VTEs) [4].
Source: Thrombosis Research - Category: Hematology Authors: Tags: Letter to the Editors-in-Chief Source Type: research
ConclusionsDespite these benefits, port catheters are associated with various complications. However, most of these complications can be effectively prevented by proper techniques and easily applied precautions.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research
Peripherally inserted central venous catheter (PICC) is the main venous access for cancer patients when they receive chemotherapy and nutritional support, but PICC-related venous thrombosis has become one of the most common and serious complications. It is very important to further explore the relationship among these features, so that prevent and treat the PICC-related thrombosis. To investigate the clinical features and the related factors of PICC-related upper extremity asymptomatic venous thrombosis in cancer patients, and to provide theoretical basis for the prevention of venous thrombosis. A total of 127 tumor pati...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
In this study, we specifically focused on patients with no cancer and without a CVC who were diagnosed with a first episode of UEDVT and were treated with a DOAC. We studied 61 patients, treated in six Italian centres between January 2014 and December 2018. Treatment lasted at least 3 months in all patients. In terms of efficac y, no recurrence of thrombosis or pulmonary embolism were recorded, while Doppler ultrasonography, performed after at least three months of treatment, documented in all cases either partial or complete recanalization of obstructed veins. In terms of safety, no cases of major bleedings were reco...
Source: Journal of Thrombosis and Thrombolysis - Category: Hematology Source Type: research
CONCLUSION: Implanting totally implantable venous access ports in the upper arm is feasible and safe for patients with early breast cancer, with a low rate of complications, providing good alternative to central venous ports. PMID: 31841061 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Publication date: Available online 16 December 2019Source: Orthopaedics &Traumatology: Surgery &ResearchAuthor(s): Thierry Odent, Benoît de Courtivron, Yves GruelAbstractChildren are physiologically protected against venous thromboembolism (VTE). Specific triggering events or contributing factors have been identified in the majority of reported cases, which differs from the adult pathology where 50% of the thromboses are considered “idiopathic”.This is a rare disease in children with an estimated frequency of less than 1/1000. The risk is highest in neonates, then decreases and increases again aro...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Conclusions: The use TICVAP for the patients on new MDR-TB regimens with long term IV infusions demonstrates good safety profile and high level of patients and HCP acceptability.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Tuberculosis Source Type: research
This article reports the results of a single-site prospective audit evaluating the safety and effectiveness of urokinase (Syner-Kinase®) to restore patency in central venous access devices (CVADs) for cancer patients. CVADs are routinely inserted to allow the safe and timely administration of systemic anti-cancer therapies; therefore, catheter dysfunction can interrupt the treatment schedule and adversely affect patient outcome. The aim was to contribute to the development of evidence-based, standardised, best practice guidelines. Prospective data were collected from all patients (n=22) identified with an occluded CVAD...
Source: British Journal of Nursing - Category: Nursing Authors: Tags: Br J Nurs Source Type: research
Abstract BACKGROUND AND AIM:  Post-discharge prophylaxis for venous thromboembolism (VTE) is a challenging issue in patients hospitalised in Internal Medicine Units (IMUs). The aim of this study was to evaluate the frequency and the factors associated with post-discharge prophylaxis for VTE in IMUs. METHODS:  Multi-centre, retrospective study including consecutive patients who were admitted for any cause and discharged from an IMU. RESULTS:  Overall, 3,740 patients (mean age 74.1 ± 15.7 years) were included in the study at 38 IMUs in Italy. At discharge, the percentage...
Source: Thrombosis and Haemostasis - Category: Hematology Authors: Tags: Thromb Haemost Source Type: research
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