Can thrombophilia predict recurrent catheter-related deep vein thrombosis in children?

Abstract:

:The role of thrombophilia testing in predicting catheter-related deep vein thrombosis (DVT) after an incident (ie, first) catheter-related DVT in children remains unclear. The present study investigated the association between thrombophilia and recurrent catheter-related DVT. Children with thrombophilia testing, performed according to the clinician's judgment and the family's preference, and a history of objectively confirmed catheter-related DVT were included in the study. Recurrent catheter-related DVT after placement of a new catheter was the main outcome. Thrombophilia was classified as minor, major, or none. Analysis was conducted using mixed effect logistic regression. A total of 245 patients had 1,365 catheters inserted; 941 of these catheters were placed after the incident catheter-related DVT. Anticoagulants as treatment or prophylaxis were administered in 78.1% of inserted catheters for at least 50% of the time they were in place. Minor thrombophilia was found in 12.7% of patients, whereas major thrombophilia was seen in 8.2% of children. The incidence rate of recurrent events was 0.23/100 catheter-days (95% confidence interval, 0.19-0.28 catheter-days); 34.3% (95% confidence interval, 28.6%-40.0%) of patients requiring a new catheter after their incident thrombotic event had at least 1 recurrent event. The incidence proportion of bleeding complications was 4.6/100 patients receiving anticoagulation. Young age of the patient at the time of catheter insertion and lack of administration of treatment or prophylactic doses of anticoagulant were predictive of recurrent events. In contrast, thrombophilia was not predictive of recurrent catheter-related DVT during subsequent catheter insertions among tested patients. Our findings suggest that thrombophilia testing to predict recurrence in these patients may be unnecessary.

journal_name

Blood

journal_title

Blood

authors

Avila ML,Amiri N,Stanojevic S,Vu TT,Barron K,Krol P,Yue N,Williams S,Brandão LR

doi

10.1182/blood-2017-10-811216

subject

Has Abstract

pub_date

2018-06-14 00:00:00

pages

2712-2719

issue

24

eissn

0006-4971

issn

1528-0020

pii

blood-2017-10-811216

journal_volume

131

pub_type

杂志文章

相关文献

BLOOD文献大全
  • Arg2074Cys missense mutation in the C2 domain of factor V causing moderately severe factor V deficiency: molecular characterization by expression of the recombinant protein.

    abstract::Factor V (FV) deficiency is a rare bleeding disorder whose genetic basis has been described in a relatively small number of cases. Among a total of 12 genetic defects reported in severely or moderately severe deficient patients, 3 were missense mutations and in no case was the mechanism underlying the deficiency explo...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2002-06-1928

    authors: Duga S,Montefusco MC,Asselta R,Malcovati M,Peyvandi F,Santagostino E,Mannucci PM,Tenchini ML

    更新日期:2003-01-01 00:00:00

  • Enforced expression of the GATA-2 transcription factor blocks normal hematopoiesis.

    abstract::The zinc finger transcription factor GATA-2 is highly expressed in immature hematopoietic cells and declines with blood cell maturation. To investigate its role in normal adult hematopoiesis, a bicistronic retroviral vector encoding GATA-2 and the green fluorescent protein (GFP) was used to maintain the high levels of...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Persons DA,Allay JA,Allay ER,Ashmun RA,Orlic D,Jane SM,Cunningham JM,Nienhuis AW

    更新日期:1999-01-15 00:00:00

  • Characterization of common variable immunodeficiency: identification of a subset of patients with distinctive immunophenotypic and clinical features.

    abstract::The peripheral blood lymphocyte surface markers and clinical features of 38 patients with common variable immunodeficiency (CVID) were assessed. These studies identified a subset of CVID consisting of 14 of the 38 patients with a distinctive T-cell immunophenotype and clinical findings. The phenotypic changes were cha...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Wright JJ,Wagner DK,Blaese RM,Hagengruber C,Waldmann TA,Fleisher TA

