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Central venous device-related thrombosis as imaged with MDCT in oncologic patients: prevalence and findings

Abstract

Background: Venous thrombosis is a common occurrence in cancer patients, developing spontaneously or in combination with indwelling central venous devices (CVD). Purpose: To analyze the multidetector CT (MDCT) prevalence, appearance, and significance of catheter related thoracic venous thrombosis in oncologic patients and to determine the percentage of thrombi identified in the original reports. Material and Methods: Five hundred consecutive patients were considered. Inclusion criteria were: presence of a CVD; availability of a contrast-enhanced MDCT; and cancer history. Exclusion criteria were: direct tumor compression/infiltration of the veins; poor image quality; device tip not in the scanned volume; and missing clinical data. Seventeen (3.5%) out of the final 481 patients had a diagnosis of venous thrombosis. Results: Factors showing the highest correlation with thrombosis included peripherally-inserted CVD, right brachiocephalic vein tip location, patient performance status 3, metastatic stage disease, ongoing chemotherapy, and longstanding CVD. The highest prevalence was in patients with lymphoma, lung carcinoma, melanoma, and gynecologic malignancies. Eleven out of 17 cases had not been identified in the original report. Conclusion: CVD-related thrombosis is not uncommon in cancer patients and can also be observed in outpatients with a good performance status and a non-metastatic disease. Thrombi can be very tiny. Radiologists  More>>
Authors:
Catalano, Orlando; Castelguidone, Elisabetta de Lutio di; Granata, Vincenza; D'Errico, Adolfo Gallipoli (Dept. of Radiology, National Cancer Institute 'Fondazione G Pascale' (Italy)), email: orlandcat@tin.it; Sandomenico, Claudia; [1]  Petrillo, Mario; [2]  Aprea, Pasquale [3] 
  1. Dept. of Esophago-gastro-bilio-pancreatic Oncology, National Cancer Institute 'Fondazione G Pascale' (Italy)
  2. Dept. of Radiology, Second Univ. of Naples (Italy)
  3. Dept. of Critical Illness and Anaesthesiology, National Cancer Institute 'Fondazione G Pascale', Naples, (Italy)
Publication Date:
Feb 15, 2011
Product Type:
Journal Article
Resource Relation:
Journal Name: Acta Radiologica (online); Journal Volume: 52; Journal Issue: 2; Other Information: 25 refs., 4 figs., 2 tabs.; 10.1258/AR.2010.100294
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; COMPUTERIZED TOMOGRAPHY; NEOPLASMS; CHEST; VEINS; THROMBOSIS
OSTI ID:
1010785
Country of Origin:
Sweden
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 1600-0455; TRN: SE1108055
Availability:
Available from DOI: http://dx.doi.org/10.1258/ar.2010.100294
Submitting Site:
SWDN
Size:
page(s) 148-154
Announcement Date:
Apr 11, 2011

Citation Formats

Catalano, Orlando, Castelguidone, Elisabetta de Lutio di, Granata, Vincenza, D'Errico, Adolfo Gallipoli (Dept. of Radiology, National Cancer Institute 'Fondazione G Pascale' (Italy)), email: orlandcat@tin.it, Sandomenico, Claudia, Petrillo, Mario, and Aprea, Pasquale. Central venous device-related thrombosis as imaged with MDCT in oncologic patients: prevalence and findings. Sweden: N. p., 2011. Web. doi:10.1258/AR.2010.100294.
Catalano, Orlando, Castelguidone, Elisabetta de Lutio di, Granata, Vincenza, D'Errico, Adolfo Gallipoli (Dept. of Radiology, National Cancer Institute 'Fondazione G Pascale' (Italy)), email: orlandcat@tin.it, Sandomenico, Claudia, Petrillo, Mario, & Aprea, Pasquale. Central venous device-related thrombosis as imaged with MDCT in oncologic patients: prevalence and findings. Sweden. doi:10.1258/AR.2010.100294.
Catalano, Orlando, Castelguidone, Elisabetta de Lutio di, Granata, Vincenza, D'Errico, Adolfo Gallipoli (Dept. of Radiology, National Cancer Institute 'Fondazione G Pascale' (Italy)), email: orlandcat@tin.it, Sandomenico, Claudia, Petrillo, Mario, and Aprea, Pasquale. 2011. "Central venous device-related thrombosis as imaged with MDCT in oncologic patients: prevalence and findings." Sweden. doi:10.1258/AR.2010.100294. https://www.osti.gov/servlets/purl/10.1258/AR.2010.100294.
@misc{etde_1010785,
title = {Central venous device-related thrombosis as imaged with MDCT in oncologic patients: prevalence and findings}
author = {Catalano, Orlando, Castelguidone, Elisabetta de Lutio di, Granata, Vincenza, D'Errico, Adolfo Gallipoli (Dept. of Radiology, National Cancer Institute 'Fondazione G Pascale' (Italy)), email: orlandcat@tin.it, Sandomenico, Claudia, Petrillo, Mario, and Aprea, Pasquale}
abstractNote = {Background: Venous thrombosis is a common occurrence in cancer patients, developing spontaneously or in combination with indwelling central venous devices (CVD). Purpose: To analyze the multidetector CT (MDCT) prevalence, appearance, and significance of catheter related thoracic venous thrombosis in oncologic patients and to determine the percentage of thrombi identified in the original reports. Material and Methods: Five hundred consecutive patients were considered. Inclusion criteria were: presence of a CVD; availability of a contrast-enhanced MDCT; and cancer history. Exclusion criteria were: direct tumor compression/infiltration of the veins; poor image quality; device tip not in the scanned volume; and missing clinical data. Seventeen (3.5%) out of the final 481 patients had a diagnosis of venous thrombosis. Results: Factors showing the highest correlation with thrombosis included peripherally-inserted CVD, right brachiocephalic vein tip location, patient performance status 3, metastatic stage disease, ongoing chemotherapy, and longstanding CVD. The highest prevalence was in patients with lymphoma, lung carcinoma, melanoma, and gynecologic malignancies. Eleven out of 17 cases had not been identified in the original report. Conclusion: CVD-related thrombosis is not uncommon in cancer patients and can also be observed in outpatients with a good performance status and a non-metastatic disease. Thrombi can be very tiny. Radiologists should be aware of the possibility to identify (or overlook) small thrombi}
doi = {10.1258/AR.2010.100294}
journal = {Acta Radiologica (online)}
issue = {2}
volume = {52}
place = {Sweden}
year = {2011}
month = {Feb}
}