INFLUENCE OF LONG-TERM CYTOTOXIC CHEMOTHERAPY ON THE CONDITION OF PERIPHERAL VENOUS CHANNEL

  • Tetiana Tkachuk National Pirogov Memorial Medical University
Keywords: peripheral venous access, repeated administration of chemopreparations, results

Abstract

The necessity of long-term venous access in cancer patients appears at frequent and long-term courses of cytotoxic therapy. Peripheral veins of forearms are most often used for these aims. The conditions of peripheral venous channel in 32 cancer patients, who underwent the long-term treatment with antitumor preparations were analyzed in the article on own investigatory material.

The methods of dopplerography, morphological and immunohystochemical studies were used.

The qualitative and quantitative dopplerographic changes in forearm veins in different terms after chemotherapy start were revealed in most patients.

The conclusion was made about unsuitability of forearm peripheral veins for the long term administration of cytostatics and the necessity to create the alternative vascular access that would correspond to the criteria of safety, reliability and long-term exploitation.

Downloads

Download data is not yet available.

References

Nass, S. J., Moses, H. L., Mendelsohn, J. (Eds.) (2010). A National Cancer Clinical Trials Systemforthe 21 st Century: Reinvigoratingthe NCIC ooperative GroupProgram. Washington: National Academies Press, 316. doi: 10.17226/12879

Baer, A. R., Kelly, C. A., Bruinooge, S. S., Runowicz, C. D., Blayney, D. W. (2010). Challenges to National Cancer Institute–Supported Cooperative Group Clinical Trial Participation: An ASCO Survey of Cooperative Group Sites. Journal of Oncology Practice, 6 (3), 114–117. doi: 10.1200/jop.200028

Infusion Nurses Society (2011). Infusion Nursing Standards of Practice. Journal of Infusion Nursing, 34 (1S).

Webster, J., Clarke, S., Paterson, D., Hutton, A., Dyk, S. V., Gale, C., Hopkins, T. (2008). Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial. BMJ, 337 (1), a337–a339. doi: 10.1136/bmj.a339

Keuter, X. H. A., De Smet, A. A. E. A., Kessels, A. G. H., van der Sande, F. M., Welten, R. J. T. J., Tordoir, J. H. M. (2008). A randomized multicenter study of the outcome of brachial-basilic arteriovenous fistula and prosthetic brachial-antecubital forearm loop as vascular access for hemodialysis. Journal of Vascular Surgery, 47 (2), 395–401. doi: 10.1016/j.jvs.2007.09.063

Field, K., McFarlane, C., Cheng, A. C., Hughes, A. J., Jacobs, E., Styles, K. et. al. (2007). Incidence of Catheter-Related Bloodstream Infection Among Patients With a Needleless, Mechanical Valve–Based Intravenous Connector in an Australian Hematology-Oncology Unit. Infection Control & Hospital Epidemiology, 28 (5), 610–613. doi: 10.1086/516660

Koksoy, C., Kuzu, A., Kutlay, J., Erden, I., Ozcan, H., Ergin, K. (1995). The diagnostic value of colour doppler ultrasound in central venous catheter related thrombosis. Clinical Radiology, 50 (10), 687–689. doi: 10.1016/s0009-9260(05)83313-6

Cassidy, J., Bissett, D., Spence, R., Payne, M. (2010). Oxford handbook of oncology. New York: Oxford University Press, 831.

Ferring, M., Claridge, M., Smith, S. A., Wilmink, T. (2010). Routine Preoperative Vascular Ultrasound Improves Patency and Use of Arteriovenous Fistulas for Hemodialysis: A Randomized Trial. Clinical Journal of the American Society of Nephrology, 5 (12), 2236–2244. doi: 10.2215/cjn.02820310

Nassaji-Zavareh, M., Ghorbani, R. (2007). Peripheral intravenous catheter related phlebitis and related risk factors. Singapore Medical Journal, 48 (8), 733–736.

Ferring, M., Henderson, J., Wilmink, A., Smith, S. (2008). Vascular ultrasound for the pre-operative evaluation prior to arteriovenous fistula formation for haemodialysis: review of the evidence. Nephrology Dialysis Transplantation, 23 (6), 1809–1815. doi: 10.1093/ndt/gfn001

Salgado, C. D., Chinnes, L., Paczesny, T. H., Cantey, J. R. (2007). Increased Rate of Catheter-Related Bloodstream Infection Associated With Use of a Needleless Mechanical Valve Device at a Long-Term Acute Care Hospital. Infection Control & Hospital Epidemiology, 28 (6), 684–688. doi: 10.1086/516800

Rupp, M. E., Sholtz, L. A., Jourdan, D. R., Marion, N. D., Tyner, L. K., Fey, P. D. et. al. (2007). Outbreak of Bloodstream Infection Temporally Associated with the Use of an Intravascular Needleless Valve. Clinical Infectious Diseases, 44 (11), 1408–1414. doi: 10.1086/517538

Lee, T., Barker, J., Allon, M. (2007). Comparison of Survival of Upper Arm Arteriovenous Fistulas and Grafts after Failed Forearm Fistula. Journal of the American Society of Nephrology, 18 (6), 1936–1941. doi: 10.1681/asn.2006101119

Rupp, M. E., Sholtz, L. A., Jourdan, D. R., Marion, N. D., Tyner, L. K., Fey, P. D. et. al. (2007). Outbreak of Bloodstream Infection Temporally Associated with the Use of an Intravascular Needleless Valve. Clinical Infectious Diseases, 44(11), 1408–1414. doi: 10.1086/517538

Catney, M. R., Hillis, S., Wakefield, B., Simpson, L., Domino, L., Keller, S. et. al. (2001). Relationship Between Peripheral Intravenous Catheter Dwell Time and the Development of Phlebitis and Infiltration. Journal of Infusion Nursing, 24 (5), 332–341. doi: 10.1097/00129804-200109000-00008

Frey, A. M., Schears, G. J. (2006). Why Are We Stuck on Tape and Suture? Journal of Infusion Nursing, 29 (1), 34–38. doi: 10.1097/00129804-200601000-00007

Ener, R. A., Meglathery, S. B., Styler, M. (2004). Extravasation of systemic hemato-oncological therapies. Annals of Oncology, 15 (6), 858–862. doi: 10.1093/annonc/mdh214

Baarslag, H. J., van Beek, E. J. R., Koopman, M. M. W., Reekers, J. A. (2002). Prospective Study of Color Duplex Ultrasonography Compared with Contrast Venography in Patients Suspected of Having Deep Venous Thrombosis of the Upper Extremities. Annals of Internal Medicine, 136 (12), 865. doi: 10.7326/0003-4819-136-12-200206180-00007


👁 388
⬇ 237
Published
2017-05-25
How to Cite
Tkachuk, T. (2017). INFLUENCE OF LONG-TERM CYTOTOXIC CHEMOTHERAPY ON THE CONDITION OF PERIPHERAL VENOUS CHANNEL. EUREKA: Health Sciences, (3), 49-55. https://doi.org/10.21303/2504-5679.2017.00331
Section
Medicine and Dentistry