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Chambres implantables, cathéters veineux centraux: Indications, techniques, complications

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Résumé

La pose de chambres à cathéter implantables et de cathéters veineux centraux extériorisés est une étape incontournable de la prise en charge des patients atteints de cancer ou de certaines maladies chroniques ou infectieuses. Ces dispositifs permettent au long cours des accès répétés au système veineux et l’injection de produits habituellement agressifs pour les veines périphériques. Par rapport aux cathéters à émergence cutanée, les chambres garantissent un meilleur confort de vie avec la possibilité de prendre des douches et des bains, de conserver une activité physique voire sportive normale. La pose de ces dispositifs a pour particularité d’être une activité partagée par différents spécialistes: chirurgiens, anesthésistes, radiologues vasculaires et interventionnels, urgentistes. Ce chapitre fait le point sur les indications, les techniques de pose, la gestion au quotidien et les éventuels problèmes et complications rencontrés.

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Références

  1. Biffi R, De Braud F, Orsi F et al. (2001) A randomized, prospective trial of central venous ports connected to standard open-ended or Groshong catheters in adult oncology patients. Cancer 92: 1204–12

    Article  CAS  PubMed  Google Scholar 

  2. Wieners G, Redlich U, Dudeck O et al. (2009) First experiences with intravenous port systems authorized for high pressure injection of contrast agent in multiphasic computed tomography. Rofo 181: 664–8

    Article  CAS  PubMed  Google Scholar 

  3. Andrews JC, Marx MV, Williams DM et al. (1992) The upper arm approach for placement of peripherally inserted central catheters for protracted venous access. AJR Am J Roentgenol 158: 427–9

    Article  CAS  PubMed  Google Scholar 

  4. Neuman ML, Murphy BD, Rosen MP (1998) Bedside placement of peripherally inserted central catheters: a cost-effectiveness analysis. Radiology 206: 423–8

    CAS  PubMed  Google Scholar 

  5. Matsumoto AH, Reifsnyder AC, Hartwell GD et al. (1994) Reducing the discomfort of lidocaine administration through pH buffering. J Vasc Interv Radiol 5: 171–5

    Article  CAS  PubMed  Google Scholar 

  6. SFHH (2010) Infections associées aux dispositifs intravasculaires. Hygiènes 18: 121–5

    Google Scholar 

  7. Hind D, Calvert N, McWilliams R et al. (2003) Ultrasonic locating devices for central venous cannulation: meta-analysis. BMJ 327: 361

    Article  PubMed  Google Scholar 

  8. Karakitsos D, Labropoulos N, De Groot E et al. (2006) Realtime ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Crit Care 10: R162

    Article  PubMed  Google Scholar 

  9. Biffi R, Orsi F, Pozzi S et al. (2009) Best choice of central venous insertion site for the prevention of catheter-related complications in adult patients who need cancer therapy: a randomized trial. Ann Oncol 20: 935–40

    Article  CAS  PubMed  Google Scholar 

  10. Peris A, Zagli G, Bonizzoli M et al. (2010) Implantation of 3951 long-term central venous catheters: performances, risk analysis, and patient comfort after ultrasound-guidance introduction. Anesth Analg 111: 1194–201

    Article  PubMed  Google Scholar 

  11. Lameris JS, Post PJ, Zonderland HM et al. (1990) Percutaneous placement of Hickman catheters: comparison of sonographically guided and blind techniques. AJR Am J Roentgenol 155: 1097–9

    Article  CAS  PubMed  Google Scholar 

  12. Aitken DR, Minton JP (1984) The «pinch-off sign»: a warning of impending problems with permanent subclavian catheters. Am J Surg 148: 633–6

    Article  CAS  PubMed  Google Scholar 

  13. Ouaknine-Orlando B, Desruennes E, Cosset MF et al. (1999) [The pinch-off syndrome: main cause of catheter embolism]. Ann Fr Anesth Reanim 18: 949–55

    Article  CAS  PubMed  Google Scholar 

  14. Marcy PY, Magne N, Castadot P et al. (2007) Is radiologic placement of an arm port mandatory in oncology patients?: analysis of a large bi-institutional experience. Cancer 110: 2331–8

    Article  PubMed  Google Scholar 

  15. Luciani A, Clement O, Halimi P et al. (2001) Catheter-related upper extremity deep venous thrombosis in cancer patients: a prospective study based on Doppler US. Radiology 220: 655–60

    Article  CAS  PubMed  Google Scholar 

  16. Debourdeau P, Kassab Chahmi D, Le Gal G et al. (2009) 2008 SOR guidelines for the prevention and treatment of thrombosis associated with central venous catheters in patients with cancer: report from the working group. Ann Oncol 20: 1459–71

    Article  CAS  PubMed  Google Scholar 

  17. Geerts WH, Bergqvist D, Pineo GF et al. (2008) Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 133: 381S–453S

    Article  CAS  PubMed  Google Scholar 

  18. Maki DG, Kluger DM, Crnich CJ (2006) The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies. Mayo Clin Proc 81: 1159–71

