Yu C, Sun S, Shi X, Wang L, Zhang Q, Zhang L, Song D. Preventive effect of aspirin on peripherally inserted central catheter-related vein thrombosis in patients with malignant tumors.
JOURNAL OF VASCULAR NURSING 2023;
41:153-157. [PMID:
38072566 DOI:
10.1016/j.jvn.2023.06.003]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 05/06/2023] [Accepted: 06/27/2023] [Indexed: 12/18/2023]
Abstract
The majority of patients receiving chemotherapy undergo PICC catheterization. However, PICCs are significantly associated with catheter related complications, including deep vein thrombosis, blood infection, fibrin sheath, catheter prolapse, catheter displacement and blockage. Of all the risks, PICC-related VT was the most prevailing clinic symptom and resulted in a high risk of death.
AIM
The study aimed to investigate the preventive efficacy and safety of aspirin for patients with malignant tumors receiving venous thrombosis (VT) related with peripherally inserted central catheters (PICC) treatment.
PATIENTS AND METHODS
A randomized controlled trial was conducted. Participants with malignant tumors receiving chemotherapy who accepted PICC insertion operation were randomly allocated to the aspirin treatment group (n = 235) or the control group (n = 246). The patients in the aspirin group were administrated aspirin (100mg) for 30 days, whereas the patients in control group were administrated a placebo drug. The incidence of PICC-related VT in both groups and the aspirin related adverse effects were evaluated.
RESULTS
The incidence of PICC-related VT was 0.4% in the aspirin group, compared with 3.3% in the control group (P = 0.038). In addition, aspirin related bleeding was not observed.
CONCLUSION
PICC-related VT could be effectively prevented by aspirin in patients with malignant tumors.
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