Department of Anesthesia and Intensive Care, Careggi University Hospital, Florence, Italy.
School of Human Health Science, University of Florence, Florence, Italy.
J Vasc Access. 2021 Jul;22(4):501-508. doi: 10.1177/1129729820947594. Epub 2020 Aug 8.
Catheter-related thrombosis represents one of the most common complications following central venous access insertion. Despite the amount of available studies, many aspects surrounding catheter-related thrombosis remain controversial. Thirteen years ago, the Italian Study Group for Long Term Central Venous Access (GAVeCeLT) developed a nationwide Consensus in order to clarify some key aspects on this topic. Despite most of them still remain valid, however, knowledge around catheter-related thrombosis has greatly evolved over the last decade, with a natural evolution in terms of catheter technologies, insertion techniques, and management bundles. Aims of this editorial are to readdress conclusions of the 2007 GAVeCeLT Consensus in the light of the new relevant evidences that have been added in the last 13 years and to analyze some unsolved issues that still remain debated.
导管相关性血栓形成是中心静脉置管后最常见的并发症之一。尽管有大量的相关研究，但导管相关性血栓形成的许多方面仍存在争议。13 年前，意大利长期中心静脉置管研究组（GAVeCeLT）为阐明该领域的一些关键问题达成了一项全国共识。然而，尽管其中的大多数仍然有效，但过去十年中，导管相关性血栓形成的相关知识已经有了很大的发展，导管技术、置管技术和管理方案都有了自然的演变。本社论的目的是根据过去 13 年中新增的新相关证据，重新审视 2007 年 GAVeCeLT 共识的结论，并分析一些仍存在争议的未解决问题。
