机构:[1]Department of Chemotherapy,Sichuan Cancer Hospital, Chengdu, China四川省肿瘤医院[2]Department of Hospital Nursing,Sichuan Cancer Hospital, Chengdu, China四川省肿瘤医院[3]Department of Ultrasonography ,Sichuan Cancer Hospital, Chengdu, China.四川省肿瘤医院
Objectives-Peripherally inserted central catheters (PICCs) are associated with an increased risk of venous thrombosis. This study had 2 objectives: to estimate the incidence of upper extremity venous thrombosis associated with PICCs in oncology patients and to evaluate the role of Doppler sonography in antithrombotic prophylaxis. Methods-We conducted a prospective study with each patient being followed for 6 weeks. From April 2014 to October 2014, we analyzed a series of 245 consecutive oncology patients undergoing chemotherapy via PICCs, for an overall number of 246 PICC placements. We assessed the role of Doppler sonography for initiation of antithrombotic prophylaxis. The study group encompassed 2 cohorts of patients: those who received regular weekly Doppler screening for thrombosis prophylaxis and those who did not. Results-Of 246 insertions, we observed 90 episodes of upper extremity venous thrombosis (36.59%); 62 of them were asymptomatic in the Doppler group, and 28 were symptomatic in the no-Doppler group. Patients in the Doppler group had a significantly lower rate of thrombosis (0%) than those in the no-Doppler group (23.53%; P <.01). Conclusions-Our prospective study suggests that the rate of PICC-related upper extremity venous thrombosis in oncology patients is high, and the occurrence of symptomatic thrombosis could be lowered with regular weekly Doppler screening after PICC insertions.
基金:
Sichuan Health Department [130225]
基金编号:130225
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2016]版:
大类|4 区医学
小类|3 区声学4 区核医学
最新[2023]版:
大类|4 区医学
小类|3 区声学4 区核医学
JCR分区:
出版当年[2016]版:
Q3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ3ACOUSTICS
最新[2023]版:
Q2ACOUSTICSQ2RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
第一作者机构:[1]Department of Chemotherapy,Sichuan Cancer Hospital, Chengdu, China
通讯作者:
通讯机构:[1]Department of Chemotherapy,Sichuan Cancer Hospital, Chengdu, China[*1]Department of Chemotherapy, Sichuan Cancer Hospital, 55 S Renmin Rd, Section 4, 610041 Chengdu, China
推荐引用方式(GB/T 7714):
Luo Lei,Jing Xiao-mei,Wang Guo-rong,et al.Peripherally Inserted Central Catheter-Related Upper Extremity Venous Thrombosis in Oncology Patients A Prospective Study Based on Doppler Sonography[J].JOURNAL OF ULTRASOUND IN MEDICINE.2016,35(8):1759-1763.doi:10.7863/ultra.15.08019.
APA:
Luo, Lei,Jing, Xiao-mei,Wang, Guo-rong,Qin, Ying,Liang, Hai-xin&Liu, Shan-shan.(2016).Peripherally Inserted Central Catheter-Related Upper Extremity Venous Thrombosis in Oncology Patients A Prospective Study Based on Doppler Sonography.JOURNAL OF ULTRASOUND IN MEDICINE,35,(8)
MLA:
Luo, Lei,et al."Peripherally Inserted Central Catheter-Related Upper Extremity Venous Thrombosis in Oncology Patients A Prospective Study Based on Doppler Sonography".JOURNAL OF ULTRASOUND IN MEDICINE 35..8(2016):1759-1763