{"id":8045,"date":"2020-04-28T13:40:24","date_gmt":"2020-04-28T11:40:24","guid":{"rendered":"http:\/\/campusvygon.com\/cl\/?p=8045"},"modified":"2021-11-23T11:21:07","modified_gmt":"2021-11-23T10:21:07","slug":"5-puntos-para-saber-todo-sobre-la-trombosis-en-piccs","status":"publish","type":"post","link":"https:\/\/campusvygon.com\/cl\/5-puntos-para-saber-todo-sobre-la-trombosis-en-piccs\/","title":{"rendered":"5 puntos para saber todo sobre la trombosis en PICCs"},"content":{"rendered":"\n<p><span data-contrast=\"none\">La <strong>trombosis<\/strong> sigue siendo una de las complicaciones conocidas en PICCs. Aunque a lo largo de los a\u00f1os se ha ido entiendo mejor cu\u00e1les son los factores que favorecen su aparici\u00f3n, no deja de ser una<strong> complicaci\u00f3n grave<\/strong> que puede perjudicar al paciente por <strong>provocar un retraso en su tratamiento<\/strong> y que puede <strong>poner en juego su salud<\/strong>.\u00a0<\/span><\/p>\n\n\n\n<p><span data-contrast=\"none\">Te contamos a continuaci\u00f3n los puntos fundamentales a a recordar sobre la trombosis en cat\u00e9teres PICC.<\/span><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><a href=\"http:\/\/campusvygon.com\/cl\/accesos-vasculares-media-larga-duracion\/\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/08\/Accesos-vasculares-banner.jpg\" alt=\"\" class=\"wp-image-26576\" width=\"525\" height=\"375\" srcset=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/08\/Accesos-vasculares-banner.jpg 525w, http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/08\/Accesos-vasculares-banner-480x343.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 525px, 100vw\" \/><\/a><\/figure><\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><span data-contrast=\"none\">Si no te da tiempo a leerlo entero, te hemos preparado este breve resumen:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>INCIDENCIAS: <\/strong>ciertos estudios indican que la trombosis puede ocurrir a veces hasta en un <strong>30%<\/strong> de los pacientes portadores de PICCs, porcentaje que seg\u00fan GAVeCeLT puede<strong> disminuir mucho si se cuida mucho la inserci\u00f3n<\/strong> y se tiene en cuenta otros factores<\/li><li><strong>CAUSAS<\/strong>: seg\u00fan la <strong>triada de Virchow<\/strong>, los 3 facrores que inciden en la aparici\u00f3n de la trombosis son <strong>la inserci\u00f3n del cat\u00e9ter, la estasis y la hipercoagulabilidad del paciente<\/strong><\/li><li><strong>PREVENCI\u00d3N<\/strong>: 1. Usar cat\u00e9teres de&nbsp;<b>silicona<\/b>&nbsp;o&nbsp;<b>PUR <\/b>&#8211; 2.&nbsp;No colocar un PICC&nbsp;<b>cerca o del mismo lado<\/b>&nbsp;que una&nbsp;<b>trombosis reciente<\/b> &#8211; 3.&nbsp;Elegir una vena que tenga&nbsp;<b>m\u00ednimo 3 veces el di\u00e1metro<\/b> del cat\u00e9ter &#8211; 4. Usar siempre&nbsp;<b>ecograf\u00eda<\/b><b>&nbsp;para&nbsp;<\/b>minimizar al m\u00e1ximo la invasividad de la inserci\u00f3n &#8211; 5.&nbsp;Asegurarse de que la punta est\u00e9&nbsp;<b>al nivel de la uni\u00f3n cavo-auricular<\/b>&nbsp;y posicionada hacia&nbsp;<b>abajo<\/b><\/li><\/ul>\n\n\n\n<div class=\"_aok\" tabindex=\"0\"><span class=\"_3oh- _58nk\">&nbsp;<\/span><\/div>\n\n\n\n<div class=\"_8rnv preview\">\n<div class=\"_7ef9\" data-tooltip-content=\"Ver\u00f3nica GIL\" data-hover=\"tooltip\">\n<h2 class=\"_aou\" tabindex=\"0\" role=\"button\" aria-label=\"Ver reacciones de los mensajes\"><b><span data-contrast=\"none\">\u00bfQu\u00e9 es la trombosis?