Central venous access device-related upper extremity deep vein thrombosis
From IDWiki
(Redirected from PICC-associated DVT)
Management
- Anticoagulation
- If CVAD still needed: continue anticoagulation while it is in situ
- If CVAD no longer needed:
- If it can be left in situ, leave it for up to 3-5 days, up to 7 days, while on anticoagulation to reduce risk of embolism
- Continue anticoagulation for 3 months
- Choice of anticoagulation is primarily LMWH
Prevention
- Use small calibre catheter possible
- Ensure proper catheter tip location
- Remove CVADs when no longer needed
- No benefit to prophylactic anticoagulation
Further Reading
- How I treat central venous access device–related upper extremity deep vein thrombosis. Blood 2017;129(20):2727–2736. doi: 10.1182/blood-2016-08-693671
