Catheter-related thrombosis: A practical approach

Area of Science:

• Critical Care Medicine
• Vascular Surgery
• Hematology

Background:

• Catheter-related thrombosis (CRT) is a common complication of central venous catheter (CVC) insertion.
• CVCs are widely used in critical care, often in patients with venous thromboembolism risk factors.
• The increasing use of peripherally inserted central catheters (PICCs) may further elevate CRT incidence.

Purpose of the Study:

• To review risk factors associated with CRT.
• To provide practical guidance for the recognition, diagnosis, and treatment of CRT.
• To address the paucity of evidence-based guidelines for managing CRT, particularly in critically ill patients.

Main Methods:

• Literature review focusing on risk factors, diagnosis, and management of CRT.
• Synthesis of current evidence and clinical practices.
• Development of practical recommendations for clinicians.

Main Results:

• Identified key risk factors contributing to CRT development.
• Outlined diagnostic approaches for CRT.
• Provided treatment strategies for CRT.
• Highlighted heterogeneity in current clinical practice due to limited guidelines.

Conclusions:

• CRT is a significant clinical problem with increasing incidence.
• Evidence-based guidelines are needed for consistent CRT management.
• This review offers practical advice to improve clinical recognition, diagnosis, and treatment of CRT.