    更新日期:1990-11-15 00:00:00

  • A high rate of durable responses with romidepsin, bortezomib, and dexamethasone in relapsed or refractory multiple myeloma.

    abstract::We report results from a study exploring the combination of romidepsin, bortezomib, and dexamethasone for the treatment of patients with multiple myeloma (MM) previously treated with > 1 prior therapy. The primary objective was to determine the maximum tolerated dose (MTD) of the combination using a novel accelerated ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2011-03-339879

    authors: Harrison SJ,Quach H,Link E,Seymour JF,Ritchie DS,Ruell S,Dean J,Januszewicz H,Johnstone R,Neeson P,Dickinson M,Nichols J,Prince HM

    更新日期:2011-12-08 00:00:00

  • The t(15;17) breakpoint in acute promyelocytic leukemia cluster within two different sites of the myl gene: targets for the detection of minimal residual disease by the polymerase chain reaction.

    abstract::The retinoic acid receptor alpha (RAR alpha) and the myl gene are involved in the translocation breakpoint t(15;17)(q22;q21) in acute promyelocytic leukemia (APL). The majority of the breakpoint sites have been mapped within the second intron of the RAR alpha gene; however, the breakpoint sites on the myl gene are var...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Chang KS,Lu JF,Wang G,Trujillo JM,Estey E,Cork A,Chu DT,Freireich EJ,Stass SA

    更新日期:1992-02-01 00:00:00

  • Selective expression of CD45 isoforms defines CALLA+ monoclonal B-lineage cells in peripheral blood from myeloma patients as late stage B cells.

    abstract::The peripheral blood lymphocytes from 42 patients with multiple myeloma (MM) and 13 patients with monoclonal gammopathy of undetermined significance (MGUS) were studied by three-color immunofluorescence (IF) using antibodies directed to a broad range of B-cell markers (CD19, CD20, CD21, CD24), CALLA (CD10), PCA-1 (a p...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Jensen GS,Mant MJ,Belch AJ,Berenson JR,Ruether BA,Pilarski LM

    更新日期:1991-08-01 00:00:00

  • Human CD34+ fetal liver stem cells differentiate to T cells in a mouse thymic microenvironment.

    abstract::Hematopoietic stem cells differentiate in the thymus to T cells along precisely defined intermediates. This process is thymic epithelium dependent and involves cytokines and cell-cell interactions between thymic stroma and T-cell precursors. Here we report that highly purified human CD34++ fetal liver stem cells diffe...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Plum J,De Smedt M,Defresne MP,Leclercq G,Vandekerckhove B

    更新日期:1994-09-01 00:00:00

  • Assessment of mechanism of acquired skewed X inactivation by analysis of twins.

    abstract::Skewed X-chromosome inactivation in peripheral blood granulocytes becomes more frequent with increasing age, affecting up to half of those over 75 years old. To investigate the mechanisms underlying this phenomenon, X-inactivation profiles in 33 monozygotic and 22 dizygotic elderly twin pairs were studied. Differentia...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood.v97.5.1274

    authors: Vickers MA,McLeod E,Spector TD,Wilson IJ

    更新日期:2001-03-01 00:00:00

  • Compartmentalization of cyclic GMP-dependent protein kinase in formyl-peptide stimulated neutrophils.

    abstract::The presence and physiologic role of cyclic GMP-dependent protein kinase (G-kinase) in human neutrophils was investigated by Western blot analysis and immunocytochemistry. Small quantities of G-kinase were found in the cytoskeletal-enriched fraction of neutrophil lysates as detected by Western blots using a polyclonal...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Pryzwansky KB,Wyatt TA,Nichols H,Lincoln TM

    更新日期:1990-08-01 00:00:00

  • Hydroxyl radical formation by sickle erythrocyte membranes: role of pathologic iron deposits and cytoplasmic reducing agents.

    abstract::Sickle erythrocyte (RBC) membranes were previously shown to manifest increased Fenton activity (iron-dependent, peroxide-driven formation of hydroxyl radical [.OH]) compared with normal RBC membranes, but the nature of the catalytic iron was not defined. We now find that sickle membranes exposed to superoxide (.O2-) a...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Repka T,Hebbel RP

