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Journals / Toraks Dergisi / 2007 / Cilt: 8 - Sayı: 3

Pulmonary thromboembolism due to the subclavian vein catheterization: A report of two cases

Subklavian kateterizasyona bağlı gelişen pulmoner tromboembolizm: 2 olgu nedeniyle

ŞERİFE SAVAŞ BOZBAŞ
GAYE ULUBAY
Nevra GÜLLÜ
MÜŞERREF ŞULE AKÇAY
Pages
195–198
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

For this reason, in patients who develop dyspnea, chest pain and a fall in arterial oxygen saturation during venous catheter placement to upper extremity veins (subclavian, axillary, internal jugular vein) pulmonary thromboemboli should be considered in the differential diagnosis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The risk of pulmonary thromboemboli due to the central catheters is 12-36%.
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Key Findings & Data:The main risk factors for thromboemboli defined by Virchow as stasis, hypercoagulability and intimal injury occur during catheterization.
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Conclusion & Impact:For this reason, in patients who develop dyspnea, chest pain and a fall in arterial oxygen saturation during venous catheter placement to upper extremity veins (subclavian, axillary, internal jugular vein) pulmonary thromboemboli should be considered in the differential diagnosis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Pulmoner emboli · Üst ekstremite derin ven trombozu · Kateterizasyon

Abstract

The risk of pulmonary thromboemboli due to the central catheters is 12-36%. The main risk factors for thromboemboli defined by Virchow as stasis, hypercoagulability and intimal injury occur during catheterization. It is known that there is a tendency in the presence of the thrombus in lower and upper extremities in some conditions such as genetic predisposition, cancer, obesity, history of surgery, trauma and immobilization. In these patients during catheterization the thrombus can be mobilized and pass to the pulmonary arterial circulation because of the mechanical effects of the catheter. In our clinic, in two cases with risk factors of deep vein thrombosis pulmonary thromboemboli developed during central venous catheterization. For this reason, in patients who develop dyspnea, chest pain and a fall in arterial oxygen saturation during venous catheter placement to upper extremity veins (subclavian, axillary, internal jugular vein) pulmonary thromboemboli should be considered in the differential diagnosis.

Özet

Santral kateter ilişkili pulmoner tromboemboli riski %12-36 oranında bildirilmektedir. Kateterizasyon uygulamaları ile Virchow tarafından tromboemboli oluşumunda tanımlanan ana risk faktörleri olan staz, hiperkoagülabilite ve intimal hasarlanma oluşmaktadır. Genetik yatkınlık, kanser, obezite, geçirilmiş cerrahi, travma, immobilizasyon gibi durumlarda alt ve üst ekstremite venöz sistemde trombüs oluşumuna yatkınlık oluştuğu bilinmektedir. Bu hastalarda kateterizasyon sırasında venöz sistemde bulunan trombüsün kateterin mekanik etkisine bağlı olarak pulmoner arteriyel dolaşıma geçmesi mümkündür. Kliniğimizde derin ven trombozu için risk faktörü olan 2 olguda santral venöz kateterizasyon uygulanması sonrasında pulmoner tromboemboli saptandı. Bu nedenle üst ekstremite venlerine (subklavian, aksiller, internal juguler vb) kateter uygulanması sonrasında nefes darlığı, göğüs ağrısı ve oksijen satürasyonunda düşüklük saptanan olgularda, pulmoner tromboemboli olasılığının akılda tutulması gerektiği inancındayız.

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Cite This Article

BOZBAŞ, Ş. S., ULUBAY, G., GÜLLÜ, N., AKÇAY, M. Ş. (2007). Pulmonary thromboembolism due to the subclavian vein catheterization: A report of two cases. Toraks Dergisi, Cilt: 8 - Sayı: 3, 195–198. https://ajindex.com/articles/368055

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References (15)

  1. Hyman GS, Cardenas DD. Upper-extremity deep vein thrombosis associated with peripherally inserted central catheters in acute spinal cord injury: a report of 2 cases. Arch Phys Med Rehabil 2002;83:1313-6
  2. Martin C, Viviand X, Saux P, Gouin F. Upper-extremity deep vein thrombosis after central venous catheterization via the axillary vein. Crit Care Med 1999;27:2626-9
  3. Verhaeghe R, Moerloose P, Eikenboom JC et al.Genetic and acquired risk factors of venous thromboembolism. In: Demedts M, Delcroix M, Verhaeghe R, Verleden GM; eds. Pulmonary Vascular Pathology: A Clinical Update 2004;9:1-11
  4. Black MD, French Gj, Rasuli P, Bouchard AC. Upper extremity deep venous thrombosis.Underdiagnosed and potentially lethal. Chest 1993;103:1887-90
  5. Horratas MC, Wright D, Fenton A et al. Changing concepts of deep venous thrombosis of the upper extremity report of a series and review of the literature. Surgery 1988;104:561-7
  6. Hingorani A, Ascher E, Markevich N et al. Risk factors for mortality in patients with upper extremity and internal jugular deep venous thrombosis. J Vasc Surg 2005;41:476-8
  7. Kooij JD, van der Zant FM, van Beek EJ, Reekers JA. Pulmonary embolism in deep venous thrombosis of the upper extremity: more often in catheter-related thrombosis. Neth J Med 1997;50:238- 42
  8. Işıksoy S. Normal hemostazis ve venöz trombüs oluşumu. In: Metintaş M.ed Pulmoner Tromboemboli. 1st ed. Eskişehir: Metin Ofset Matbaacılık; 2001: 17-41
  9. Riordan M, Weiden PL. Factor V Leiden mutation does not account for central venous catheter-related thrombosis. Am J Hematol 1998;58:150-2
  10. Verso M, Agnelli G. Venous thromboembolism associated with long-term use of central venous catheters in cancer patients. J Clin Oncol 2003;21:3665-75
  11. Kearns PJ, Coleman S, Wehner JH. Complications of long armcatheters: a randomized trial of central vs peripheral tip location. J Parenter Enteral Nutr 1996;20:20-4
  12. Schimp VL, Munkarah AR, Morris RT et al. Upper extremity deep vein thrombosis associated with indwelling peripheral venous catheters in gynecology oncology patients.Gynecol Oncol 2003;89:301-5
  13. Hirsch J, Dalen J, Guyatt G. American Collage of Chest Physicians. Th e sixth (2000) ACCP guidelines for antithrombotic therapy for prevention and treatment of thrombosis. American College of Chest Physicians. Chest 2001;119:1S-2S
  14. Kuter DJ. Th rombotic complications of central venous catheters in cancer patients. Oncologists 2004;9:207-16
  15. De Cicco M, Matovi