Cited by 264Central Venous Catheters and HemodialysisNeutropenia and Cancer InfectionsInfective Endocarditis Diagnosis and Management

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Management of venous port systems in oncology: a review of current evidence

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Vescia, S., Baumgärtner, A.K., Jacobs, V.R., Kiechle-Bahat, M., Rody, A., Loibl, S., Harbeck, N.·2008·Annals of Oncology

DOI 10.1093/annonc/mdm272

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Abstract

Background Over the last decades, many changes have occurred in oncology with new chemotherapy combinations and more complex application schemes becoming available. Central venous catheters and implantable venous port systems have become widely used and have facilitated the problem of vascular access. However, important complications are associated with permanent central venous catheters.Material and methods This review summarizes evidence on venous port system use published in Medline up to February 2007. Moreover, recent guidelines for the prevention and management of catheter-related infections issued by the Infectious Diseases Society of America, the American College of Critical Care Medicine, the Society for Healthcare Epidemiology of America, the Center for Disease Control and Prevention, Atlanta, and the Infectious Diseases Working Party of the German Society of Hematology and Oncology are included.Results Sterile precautions are essential when implanting and accessing port systems. Infections must be treated with adequate antimicrobial therapy. Catheter-related thromboembolic complications were found at a rate of 12-64% in retrospective studies. Five current clinical trials investigated the effect of prophylactic anticoagulation with either low molecular weight heparin or warfarin in cancer patients with central venous devices. On the basis of these results, routine anticoagulation cannot be recommended.Conclusions This article reviews the current literature on long-term complications of venous port systems, focusing on infection and thrombosis. In addition, it summarizes the evidence regarding routine maintenance of port systems in follow-up care.

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Authors: Vescia, S., Baumgärtner, A. K., Jacobs, V. R., Kiechle-Bahat, M., Rody, A., Loibl, S., & Harbeck, N.
Affiliations: German Breast Group (DE)
TUM Klinikum (DE)
University Hospital Frankfurt (DE)
Corresponding author: Baumgärtner, A.K.
ORCID: Rody, A.
Loibl, S.
Harbeck, N.
Venue: Annals of Oncology
Publisher: Elsevier BV
Published: 2008-01
Volume: 19
Issue: 1
Pages: 9-15
ISSN: 0923-7534 (ISSN-L)
DOI: 10.1093/annonc/mdm272
OpenAlex: W2150240326
Cited by: 264
References: 56
Citations by year: 2026: 10 · 2025: 10 · 2024: 11 · 2023: 11 · 2022: 13 · 2021: 13 · 2020: 13 · 2019: 7 · 2018: 21 · 2017: 14 · 2016: 17 · 2015: 8 · 2014: 21 · 2013: 12 · 2012: 20
FWCI: 3.20
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 4356 d)
Locations: Annals of Oncology (publishedVersion)
PubMed (publishedVersion)
mediaTUM (Technical University of Munich) (submittedVersion)
HighWire Press Open Archive (submittedVersion)
Topics: Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Central Venous Catheters and Hemodialysis
Health Sciences › Medicine › Oncology › Neutropenia and Cancer Infections
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Infective Endocarditis Diagnosis and Management
Keywords: central venous catheters, catheter-related infection, catheter-related thrombosis, thromboprophylaxis, low molecular weight heparin, warfarin, port maintenance, infection prevention guidelines
MeSH terms: Anticoagulants, Antineoplastic Agents, Catheterization, Central Venous, Catheters, Indwelling, Clinical Trials as Topic, Equipment Contamination, Humans, Neoplasms, Thromboembolism, Fungemia, Bacteremia, Infection Control, Antibiotic Prophylaxis, Evidence-Based Medicine

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Management of venous port systems in oncology: a review of current evidence

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