    更新日期:1991-11-15 00:00:00

  • Found: a cellular activating ligand for NKp44.

    abstract::In this issue of Blood, Baychelier et al identify a ligand for a major natural killer (NK) cell receptor that mediates natural cytotoxicity toward tumor cells, thus ending a search that lasted well over a decade. ...

    journal_title:Blood

    pub_type: 评论,杂志文章

    doi:10.1182/blood-2013-09-523696

    authors: Rajagopalan S,Long EO

    更新日期:2013-10-24 00:00:00

  • The quantity and duration of FcRgamma signals determine mast cell degranulation and survival.

    abstract::Immunoglobulin E (IgE) bound to multivalent antigen (Ag) elicits mast cell degranulation but not survival; on the contrary, IgE in the absence of Ag (IgE(-Ag)) induces survival only but not degranulation. Although these distinct responses are mediated through the same receptor, FcepsilonRI, the molecular mechanism gen...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2003-08-2944

    authors: Yamasaki S,Ishikawa E,Kohno M,Saito T

    更新日期:2004-04-15 00:00:00

  • ALK+ lymphoma: clinico-pathological findings and outcome.

    abstract::A distinct pathologic entity (ALK+ lymphoma) that is characterized by expression of the anaplastic lymphoma kinase (ALK) protein has recently emerged within the heterogeneous group of CD30(+) anaplastic large-cell lymphomas. Information on clinical findings and treatment outcome of ALK+ lymphoma is still limited, and ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Falini B,Pileri S,Zinzani PL,Carbone A,Zagonel V,Wolf-Peeters C,Verhoef G,Menestrina F,Todeschini G,Paulli M,Lazzarino M,Giardini R,Aiello A,Foss HD,Araujo I,Fizzotti M,Pelicci PG,Flenghi L,Martelli MF,Santucci A

    更新日期:1999-04-15 00:00:00

  • Human neutrophils mediate trogocytosis rather than phagocytosis of CLL B cells opsonized with anti-CD20 antibodies.

    abstract::Polymorphonuclear neutrophils (PMNs) have previously been reported to mediate phagocytosis of anti-CD20-opsonized B cells from patients with chronic lymphocytic leukemia (CLL). However, recent data have suggested that PMNs, like macrophages, can also mediate trogocytosis. We have performed experiments to more precisel...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2016-08-735605

    authors: Valgardsdottir R,Cattaneo I,Klein C,Introna M,Figliuzzi M,Golay J

    更新日期:2017-05-11 00:00:00

  • Vav proteins regulate peripheral B-cell survival.

    abstract::Mice lacking all 3 Vav proteins fail to produce significant numbers of recirculating follicular or marginal zone B cells. Those B cells that do mature have shortened lifespans. The constitutive nuclear factor-kappaB (NF-kappaB) activity of resting naive B cells required Vav function and expression of cellular reticulo...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2004-12-4894

    authors: Vigorito E,Gambardella L,Colucci F,McAdam S,Turner M

    更新日期:2005-10-01 00:00:00

  • Role of the sialophorin (CD43) receptor in mediating influenza A virus-induced polymorphonuclear leukocyte dysfunction.

    abstract::Polymorphonuclear leukocytes (PMNLs) exposed to influenza A virus (IAV) undergo activation of the respiratory burst followed by depression of cell function when subsequently exposed to particulate or soluble stimuli. The effect of IAV on PMNLs is likely to be mediated through the attachment of IAV to one or more speci...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Abramson JS,Hudnor HR

    更新日期:1995-03-15 00:00:00

  • Jun N-terminal kinase promotes proliferation of immature erythroid cells and erythropoietin-dependent cell lines.

