4.6 Review

Catheter-related thrombosis (CRT) in patients with solid tumors: a narrative review and clinical guidance for daily care

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Validation of Michigan risk score and D-dimer to predict peripherally inserted central catheter-related thrombosis: A study of 206,132 catheter days

Junren Kang et al.

Summary: A retrospective study of 2,163 adult patients found that the Michigan Risk Score (MRS) and age-adjusted D-dimer showed low accuracy in estimating the risk of PICC-related symptomatic UEVT, necessitating further research for validation.

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Efficacy and safety of apixaban for primary prevention of thromboembolism in patients with cancer and a central venous catheter: A subgroup analysis of the AVERT Trial

Willem Brandt et al.

Summary: The AVERT study demonstrated that primary thromboprophylaxis with apixaban in cancer patients can reduce the risk of VTE without increasing the risk of bleeding.

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Peripherally inserted central catheters inserted with current best practices have low deep vein thrombosis and central line-associated bloodstream infection risk compared with centrally inserted central catheters: A contemporary meta-analysis

Gregory J. Schears et al.

Summary: The study concluded that when adhering to best practices, peripherally inserted central catheters can reduce the risk of central line-associated bloodstream infections but may increase the risk of deep vein thrombosis. However, this increased risk association was no longer present in smaller diameter and single-lumen peripherally inserted central catheters.

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Update on Guidelines for the Management of Cancer-Associated Thrombosis

Michael B. Streiff et al.

Summary: This review delves into the differences and similarities of current guidelines on Cancer-associated thrombosis (CAT), highlighting overall agreement on management advice but also identifying key topics not covered by existing guidelines. Inclusion of these topics in future guidelines is encouraged to optimize clinical practice and care for CAT patients.

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American Society of Hematology 2021 guidelines for management of venous thromboembolism: prevention and treatment in patients with cancer

Gary H. Lyman et al.

Summary: These evidence-based guidelines aim to support decision-making on the prevention and treatment of VTE in cancer patients, covering mechanical and pharmacological prophylaxis, as well as recommendations for initial, short-term, and long-term treatment based on patient risk and treatment circumstances. Recommendations vary depending on patient risk level and treatment situation.

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Antithrombotic Therapy for VTE Disease Second Update of the CHEST Guideline and Expert Panel Report

Scott M. Stevens et al.

Summary: This is the 2nd update to the 9th edition of guidelines, providing recommendations on 17 PICO questions, with four new questions addressed. Strong and weak recommendations were generated based on high-, moderate-, and low-certainty evidence, resulting in 29 guidance statements, 13 of which are strong recommendations. New evidence has emerged since 2016, improving the standard of care for VTE patients, but substantial uncertainty remains regarding certain important management questions.
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Central venous access devices for the delivery of systemic anticancer therapy (CAVA): a randomised controlled trial

Jonathan G. Moss et al.

Summary: This study compared complication rates and costs of PICCs, Hickman, and PORTs in patients receiving SACT, finding that PORTs were more effective and safer than both Hickman and PICCs.

LANCET (2021)

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Catheter to vein ratio and risk of peripherally inserted central catheter (PICC)-associated thrombosis according to diagnostic group: a retrospective cohort study

Rebecca Sharp et al.

Summary: This study investigated the effect of catheter to vein ratio (CVR) on symptomatic thrombosis in PICC patients and found that a 45% CVR cut-off point was predictive of thrombosis, especially in individuals with cancer. However, the 33% CVR cut-off point did not produce statistically significant results.

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Tissue Factor and Extracellular Vesicles: Activation of Coagulation and Impact on Survival in Cancer

Yohei Hisada et al.

Summary: The TF-factor VIIa complex is a key initiator of blood coagulation, with tumors expressing TF and releasing TF-positive EVs into circulation. Levels of EVTF activity may serve as a biomarker for identifying patients at risk for thrombosis, and tumor-derived TF + EVs are associated with reduced survival in cancer patients. This suggests that EVTF activity could potentially be used as a prognostic biomarker for venous thrombosis and disseminated intravascular coagulation in cancer patients.

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Risk of pulmonary emboli after removal of an upper extremity central catheter associated with a deep vein thrombosis

Damon E. Houghton et al.

Summary: In patients with hematologic malignancies and catheter-associated upper extremity deep vein thrombosis (UE-DVT), early removal of central venous catheters was not associated with an increased risk of pulmonary embolism compared with delayed or no removal.

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Thromboprophylaxis with rivaroxaban in patients with malignancy and central venous lines (TRIM-Line): A two-center open-label pilot randomized controlled trial

Rick Ikesaka et al.

Summary: The pilot trial successfully recruited 105 patients with active cancer and recently inserted CVC, showing promising feasibility and safety of rivaroxaban in preventing VTE complications. More studies are needed to further confirm the efficacy of rivaroxaban in this patient population.

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Minh-Ha Tran et al.

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Review Hematology

Treatment of unusual thrombotic manifestations

Maria Abbattista et al.

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Economic evaluation of peripherally inserted central catheter and other venous access devices: A scoping review

Kairong Wang et al.

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Rivaroxaban for Thromboprophylaxis in High-Risk Ambulatory Patients with Cancer

A. A. Khorana et al.

NEW ENGLAND JOURNAL OF MEDICINE (2019)

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Apixaban to Prevent Venous Thromboembolism in Patients with Cancer

Marc Carrier et al.

NEW ENGLAND JOURNAL OF MEDICINE (2019)

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Lara A. Kahale et al.

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Peripherally Inserted Central Catheter-Related Vein Thrombosis in Patients With Lung Cancer

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CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS (2017)

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The post-thrombotic syndrome

Susan R. Kahn

HEMATOLOGY-AMERICAN SOCIETY OF HEMATOLOGY EDUCATION PROGRAM (2016)

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Amy Leung et al.

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Systematic review of anticoagulant treatment of catheter-related thrombosis

Lisa Baumann Kreuziger et al.

THROMBOSIS RESEARCH (2015)

Editorial Material Hematology

Catheter-related thrombosis: Unresolved issues

Aurelien Delluc et al.

THROMBOSIS RESEARCH (2015)

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PICC-associated Bloodstream Infections: Prevalence, Patterns, and Predictors

Vineet Chopra et al.

AMERICAN JOURNAL OF MEDICINE (2014)

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Lorenzo D'Ambrosio et al.

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William Geerts

HEMATOLOGY-AMERICAN SOCIETY OF HEMATOLOGY EDUCATION PROGRAM (2014)

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Epidemiology of cancer-associated venous thrombosis

Jasmijn F. Timp et al.

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Catheter-related thrombosis in cancer patients

Jim Murray et al.

BRITISH JOURNAL OF HAEMATOLOGY (2013)

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Bloodstream Infection, Venous Thrombosis, and Peripherally Inserted Central Catheters: Reappraising the Evidence

Vineet Chopra et al.

AMERICAN JOURNAL OF MEDICINE (2012)

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Thrombolytic therapy for central venous catheter occlusion

Jacquelyn L. Baskin et al.

HAEMATOLOGICA-THE HEMATOLOGY JOURNAL (2012)

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Epidemiology and prevention of catheter-related thrombosis in patients with cancer

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R. Scott Evans et al.

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