Surgical treatment of central venous catheter related septic deep venous thrombosis

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
M KimY-P Cho

Abstract

The aim of this study was to evaluate the clinical features and outcomes of catheter related central venous thrombosis and whether a surgical approach can be an effective treatment modality in selected cases that are refractory to conservative management. This was a retrospective review of the 46 consecutive patients who were suspected of having central venous catheter related infected deep venous thrombosis and who met the eligibility criteria. Conservative management achieved clinical improvement in 26 (56.5%) patients and failed in 20 (43.5%), of whom surgical thrombectomy was performed in 13. The remaining seven patients died before surgery could be performed or their clinical condition was too poor. Apart from one case of wound hematoma (7.7%), post-operative complications that related to the surgical procedure were not observed. Patency of the involved vein was re-established in 12 of the 13 (92.3%) surgically treated patients, and clinical improvement was achieved in 11 (84.6%). In particular, the five patients whose blood cultures revealed Candida species exhibited prompt defervescence after surgical thrombectomy. Although conservative management is the first therapy of choice in patients with central venous catheter re...Continue Reading

References

Jul 1, 1995·Surgery·H W KniemeyerW Sandmann
Jun 1, 1993·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·P M ArnowM Beach
Mar 21, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·D BenoitF Colardyn
Oct 24, 2006·Journal of Vascular and Interventional Radiology : JVIR·Mark C BurgmansJan Willem C Gratama
Dec 17, 2008·American Journal of Infection Control·Jonas Marschall
Dec 17, 2008·American Journal of Infection Control·Marianne Opilla
Jan 3, 2009·Journal of Korean Medical Science·Suk-Kyung HongHee Cheol Kim
Feb 14, 2009·The Canadian Journal of Cardiology·Siva Prasad SontineniSyed M Mohiuddin
Jun 6, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Leonard A MermelDavid K Warren
Jan 1, 2010·Infection and Drug Resistance·Zhuolin HanJonas Marschall
Jul 31, 2012·Journal of Vascular and Interventional Radiology : JVIR·Donald L MillerUNKNOWN Society of Interventional Radiology
Oct 5, 2013·Thrombosis Research·Maria Ilaria Del PrincipeAdriano Venditti

❮ Previous
Next ❯

Citations

Jun 15, 2018·Vascular and Endovascular Surgery·Tara TalaieShahab Toursavadkohi
Mar 23, 2019·Surgical Infections·Zachary M BaumanGary A Vercruysse

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.