    abstract::Erythropoietin (EPO) is the hormone necessary for development of erythrocytes from immature erythroid cells. EPO activates Jun N-terminal kinase (JNK), a member of the mitogen-activated protein kinase (MAPK) family in the EPO-dependent murine erythroid HCD57 cells. Therefore, we tested if JNK activity supported prolif...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2003-05-1754

    authors: Jacobs-Helber SM,Sawyer ST

    更新日期:2004-08-01 00:00:00

  • Wild-type FOXP3 is selectively active in CD4+CD25(hi) regulatory T cells of healthy female carriers of different FOXP3 mutations.

    abstract::Forkhead box P3 (FOXP3) is constitutively expressed by CD4(+)CD25(hi) regulatory T cells (nTregs). Mutations of FOXP3 cause a severe autoimmune syndrome known as immune dysregulation polyendocrinopathy enteropathy X-linked, in which nTregs are absent or dysfunctional. Whether FOXP3 is essential for both differentiatio...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2009-04-214593

    authors: Di Nunzio S,Cecconi M,Passerini L,McMurchy AN,Baron U,Turbachova I,Vignola S,Valencic E,Tommasini A,Junker A,Cazzola G,Olek S,Levings MK,Perroni L,Roncarolo MG,Bacchetta R

    更新日期:2009-11-05 00:00:00

  • A novel approach to preventing the hemolysis of paroxysmal nocturnal hemoglobinuria: both complement-mediated cytolysis and C3 deposition are blocked by a monoclonal antibody specific for the alternative pathway of complement.

    abstract::The clinical hallmark of paroxysmal nocturnal hemoglobinuria (PNH) is chronic intravascular hemolysis that is a consequence of unregulated activation of the alternative pathway of complement (APC). Intravascular hemolysis can be inhibited in patients by treatment with eculizumab, a monoclonal antibody that binds compl...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2009-09-244285

    authors: Lindorfer MA,Pawluczkowycz AW,Peek EM,Hickman K,Taylor RP,Parker CJ

    更新日期:2010-03-18 00:00:00

  • Human endothelial cells synthesize protein S.

    abstract::Human umbilical vein endothelial cells were analyzed for the presence of prothrombin, factor VII, protein C, and protein S in culture supernatants and cell extracts using specific radioimmunoassays. Only protein S was detected. Conditioned medium from 24-hour cultures and cell lysates contained 21.7 ng/mL and 88.8 ng/...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Fair DS,Marlar RA,Levin EG

    更新日期:1986-04-01 00:00:00

  • Targeting the Ras signaling pathway: a rational, mechanism-based treatment for hematologic malignancies?

    abstract::A series of alterations in the cellular genome affecting the expression or function of genes controlling cell growth and differentiation is considered to be the main cause of cancer. These mutational events include activation of oncogenes and inactivation of tumor suppressor genes. The elucidation of human cancer at t...

    journal_title:Blood

    pub_type: 杂志文章,评审

    doi:

    authors: Reuter CW,Morgan MA,Bergmann L

    更新日期:2000-09-01 00:00:00

  • The effect of recombinant GM-CSF on the recovery of monkeys transplanted with autologous bone marrow.

    abstract::The regulatory function of recombinant human granulocyte-macrophage colony stimulating factor (rhGM-CSF) on granulocyte production in vivo was evaluated in an autologous bone marrow transplantation model using rhesus monkeys. Monkeys were exposed to 9.0 Gy total body irradiation and then transplanted with 5.0 x 10(7) ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Monroy RL,Skelly RR,MacVittie TJ,Davis TA,Sauber JJ,Clark SC,Donahue RE

    更新日期:1987-11-01 00:00:00

  • Donor-derived oral squamous cell carcinoma after allogeneic bone marrow transplantation.

    abstract::In animal models, tissue stem cells were proposed to exhibit an unexpected level of plasticity, although issues on cell fusions have lead to some controversies. Only transplantation experiments using genetically distinct recipients and donors can unequivocally show these changes in cell fate. We have analyzed oral squ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2008-07-171702

    authors: Janin A,Murata H,Leboeuf C,Cayuela JM,Gluckman E,Legrès L,Desveaux A,Varna M,Ratajczak P,Soulier J,de Thé H,Bertheau P,Socié G