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/h2>\n<\/div>\n<\/div>\n\n\n\n<p><span data-contrast=\"auto\">La trombosis<\/span> <span data-contrast=\"auto\">consiste en<\/span> <span data-contrast=\"auto\">la <\/span><b><span data-contrast=\"auto\">formaci\u00f3n de un co\u00e1gulo en un vaso<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\"> Puede ser particularmente grave cuando el trombo migra<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> lo cual puede desembocar en una <\/span><b><span data-contrast=\"auto\">embolia pulmonar<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Respecto<\/span><span data-contrast=\"auto\"> a la <\/span><b><span data-contrast=\"auto\">trombosis relacionada con cateterismo<\/span><\/b> <span data-contrast=\"auto\">GAVeCeLT<\/span><span data-contrast=\"auto\"> hace la definici\u00f3n siguiente:&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>La trombosis relacionada con cateterismo significa que <b>el tramo en el cual est\u00e1 insertado <\/b><b>el cat\u00e9ter presenta una trom<\/b><b>b<\/b><b>osis venosa<\/b> debida a una <b>lesi\u00f3n del endotelio<\/b> causada por la <b>penetraci\u00f3n del cat\u00e9ter<\/b> en la vena o por <b>el trauma mec\u00e1nico y\/o qu\u00edmico <\/b><b>que provoca<\/b><b> la punta<\/b> del cat\u00e9ter sobre el endotelio.<\/p><\/blockquote>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Y a\u00f1ade que es importante <b>diferenciar la trombosis<\/b> de la <b>obstrucci\u00f3n del cat\u00e9ter,<\/b> causada esta por <b>co\u00e1gulos<\/b> o por el mal nombrado <b>manguito de fibrina que en realidad es de fibroblastos<\/b>, que responden a la presencia de un cuerpo extra\u00f1o (el cat\u00e9ter).<\/p>\n\n\n\n<p><span data-contrast=\"auto\">Existen dos tipos de trombosis relacionadas con cateterismo:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">La&nbsp;<\/span> <b><span data-contrast=\"auto\">trombosis venosa superficial<\/span><\/b><span data-contrast=\"auto\"> cuando los vasos afectados <\/span><span data-contrast=\"auto\">son pocos profundos como los de los miembros superiores e inferiores<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">La <\/span><b><span data-contrast=\"auto\">trombosis venosa profunda<\/span><\/b><span data-contrast=\"auto\"> cuando los vasos afectados son profundo<\/span><span data-contrast=\"auto\">s<\/span><span data-contrast=\"auto\"> como son la subclavia, el tronco braquiocef\u00e1lico, la vena cava superior por ejemplo.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"><br><\/span><\/li><\/ul>\n\n\n\n<p><span data-contrast=\"auto\">Un dato importante a recordar: un cat\u00e9ter ocluido no siempre significa que hay<\/span><span data-contrast=\"auto\">a<\/span><span data-contrast=\"auto\"> una trombosis. Un <\/span><b><span data-contrast=\"auto\">trombo<\/span><\/b><span data-contrast=\"auto\"> es la formaci\u00f3n de <\/span><b><span data-contrast=\"auto\">un coagulo en la vena<\/span><\/b><b><span data-contrast=\"auto\">. <\/span><\/b>P<span data-contrast=\"none\">uede <\/span><span data-contrast=\"none\">suceder que se forme<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\"> un coagulo en el cat\u00e9ter, <\/span><b><span data-contrast=\"auto\">pero no <\/span><\/b><b><span data-contrast=\"none\">es <\/span><\/b><b><span data-contrast=\"auto\">una trombosis<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">\u00bfQu\u00e9 incidencia tiene la trombosis en los PICCs?