    Article  PubMed  Google Scholar 

  19. Blot F, Nitenberg G, Chachaty E et al. (1999) Diagnosis of catheter-related bacteraemia: a prospective comparison of the time to positivity of hub-blood versus peripheral-blood cultures. Lancet 354: 1071–7

    Article  CAS  PubMed  Google Scholar 

  20. Messing B, Peitra-Cohen S, Debure A et al. (1988) Antibioticlock technique: a new approach to optimal therapy for catheter-related sepsis in home-parenteral nutrition patients. JPEN J Parenter Enteral Nutr 12: 185–9

    Article  CAS  PubMed  Google Scholar 

  21. Petersen J, Delaney JH, Brakstad MT et al. (1999) Silicone venous access devices positioned with their tips high in the superior vena cava are more likely to malfunction. Am J Surg 178: 38–41

    Article  CAS  PubMed  Google Scholar 

  22. Bessoud B, de Baere T, Kuoch V et al. (2003) Experience at a single institution with endovascular treatment of mechanical complications caused by implanted central venous access devices in pediatric and adult patients. AJR Am J Roentgenol 180: 527–32

    Article  PubMed  Google Scholar 

  23. Gray RJ, Levitin A, Buck D et al. (2000) Percutaneous fibrin sheath stripping versus transcatheter urokinase infusion for malfunctioning well-positioned tunneled central venous dialysis catheters: a prospective, randomized trial. J Vasc Interv Radiol 11: 1121–9

    Article  CAS  PubMed  Google Scholar 

  24. Cavanna L, Civardi G, Vallisa D et al. (2010) Ultrasound-guided central venous catheterization in cancer patients improves the success rate of cannulation and reduces mechanical complications: a prospective observational study of 1,978 consecutive catheterizations. World J Surg Oncol 8: 91

    Article  PubMed  Google Scholar 

  25. Evans RS, Sharp JH, Linford LH et al. (2010) Risk of symptomatic DVT associated with peripherally inserted central catheters. Chest 138: 803–10

    Article  PubMed  Google Scholar 

  26. Trerotola SO, Kuhn-Fulton J, Johnson MS et al. (2000) Tunneled infusion catheters: increased incidence of symptomatic venous thrombosis after subclavian versus internal jugular venous access. Radiology 217: 89–93

    CAS  PubMed  Google Scholar 

  27. Morazin F, Kriegel I, Asselain B, Falcou MC (2005) [Symptomatic thrombosis in central venous catheter in oncology: a predictive score?]. Rev Med Interne 26: 273–9

    Article  CAS  PubMed  Google Scholar 

  28. Caers J, Fontaine C, Vinh-Hung V et al. (2005) Catheter tip position as a risk factor for thrombosis associated with the use of subcutaneous infusion ports. Support Care Cancer 13: 325–31

    Article  PubMed  Google Scholar 

  29. Cadman A, Lawrance JA, Fitzsimmons L et al. (2004) To clot or not to clot? That is the question in central venous catheters. Clin Radiol 59: 349–55

    Article  CAS  PubMed  Google Scholar 

  30. Ferretti G, Bria E, Giannarelli D et al. (2006) Is recurrent venous thromboembolism after therapy reduced by lowmolecular-weight heparin compared with oral anticoagulants? Chest 130: 1808–16

    Article  CAS  PubMed  Google Scholar 

  31. Bern MM, Lokich JJ, Wallach SR et al. (1990) Very low doses of warfarin can prevent thrombosis in central venous catheters. A randomized prospective trial. Ann Intern Med 112: 423–8

    Article  CAS  PubMed  Google Scholar 

  32. 32. Monreal M, Alastrue A, Rull M et al. (1996) Upper extremity deep venous thrombosis in cancer patients with venous access devices—prophylaxis with a low molecular weight heparin (Fragmin). Thromb Haemost 75: 251–3

    CAS  PubMed  Google Scholar 

  33. 33. Couban S, Goodyear M, Burnell M et al. (2005) Randomized placebo-controlled study of low-dose warfarin for the prevention of central venous catheter-associated thrombosis in patients with cancer. J Clin Oncol 23: 4063–9

    Article  CAS  PubMed  Google Scholar 

  34. Karthaus M, Kretzschmar A, Kroning H et al. (2006) Dalteparin for prevention of catheter-related complications in cancer patients with central venous catheters: final results of a double-blind, placebo-controlled phase III trial. Ann Oncol 17: 289–96

    Article  CAS  PubMed  Google Scholar 

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Desruennes, É. (2013). Chambres implantables, cathéters veineux centraux: Indications, techniques, complications. In: Thérapeutiques endovasculaires des pathologies veineuses. Springer, Paris. https://doi.org/10.1007/978-2-8178-0291-6_23

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  • DOI: https://doi.org/10.1007/978-2-8178-0291-6_23

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0290-9

  • Online ISBN: 978-2-8178-0291-6

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