2022
DOI: 10.1111/jth.15548
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Symptomatic pulmonary embolus after catheter removal in children with catheter related thrombosis: A report from the CHAT Consortium

Abstract: Background: Appropriate timing of central venous catheter (CVC) removal, in relation to start of anticoagulation, in children after the diagnosis of a CVC-related thrombosis (CRT) is not well established. Objectives: This retrospective cohort study evaluated the incidence of symptomatic pulmonary embolism (PE) after CVC removal using data from the multi-institutional Children's Hospital-Acquired Thrombosis (CHAT) Consortium Registry. Patients/Methods: The CHAT Registry consists of data from children aged 0-21 … Show more

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Cited by 8 publications
(4 citation statements)
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“…The VTE incidence was 3.72 per 10,000 person-years, 14-fold higher than in the general pediatric population (209) . Treatment of VTE in children with IBD and intestinal failure traditionally consists of heparin (unfractionated heparin), followed by low molecular weight heparin (LMWH) or vitamin K antagonists (VKAs) (128,201) . In adolescents, subcutaneous LMWH should be considered in the presence of ≥1 risk factors: smoking, oral contraceptives, complete immobilization, central venous catheters (including PICC line), obesity, concurrent significant infection, known prothrombotic disorder, previous and/or family history of VTE while in prepubertal children, is required the presence of ≥2 risk factors (202)(203)(204)(205) .…”
Section: Recommendationmentioning
confidence: 99%
“…The VTE incidence was 3.72 per 10,000 person-years, 14-fold higher than in the general pediatric population (209) . Treatment of VTE in children with IBD and intestinal failure traditionally consists of heparin (unfractionated heparin), followed by low molecular weight heparin (LMWH) or vitamin K antagonists (VKAs) (128,201) . In adolescents, subcutaneous LMWH should be considered in the presence of ≥1 risk factors: smoking, oral contraceptives, complete immobilization, central venous catheters (including PICC line), obesity, concurrent significant infection, known prothrombotic disorder, previous and/or family history of VTE while in prepubertal children, is required the presence of ≥2 risk factors (202)(203)(204)(205) .…”
Section: Recommendationmentioning
confidence: 99%
“…3 Though, some concerns exist about the possibility that PICC removal may mobilize an asymptomatic thrombus and cause pulmonary embolism (PE). 4 As a matter of fact, despite several effective preventive strategies described in the recent literature 5,6 PICCs-as much as CICCs and FICCs-are inevitably associated with the potential development of catheter-related thrombosis (CRT). [7][8][9][10] This complication is a relatively earlyonset event (usually within 2 weeks), and it may be symptomatic or-more often-asymptomatic.…”
Section: Introductionmentioning
confidence: 99%
“…3 Though, some concerns exist about the possibility that PICC removal may mobilize an asymptomatic thrombus and cause pulmonary embolism (PE). 4…”
Section: Introductionmentioning
confidence: 99%
“… 24 In addition, further nonrandomized data in children have also recently been published which contributes to our body of evidence, as have significant changes to adult practice which may influence currently extrapolated data. 25 , 26 , 27 , 28 , 29 …”
mentioning
confidence: 99%