Determination of Predictive Value of Echography Doppler Abnormalities (CAVECCAS)

Assistance Publique - Hôpitaux de Paris

Status: Unknown

Conditions: Breast Cancer; Upper Extremity Deep Vein Thrombosis, Secondary

Study type: Observational

Funder types: Other

Identifiers

NCT00714909

K070104

Details and patient eligibility

About

In order to avoid to use a traumatic and iatrogenic examen (phlebography), the purpose of the study is to validate echography doppler in the diagnosis of asymptomatic related catheter related thrombosis.

Full description

Phlebography is the gold standard for the diagnosis of asymptomatic catheter related thrombosis but can not be performed in about 15% of patients because of arm swelling and lack of superficial veins.

Echography doppler is an easy, cheap and atraumatic way to make the diagnosis of deep vein thrombosis. The value of echography doppler has been proven for the diagnosis of symptomatic deep venous thrombosis of lower and upper limbs and for the diagnosis of proximal asymptomatic lower limbs.

To validate the echography doppler we intend to correlate asymptomatic findings to the occurrence symptomatic related catheter related thrombosis.

Patients with localized breast cancer treated with chemotherapy will be enrolled in the study. An echography doppler will be performed on day 8, 30 and 90 after catheter insertion. Findings in asymptomatic patients (thrombus visualisation, lack of vein compressibility, variation of physiologic vein blood flow) will thereafter be correlated with the presence or absence of clinical signs of catheter related thrombosis.

In order to assess if they are risk factors for catheter related thrombosis, we will determine the level D-Dimer, microparticles and the results of generation thrombin tests before and 2 days after catheter insertion.

Enrollment: 600 estimated patients

Sex: Female

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• women over 18
• histologically proven breast cancer
• localized breast cancer without metastasis
• adjuvant or neo adjuvant chemotherapy
• insertion of central catheter with port for chemotherapy
• central catheter for more than three months
• inform consent
• follow up for three months

Exclusion criteria

• ongoing anticoagulant therapy
• previous central catheter
• femoral catheter
• double lumen catheter
• central catheter without port
• platelets < 80G/L, TQ < 50%, fibrinogen < 1 g/L
• creatinin > 175mole/L

Trial design

600 participants in 1 patient group

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