Thrombotic risk factors in patients with superior vena cava syndrome undergoing chemotherapy via femoral inserted central catheter

Our study aimed to scrutinize the incidence and risk factors of femoral inserted central catheter (FICC)-related thrombosis in patients with superior vena cava syndrome (SVCS) undergoing chemotherapy. A retrospective analysis of patients with SVCS undergoing chemotherapy who received FICC catheteriz...

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Bibliographic Details
Published in:Thrombosis research 2019-12, Vol.184, p.38-43
Main Authors: Hou, Jianmei, Zhang, Jinghui, Ma, Mengdan, Gong, Zhihong, Xu, Binbin, Shi, Zhengkun
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Catheterization, Central Venous - methods
Chemotherapy
Female
Femoral inserted central catheter
Femoral Vein - surgery
Humans
Male
Middle Aged
Retrospective Studies
Risk Factors
Superior vena cava syndrome
Superior Vena Cava Syndrome - complications
Superior Vena Cava Syndrome - drug therapy
Thrombosis
Thrombosis - etiology
Young Adult
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Summary:Our study aimed to scrutinize the incidence and risk factors of femoral inserted central catheter (FICC)-related thrombosis in patients with superior vena cava syndrome (SVCS) undergoing chemotherapy. A retrospective analysis of patients with SVCS undergoing chemotherapy who received FICC catheterization at the Xiangya Hospital, Central South University, Changsha City, Hunan Province between May 2012 and February 2019 was performed. Both asymptomatic thrombosis and symptomatic thrombosis were diagnosed by color doppler ultrasound (CDUS). Univariate and multivariate logistic regression analyses were performed to identify patient-, insertion-, and catheter-related factors. Eight hundred and seventy-four patients with SVCS undergoing chemotherapy, with a total of 157,180 catheter days were enrolled in our study. FICC-related thrombosis was detected in 144 patients, and yielding an overall incidence of 16.47% or 0.92 events per 1000 catheter days. Of these, 19(2.17%) patients had symptomatic thrombosis. The mean time interval between FICC insertion and thrombosis onset was (10.40 ± 6.32) days and the mean catheter indwelling time was (179.84 ± 46.15) days. The history of deep venous thrombosis, treatment with vascular endothelial growth factor (VEGF) inhibitor (bevacizumab), puncture site (mid-thigh, groin), tip position and catheter size showed association with FICC-related thrombosis. Treatment with VEGF inhibitor [odds ratio (OR) = 2.779; 95%confidence interval (CI): 1.860–4.153; P 
ISSN:0049-3848
1879-2472
DOI:10.1016/j.thromres.2019.10.030