RESUMO

Deep vein thrombosis occurs in up to 50% of children with tunneled central venous catheters (CVCs). CVC-related deep vein thrombosis involving the upper extremity is usually asymptomatic but can result in post-thrombotic syndrome (swelling, pain, skin changes, and functional impairment). In a cohort of childhood cancer survivors evaluated clinically a mean of 7.5 +/- 2.8 years after completion of therapy who previously had CVCs in place for a median 15.5 months, none of 50 patients (95% CI = 0% to 6%) had these features diagnostic of post-thrombotic syndrome. Five patients had arm circumference 3% to 5% greater ipsilateral to the prior CVC.

Assuntos

Cateterismo Venoso Central , Neoplasias/terapia , Síndrome Pós-Flebítica/epidemiologia , Sobreviventes , Adolescente , Braço/anatomia & histologia , Cateterismo Venoso Central/efeitos adversos , Estudos de Coortes , Humanos , Neoplasias/epidemiologia , Texas/epidemiologia , Trombose Venosa/epidemiologia