Two cases of peripherally inserted central venous catheter-associated venous thrombosis

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  • MIURA Kotaro
    Department of Oncological Surgery, Osaka City University, School of Medicine
  • TANAKA Hiroaki
    Department of Oncological Surgery, Osaka City University, School of Medicine
  • MUGURUMA Kazuya
    Department of Oncological Surgery, Osaka City University, School of Medicine
  • KUBO Naoshi
    Department of Oncological Surgery, Osaka City University, School of Medicine
  • OHIRA Masaichi
    Department of Oncological Surgery, Osaka City University, School of Medicine
  • HIRAKAWA Kosei
    Department of Oncological Surgery, Osaka City University, School of Medicine

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Other Title
  • 末梢挿入型中心静脈カテーテル関連静脈血栓症を生じた2例
  • 症例 末梢挿入型中心静脈カテーテル関連静脈血栓症を生じた2例
  • ショウレイ マッショウ ソウニュウガタ チュウシン ジョウミャク カテーテル カンレン ジョウミャク ケッセンショウ オ ショウジタ 2レイ

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Abstract

Case 1 : A 70-year-old man was admitted to receive neoadjuvant chemoradiotherapy (CRT) for esophageal cancer in our hospital. PICC was inserted in his left basilic vein to administer the chemotherapeutic agents. On day 29, we removed the PICC because of suspicion of catheter-related fever following neck phlegmone. Enhanced CT revealed thrombosis from his left jugular vein to the superior vena cava. Rapid anticoagulation therapy successfully improved the symptons. The thrombosis tended to shrink by continuous oral administration with warfarin. Case 2 : A 68-year-old woman had a scheduled operation for advanced gastric cancer. Due to undernutrition, a PICC was inserted in her left basilic vein for total parenteral nutrition. Three days later, we comfirmed thrombosis from her left jugular and subclavian to superior vena cava by CT. Then we removed the PICC and started anticoagulation thrapy. Seven days later, we comfirmed by CT that the thrombosis had improved moderately. It is suggested that PICC associated venous thrombosis can be related to long term PICC placement, undernutrition and dehydration in digestive surgery.

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