A retrospective cohort study of disease-related risk factors for central venous catheter-related symptomatic thrombosis in intensive care unit inpatients

Kuang, Zhiming; Liu, Xiaochun; Yun-lin, Zhu; Xie, Hailiang; Liu, Yuanfei

doi:10.1097/md.0000000000026732

Cited by 2 publications

(3 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The risk factors for thrombotic occlusion are various, and organic factors include endothelial damage, stasis of venous flow, and/or an underlying prothrombotic state 12 . Other factors associated with the development of thrombotic occlusion in cancer patients include the type of central venous catheter, insertion in the subclavian vein, left-sided insertion, longer duration of catheter insertion, catheter-to-vein ratio, professional expertise, and optimal routine care 13 , 14 .…”

Section: Discussionmentioning

confidence: 99%

“…Based on prospectively collected data on 1586 patients with 96 CRT events (6.1%), our study has shown that the insertion site of the catheter, size of the catheter, and indwelling time are significant risk factors for thrombotic occlusion. The risk factors for thrombotic occlusion are various, and organic factors include endothelial damage, stasis of venous flow, and/or an underlying prothrombotic state 12 . Other factors associated with the development of thrombotic occlusion in cancer patients include the type of central venous catheter, insertion in the subclavian vein, left-sided insertion, longer duration of catheter insertion, catheter-to-vein ratio, professional expertise, and optimal routine care 13,14 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Exploring risk factors for totally implantable venous access devices (TIVADs)-related thrombotic occlusion in the off-treatment period

Liu

Wang

et al. 2023

Sci Rep

View full text Add to dashboard Cite

Totally implantable venous access devices (TIVADs) have been widely used for many years in the management of patients suffering from cancer. Thrombotic occlusion is the most common functional complication in the off-treatment period. This study aims to investigate the incidence of and risk factors for TIVADs-related thrombotic occlusion in patients with breast cancer. The clinical data of 1586 eligible patients with breast cancer with TIVADs at the Fourth Affiliated Hospital of Hebei Medical University from 1 January 2019 to 31 August 2021 were analysed. Thrombotic occlusion was confirmed by angiography with signs of partial or total occlusion. Thrombotic occlusion occurred in 96 (6.1%) cases. Multivariable logistic regression analysis showed that the insertion site of the catheter (P = 0.004), size of the catheter (P < 0.001), and indwelling time (P < 0.001) were significant factors for thrombotic occlusion. Insertion in the right internal jugular vein, smaller catheter size and shorter indwelling time can lower the incidence of thrombotic occlusion in breast cancer patients with TIVADs in the off-treatment period.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exploring risk factors for totally implantable venous access devices (TIVADs)-related thrombotic occlusion in the off-treatment period

Liu

Wang

et al. 2023

Sci Rep

View full text Add to dashboard Cite

show abstract

“…The reported incidence of catheter-related venous thromboembolism (VTE) varies widely, from 9.5 per 1000 catheter days in critically ill patients [7] to 5-13.5% in oncology and hematological patients [8,9].…”

Section: Introductionmentioning

confidence: 99%

Risk Assessment of Venous Thromboembolism among Septic Shock Patients: Single versus Concurrent Insertion of Central Venous Catheters

Trebuian,

Marza,

Cindrea

et al. 2024

Medicina

View full text Add to dashboard Cite

Background and Objectives: Thrombosis is a serious complication experienced by some hospitalized patients. While concurrent placement of two catheters (CVCs) in the same central vein offers several benefits in clinical settings, we aimed to investigate the role of this procedure in relation to the risk of thrombosis. Materials and Methods: Over a two-year retrospective analysis, we examined 114 patients with septic shock caused by a pulmonary infection, who underwent the insertion of one or more central lines into a central vein during their ICU stay. Logistic regression models were employed to assess the correlation between the Caprini risk score, the placement of two CVCs in the same vein, COVID-19 infection and the risk of venous thromboembolism (VTE). Results: In total, 53% of the patients underwent the concurrent insertion of two CVCs. The placement of two CVCs in the same vein appears to elevate the VTE risk by 2.5 times (95% CI: 1.03–6.12). Logistic regression analysis indicated that hemodialysis catheters amplify the VTE risk by nearly five times, even when accounting for a series of factors (95% CI: 1.86–12.31). Conclusions: Our study suggests that the elevated risk of VTE is likely associated with the insertion of the hemodialysis catheters rather than solely the presence of two concurrent catheters.

show abstract

A retrospective cohort study of disease-related risk factors for central venous catheter-related symptomatic thrombosis in intensive care unit inpatients

Abstract: Supplemental Digital Content is available in the text

Cited by 2 publications

References 46 publications

Exploring risk factors for totally implantable venous access devices (TIVADs)-related thrombotic occlusion in the off-treatment period

Exploring risk factors for totally implantable venous access devices (TIVADs)-related thrombotic occlusion in the off-treatment period

Risk Assessment of Venous Thromboembolism among Septic Shock Patients: Single versus Concurrent Insertion of Central Venous Catheters

Contact Info

Product

Resources

About