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Catheter-related thrombosis: A practical approach.

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Summary

Catheter-related thrombosis, a frequent complication of central venous catheters, requires better management guidelines. This review offers practical advice for clinicians on recognizing, diagnosing, and treating this issue, especially in critically ill patients.

Keywords:
Catheter-related thrombosisanticoagulationcentral venous catheterperipherally inserted central cathetervenous thromboembolism

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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.