CAVECCAS Value of Risk Factors for Symptomatic Catheter Related Thrombosis in Patients With Breast Cancer Treated With Adjuvant Chemotherapy
Phlebography is the gold standard for the diagnosis of asymptomatic catheter related
thrombosis but can not be performed in about 15% of patients because of arm swelling and
lack of superficial veins.
Echography doppler is an easy, cheap and atraumatic way to make the diagnosis of deep vein
thrombosis. The value of echography doppler has been proven for the diagnosis of symptomatic
deep venous thrombosis of lower and upper limbs and for the diagnosis of proximal
asymptomatic lower limbs.
To validate the echography doppler we intend to correlate asymptomatic findings to the
occurrence symptomatic related catheter related thrombosis.
Patients with localized breast cancer treated with chemotherapy will be enrolled in the
study. An echography doppler will be performed on day 8, 30 and 90 after catheter insertion.
Findings in asymptomatic patients (thrombus visualisation, lack of vein compressibility,
variation of physiologic vein blood flow) will thereafter be correlated with the presence or
absence of clinical signs of catheter related thrombosis.
In order to assess if they are risk factors for catheter related thrombosis, we will
determine the level D-Dimer, microparticles and the results of generation thrombin tests
before and 2 days after catheter insertion.
Observational Model: Cohort, Time Perspective: Prospective
Symptomatic catheter related thrombosis, as confirmed by echography doppler, phlebography or angiography scan
within 6 months
Philippe M Debourdeau, MD
Saint-Louis Hospital, Paris, France
France: Ministry of Health