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Risk Factors for Deep Vein Thrombosis Associated with Tunneled Central Venous Catheter

Purpose: To evaluate a pediatric patient with cancer and a tunneled central venous catheter for risk of a catheter-related deep vein thrombosis.

Description

Journeycake and Buchanan identified risk factors for deep vein thrombosis (DVT) in children with tunneled central venous catheters. These can help identify patients who may benefit from closer monitoring and more aggressive management. The authors are from the University of Texas Southwestern Medical Center and Children's Medical Center in Dallas.


 

Patient selection: pediatric patient with cancer and a tunneled central venous catheter

 

Parameters:

(1) thrombotic occlusions of previous catheters

(2) infection of the catheter

 

Risk factors for deep vein thrombosis:

(1) repeated episodes of thrombotic occlusion

(2) repeated episodes of infection

(3) episodes of both thrombotic occlusion and infection

 

If no risk factors were present then the odds ratio was low (0.08, involving 2 of 153 patients reported in Table 5).

 

If both thrombotic and infection occurred then the odds ratio was moderate (6.4, involving 10 of 43 patients).

 

A patient with risk factors for deep vein thrombosis associated with a catheter may benefit from anticoagulation.

 


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Specialty

Objective

ICD-10