    更新日期:2009-02-19 00:00:00

  • Recipient CD4+ T cells that survive irradiation regulate chronic graft-versus-host disease.

    abstract::Chronic graft-versus-host disease (cGVHD) is an increasingly common cause of morbidity and mortality in allogeneic stem cell transplantation (alloSCT). Relative to acute GVHD (aGVHD), much less is understood about cGVHD. Using the B10.D2 --> BALB/c murine cGVHD model, which shares critical pathologic features with hum...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2004-01-0328

    authors: Anderson BE,McNiff JM,Matte C,Athanasiadis I,Shlomchik WD,Shlomchik MJ

    更新日期:2004-09-01 00:00:00

  • Expression and regulation of chemokine receptors in human natural killer cells.

    abstract::Using flow cytometric and RNase protection assays, this study examined the expression of chemokine receptors in nonactivated natural killer (NK) cells and compared this expression with NK cells activated with interleukin (IL)-2, which either adhered to plastic flasks (AD) or did not adhere (NA). None of the NK cell su...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood.v97.2.367

    authors: Inngjerdingen M,Damaj B,Maghazachi AA

    更新日期:2001-01-15 00:00:00

  • Increased efficiency of retroviral-mediated gene transfer and expression in primate bone marrow progenitors after 5-fluorouracil-induced hematopoietic suppression and recovery.

    abstract::To define conditions for improved efficiency of retroviral-mediated gene transfer and expression in primate progenitor cells, four rhesus monkeys were treated with a 200 mg/kg intravenous bolus of 5-fluorouracil (5-FU). The kinetics of hematopoietic suppression and recovery were assessed in peripheral blood, bone marr...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Wieder R,Cornetta K,Kessler SW,Anderson WF

    更新日期:1991-02-01 00:00:00

  • Primary prophylaxis with warfarin prevents thrombosis in paroxysmal nocturnal hemoglobinuria (PNH).

    abstract::Paroxysmal nocturnal hemoglobinuria (PNH) is an acquired hemolytic anemia in which venous thrombosis is the most common cause of death. Here we address the risk factors for thrombosis and the role of warfarin prophylaxis in PNH. The median follow-up of 163 PNH patients was 6 years (range, 0.2-38 years). Of the patient...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2003-01-0009

    authors: Hall C,Richards S,Hillmen P

    更新日期:2003-11-15 00:00:00

  • Antibody-induced neutrophil activation as a trigger for transfusion-related acute lung injury in an ex vivo rat lung model.

    abstract::Transfusion-related acute lung injury (TRALI) is a hazardous complication of transfusion and has become the leading cause of transfusion-related death in the United States and United Kingdom. Although leukoagglutinating antibodies have been frequently shown to be associated with the syndrome, the mechanism by which th...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2005-04-1744

    authors: Sachs UJ,Hattar K,Weissmann N,Bohle RM,Weiss T,Sibelius U,Bux J

    更新日期:2006-02-01 00:00:00

  • How I treat elderly patients with myeloma.

    abstract::The clinical approach to older patients with myeloma has to be modified to take into account comorbidities and the likelihood of higher treatment-related toxicity. Individualization of management and adequate supportive therapy are important to obtain the best response while minimizing adverse effects. Corticosteroids...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2009-10-163329

    authors: Mehta J,Cavo M,Singhal S

    更新日期:2010-09-30 00:00:00

  • Alpha-Chain cross-linking in fibrin(ogen) Marburg.

    abstract::The fibrinogen structural variant, Marburg (A alpha 1-460B beta gamma)2, is comprised of normal B beta and gamma chains but contains severely truncated A alpha chains that are missing approximately one half of their factor XIIIa cross-linking domain. Immunochemical studies of fibrin(ogen) Marburg were conducted to cha...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Sobel JH,Trakht I,Wu HQ,Rudchenko S,Egbring R

    更新日期:1995-08-01 00:00:00