Peripherally inserted central catheter placement in cancer patients with profound thrombocytopaenia: a prospective analysis.
Eur Radiol
; 23(7): 2042-8, 2013 Jul.
Article
em En
| MEDLINE
| ID: mdl-23440314
ABSTRACT
OBJECTIVE:
No studies have specifically evaluated the safety of peripherally inserted central catheter (PICC) placement in patients with profound thrombocytopaenia. We prospectively determined the frequency of haemorrhagic complications of PICC placement in cancer patients with uncorrected profound thrombocytopaenia.METHODS:
Profound thrombocytopaenia was defined as a platelet count <50 × 10(9)/l. No patients received transfusions before or after the procedure. Three types of adverse effects were analysed minor oozing, mild haematoma and major haemorrhage.RESULTS:
One hundred and forty-three PICC implantations in 101 cancer patients were prospectively included in the study seven patients (7 %) had a solid tumour and 94 (93 %) a haematological malignancy. Among these 143 procedures in thrombocytopaenic patients, 93 (65 %) were performed with a platelet count 20-50 × 10(9)/l and 50 (35 %) had lower than 20 × 10(9)/l. No major haemorrhage was observed. Minor oozing was observed in six implantations (4 %) and mild haematoma in two (1.5 %), for a total of eight minor haemorrhagic adverse events (5.5 %). In patients with a platelet count <20 × 10(9)/l, 1/50 (2 %) had minor oozing and none had minor haematoma.CONCLUSIONS:
In cancer patients with uncorrected profound thrombocytopaenia, the incidence of adverse events after PICC implantation was low, and was limited to minor haemorrhagic adverse events. KEY POINTS ⢠PICC placement has high technical success in profound thrombocytopaenic cancer patients. ⢠Few adverse events are encountered after PICC placement, limited to minor haemorrhage. ⢠PICC placement does not routinely require platelet transfusion in patients with thrombocytopaenia. ⢠Such PICC placement still seems safe when the platelet count is <20 × 10 (9) /l.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Trombocitopenia
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Cateterismo Venoso Central
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Cateterismo Periférico
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Neoplasias
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article