Venous Thromboembolism (VTE) Catheter-Related, Clinical Pathway — CICU and CCU
Venous Thromboembolism (VTE) Catheter-Related, Clinical Pathway — CICU and CCU
Cohort
This pathway guides the care of children with a catheter-related VTE, defined as a thrombus in a deep vein with a current or recently removed central venous catheter. Diagnosis is usually made using an objective radiologic test (ultrasound, MRI, CT, venogram). Children with prior catheter-related VTE are at increased risk of recurrence with subsequent catheters.
Signs of Catheter-related VTE
- Limb pain and/or swelling
- Catheter dysfunction
- Recurrent bacteremia
Complications of Catheter-related VTE
- Loss of venous access
- Pulmonary embolization
- Paradoxical embolism in children with R to L or mixing lesions
- Clot extension
- Post-thrombotic syndrome
Indications for Hypercoagulability Evaluation
- Prior thrombosis
- Family history of thrombosis
- Repeat evaluations are not required
- Use Hematology Hypercoagulability Workup order set if indicated