Thrombotic obstruction of the central venous catheter in patients undergoing hematopoietic stem cell transplantation

Revista Latino-Americana de Enfermagem

Kátia Michelli Bertoldi Arone¹  Cleyton Zanardo De Oliveira¹  Lívia Maria Garbin¹  Paula Elaine Diniz Dos Reis²  Cristina Maria Galvão¹  Renata Cristina De Campos Pereira Silveira¹ 

[1] ,Universidade de Brasília Faculdade de Ciências da Saúde ,Brazil

关键词: Central Venous Catheterization;    Hematopoietic Stem Cell Transplantation;    Bone Marrow Transplantation;    Thrombosis;    Cateterismo Venoso Central;    Transplante de Células-Tronco Hematopoéticas;    Transplante de Medula Óssea;    Trombose;    Cateterismo Venoso Central;    Trasplante de Células Madre Hematopoyéticas;    Trasplante de Medula Ósea;    Trombosis;   

DOI  :  10.1590/S0104-11692012000400022

来源: SciELO

【 摘 要 】

This is an integrative literature review with the aim of summarizing the prevention measures and treatment of thrombotic obstruction of long-term semi-implanted central venous catheters, in patients undergoing hematopoietic stem cell transplantation. The sample consisted of seven studies, being two randomized controlled clinical trials, three cohort studies and two case series. Regarding the prevention measures, one single study demonstrated effectiveness, which was a cohort study on the oral use of warfarin. In relation to the treatment measures, three studies evidenced effectiveness, one highlighted the efficacy of streptokinase or urokinase, one demonstrated the benefit of using low-molecular-weight heparin and the other treated the obstruction with heparin or urokinase. Catheter patency research shows a restricted evolution that does not follow the evolution of transplantations, mainly regarding nursing care.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License