Published online through CA First Look at http://CAonline.AmCancerSoc.org.
Article first published online: 13 FEB 2009
Copyright © 2008 American Cancer Society, Inc.
CA: A Cancer Journal for Clinicians
Volume 58, Issue 6, pages 323–346, November/December 2008
How to Cite
Gallieni, M., Pittiruti, M. and Biffi, R. (2008), Vascular access in oncology patients. CA: A Cancer Journal for Clinicians, 58: 323–346. doi: 10.3322/CA.2008.0015
Disclosure: The authors report no conflicts of interest.
- Issue published online: 13 FEB 2009
- Article first published online: 13 FEB 2009
Adequate vascular access is of paramount importance in oncology patients. It is important in the initial phase of surgical treatment or chemotherapy, as well as in the chronic management of advanced cancer and in the palliative care setting. We present an overview of the available vascular access devices and of the most relevant issues regarding insertion and management of vascular access. Particular emphasis is given to the use of ultrasound guidance as the preferred technique of insertion, which has dramatically decreased insertion-related complications. Vascular access management has considerably improved after the publication of effective guidelines for the appropriate nursing of the vascular device, which has reduced the risk of late complications, such as catheter-related bloodstream infection. However, many areas of clinical practice are still lacking an evidence-based background, such as the choice of the most appropriate vascular access device in each clinical situation, as well as prevention and treatment of thrombosis. We suggest an approach to the choice of the most appropriate vascular access device for the oncology patient, based on the literature available to date.
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