Central venous catheter-related thrombosis in clinically asymptomatic oncologic patients: a phlebographic study

Eur J Radiol. 1995 Jul;20(2):108-11. doi: 10.1016/0720-048x(95)00633-2.

Abstract

Fifty-seven oncologic patients with short- or long-term central venous catheters (CVCs) and without clinical signs of axillary-subclavian thrombosis were evaluated phlebographically. Different degrees of incomplete thrombosis were found in 26 patients (45.5%) and complete thrombosis, clinically silent, was found in six patients (10.5%). A fibrin sleeve around the CVC was radiologically demonstrated in 45 (78%) patients, 21 of them (46%) with negative standard venogram. Only in four patients there was no evidence of fibrin sleeve or parietal thrombosis. There were no significant differences between patients with long-term and short-term CVCs. We conclude that parietal thrombosis of the axillary-subclavian veins is a frequent event, even if there is no clinical evidence of flow obstruction and we confirm in vivo that a fibrin coating of the CVCs is present in the majority of the cases.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Axillary Vein* / diagnostic imaging
  • Catheterization, Central Venous / adverse effects*
  • Catheterization, Central Venous / instrumentation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / complications
  • Phlebography* / methods
  • Subclavian Vein* / diagnostic imaging
  • Thrombosis / diagnostic imaging*
  • Thrombosis / etiology*
  • Time Factors