Related Experiment Video
Updated: Aug 5, 2026
07:45
Harvest of Endothelial Cells from the Balloon Tips of Swan-Ganz Catheters after Right Heart Catheterization
Published on: January 23, 2019
Catheter-related thrombosis in hematologic patients
Marco Moia1, Agostino Cortelezzi, Anna Falanga
1Angelo Bianchi Bonomi Hemophilia and Thrombosis Center and Department of Hematology, IRCCS Maggiore Hospital and University of Milan, Milan, Italy.
Reviews in Clinical and Experimental Hematology
|July 21, 2005
Summary
Central venous catheters (CVCs) are vital for cancer patients but risk thrombotic events and infections. This review examines CVC complications and prevention strategies specifically in oncohematologic patients, highlighting the need for further research.
Area of Science:
- Oncology
- Hematology
- Vascular Access Devices
Background:
- Central venous catheters (CVCs) are essential for administering treatments like chemotherapy and parenteral nutrition in cancer patients.
- Their use has increased, leading to a greater focus on associated complications, particularly in oncohematologic populations.
- Complications, including thrombotic events and bloodstream infections, are a significant concern, especially with prolonged CVC dwell times.
Purpose of the Study:
- To review the use and complications of central venous catheters (CVCs) in oncohematologic patients.
- To discuss current understanding and management strategies for CVC-related thrombotic events and infections in this patient group.
- To identify gaps in knowledge and areas requiring further research regarding CVC safety in oncohematologic care.
Main Methods:
- Literature review focusing on studies related to CVC use, complications, and management in oncohematologic patients.
- Analysis of data on the incidence, risk factors, and outcomes of CVC-related thrombotic events and bloodstream infections.
- Evaluation of proposed prevention and treatment strategies, including thromboprophylaxis.
Main Results:
- CVC-related complications, such as thrombosis and infections, are a significant concern in oncohematologic patients.
- The exact incidence of these complications is not fully established and may be influenced by CVC improvements.
- Limited data exists for oncohematologic patients compared to solid tumor patients, underscoring a need for more research.
Conclusions:
- Central venous catheters are indispensable in oncohematologic care but carry inherent risks.
- Effective prevention and management of CVC-related complications are crucial for patient safety.
- Further clinical trials are necessary to optimize thromboprophylaxis and other preventive strategies in this vulnerable population.
Related Concept Videos
01:28Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
01:21Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
01:26Cardiac Catheterization IV: Nursing Management
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
01:30Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:30Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...