Embolism and thrombosis of the internal jugular vein I82.8
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Tumour disease inpancreas, liver, oesophagus, stomach or duodenum. - Elective surgery to remove these tumours, e.g. liver resection, pylorus-preserving pancreatic head resection or gastrectomy. - Indication for placement of a CVC. - Placement of CVC in right internal jugular vein has to be possible.
Exclusion criteria
Exclusion criteria: - Refusal to participate in the study. - Unable to give consent. - Non-elective surgery. - Known thrombus in the right internal jugular vein or superior vena cava. - Known coagulation disorder. - Known allergy to chlorhexidine.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The central venous catheters are examined sonographically daily starting after the operation (day 0) until removal or max. 14 days after the operation. The time of the first detectable thrombus is recorded as the primary endpoint. | — |
Secondary
| Measure | Time frame |
|---|---|
| At the end of the observation period, the dependence of thrombus formation and differences in relation to the following factors are analysed: - type of thrombus (fibrin sheat/fibrin sleeve, mural thrombosis, venous thrombus, intraluminal thrombus). - number of closed lumen. - max. diameter of the thrombus. - max. length of the thrombus. - growing of the thrombus. - Laboratory measurements: inflammation- and thrombosismarker (white blood cells, c-related peptide, procalcitonin, platelets, d-dimers, fibrinogen). - heart rhythm: regular, irregular. - type of tumor. - type of surgery. - age. - BMI. - ASA-classification. - drugs for anticoagulation. - thrombosis in history. - nicotinabusus. - pre-existing conditions: Diabetes mellitus, arterial hypertension, hyperlipidaemia/-cholesterolaemia. - ports/pace makers etc. in jugular/subclavian vein or Vena cava superior. | — |
Countries
Germany
Contacts
Klinik für Anästhesie, Intensiv-, Notfall- und Schmerzmedizin, Universitätsmedizin Greifswald