How frequently is subcutaneous central venous catheter care required to prevent luminal thrombosis?

Odabaş, Hatice; Özdemir, Nuriye; Abalı, Hüseyin; Öksüzoğlu, Ömür Berna; Işık, Metin; Civelek, Birol; Zengin, Neriman

doi:10.1200/jco.2010.28.15_suppl.e19587

Cited by 2 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some studies have suggested extending flush interval to 2 months, 9,19 and others have suggested prolonging flush interval to 3 months or longer. 10,25,26 Clari et al 27 reported very lowquality evidence of no statistically significant difference in occlusion rates between short and long flush interval. However, they did not conclude whether flush interval could be extended to a specific time.…”

Section: Discussionmentioning

confidence: 99%

“…The full-text articles of three single-arm studies and three comparative studies [21][22][23]26,35,36 could not be downloaded. Therefore, we extracted useful information by browsing the abstracts.…”

Section: Discussionmentioning

confidence: 99%

“…In one single-arm study, 37 the port was flushed every 4 to 6 weeks, and the total complication rate was 19.8%, which was the highest among all single-arm studies (Supplementary 1). In six comparison studies, 10,25,26,35,36,38 1024 cases were included. The total complication rate of long flush interval was lower than that of short flush interval, and no statistical difference was found between these two intervals in each comparison study (all ps > 0.05).…”

Section: Discussionmentioning

confidence: 99%

“…Six of eight single-arm studies 14,[20][21][22][23][24]26,35,36 analyzed 3-month flush interval, and the total complication rate was 3.8%. Two of six comparative studies 10,26 compared flush interval less than 90 days and longer than 90 days, and the total complication rate of flush interval longer than 90 days was lower than that of those less than 90 days (13.8% (26/188) vs 3.1% (5/160)).…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Prolonging the flush-lock interval of totally implantable venous access ports in patients with cancer: A systematic review and meta-analysis

Zhang

Chen

et al. 2020

J Vasc Access

View full text Add to dashboard Cite

Background: Recently, some studies have shown that prolonging flush interval is safe and feasible for patients who complete chemotherapy. However, there is no consensus about the optimal flush interval for those patients. Objective: The purpose of this review was to evaluate whether the flush interval could be prolonged based on monthly interval for regular maintenance and to explore the optimal flush interval. Data sources: We searched the following databases for articles published between 1 January 1982 and 21 February 2020: PubMed, Cochrane Library, Web of Science, EMBASE, CINAHL, and Ovid. Study eligibility criteria: Randomized controlled trials, retrospective and prospective cohort studies of flush interval less than 4 weeks versus longer than 4 weeks for patients who completed chemotherapy, were included. Results: Two reviewers extracted information and assessed the quality of the articles independently. In total, 389 articles were retrieved, and 4 studies including 862 cases fulfilled the inclusion criteria. There was no statistical heterogeneity ( I2 = 0, p > 0.05) among the included studies. Hence, the fixed-effects model was used for the meta-analysis. The meta-analysis showed that the total complication rate associated with longer than 4-week interval was higher than that associated with less than 4-week interval. Nevertheless, there was no significant difference between the two groups (7.2% vs 7.6%, p = 0.83). Moreover, the meta-analysis showed that the total complication and catheter occlusion rates associated with the 4-week interval were higher than those associated with the 8-week interval. However, there was no significant difference between the two groups (total complications: 11.4% vs 9.5%, p = 0.68; catheter occlusions: 4.9% vs 4.1%, p = 0.89). Limitations: Only four non-randomized controlled studies were included, and the outcomes of the included studies were reported incompletely. Conclusion: Extending the flush interval to longer than 4 weeks is safe and feasible. Based on previous studies, extending the flush interval to 8 weeks might not increase the incidence of total complications and catheter occlusions. However, there is no conclusion on whether the flush interval could be extended to 3 months or longer.

show abstract