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La relación entre las complicaciones trombóticas e infecciosas de los catéteres venosos centrales
1Department of Medical Specialities, University of Texas M. D. Anderson Cancer Center, Houston 77030.
JAMA
|April 6, 1994
Resumen
El uso a largo plazo de catéteres vasculares en pacientes con cáncer con frecuencia conduce a complicaciones trombóticas, con casi la mitad de las venas cateterizadas mostrando cambios patológicos. Estos eventos trombóticos están significativamente asociados con el desarrollo de la sepsis relacionada con el catéter.
Área de la Ciencia:
- Oncología Oncología.
- Cirugía vascular Cirugía vascular.
- Enfermedades infecciosas Enfermedades infecciosas.
Sus antecedentes:
- El uso a largo plazo de catéteres vasculares es común en pacientes con cáncer para la administración del tratamiento.
- Los catéteres vasculares pueden estar asociados con complicaciones graves, incluidas la trombosis y la infección.
Objetivo del estudio:
- Para determinar la incidencia de complicaciones trombóticas e infecciosas en pacientes con cáncer con catéteres vasculares a largo plazo.
- Para investigar la relación entre las complicaciones trombóticas y infecciosas.
Principales métodos:
- Se llevó a cabo una serie de casos retrospectivos en un centro de cáncer terciario.
- Se realizaron exámenes postmortem de venas cateterizadas y contralaterales en 72 pacientes con cáncer.
- Se recopilaron datos sobre septicemia relacionada con el catéter y cambios patológicos venosos.
Principales resultados:
- Se observaron cambios patológicos en el 49% de las venas cateterizadas frente al 9,2% de las venas de control (P < .001).
- Los trombos murales se encontraron en el 38% de las venas cateterizadas en comparación con el 1,4% de los controles (P < .001).
- Siete pacientes (9.7%) desarrollaron septicemia relacionada con el catéter, y esto se asoció significativamente con la trombosis mural (P < .01).
Conclusiones:
- Las complicaciones trombóticas son frecuentes en las venas cateterizadas de pacientes con cáncer.
- La trombosis en las venas cateterizadas a menudo está relacionada con la sepsis relacionada con el catéter.
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