<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><\/h2>\n\n\n\n<p><b><span data-contrast=\"none\">Con la generalizaci\u00f3n del uso del PICC<\/span><\/b><b><span data-contrast=\"none\">,<\/span><\/b><b><span data-contrast=\"none\"> ha ido creciendo su mala <\/span><\/b><b><span data-contrast=\"none\">reputaci\u00f3n como generador de trombosis. <\/span><\/b><span data-contrast=\"none\">Bastantes estudios <\/span><span data-contrast=\"none\">se\u00f1alaban <\/span><span data-contrast=\"none\">que el PICC tiene una tasa de trombosis superior a<\/span><span data-contrast=\"none\"> la de<\/span><span data-contrast=\"none\"> los cat\u00e9teres centrales en general.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Seg\u00fan el documento de la SEOM, <\/span><span data-contrast=\"auto\">Profilaxis<\/span> <span data-contrast=\"auto\">y tratamiento<\/span> <span data-contrast=\"auto\">de la trombosis<\/span> <span data-contrast=\"auto\">asociada a cat\u00e9ter<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><span data-contrast=\"auto\">venoso central<\/span><span data-contrast=\"auto\">:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>La incidencia de la enfermedad tromboemb\u00f3lica venosa (ETV) en el paciente <b>oncol\u00f3gico<\/b> var\u00eda entre el <b>0,8 y el 30%,<\/b> seg\u00fan las series, y depende de diversos factores relacionados con el <b>paciente<\/b>, el <b>tumor<\/b> y el tipo de <b>tratamiento<\/b>. Los pacientes con c\u00e1ncer tienen un riesgo de sufrir un evento tromb\u00f3tico superior al de la poblaci\u00f3n general [\u2026].<span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><br><\/span><\/p><\/blockquote>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><span data-contrast=\"auto\">Los porcentajes pueden varias bastantes en funci\u00f3n de si hablamos de la trombosis sintom\u00e1tica o asintom\u00e1tica.\u00a0<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Chopra en su art\u00edculo sobre trombosis relacionada con el <\/span><b><span data-contrast=\"auto\">PICC<\/span><\/b><span data-contrast=\"auto\"> comenta que <\/span><span data-contrast=\"auto\">l<\/span><i><span data-contrast=\"none\">a incidencia de la trombosis venosa profunda (TVP) para los PICC es entre <\/span><\/i><b><i><span data-contrast=\"none\">5 y 15<\/span><\/i><\/b><b><i><span data-contrast=\"none\">%<\/span><\/i><\/b><i><span data-contrast=\"none\"> para los pacientes <\/span><\/i><b><i><span data-contrast=\"none\">hospitalizados<\/span><\/i><\/b><i><span data-contrast=\"none\"> y entre <\/span><\/i><b><i><span data-contrast=\"none\">2 y 5<\/span><\/i><\/b><b><i><span data-contrast=\"none\">%<\/span><\/i><\/b> <i><span data-contrast=\"none\">para los pacientes <\/span><\/i><b><i><span data-contrast=\"none\">ambulatorios<\/span><\/i><\/b><span data-contrast=\"none\">.<\/span><span data-contrast=\"none\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>Los estudios que examinan la trombosis venosa profunda relacionada con los PICC manteniendo un seguimiento semanal, sin tener en cuenta la presencia de s\u00edntomas, reportan tasas de trombosis venosa profunda de <b>hasta 33<\/b><b>%<\/b>.<\/p><\/blockquote>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><span data-contrast=\"none\">Sin embargo, el Dr. Mauro Pittiruti recalca en varias ocasiones (congresos, <\/span><a href=\"https:\/\/www.youtube.com\/watch?v=10m2TdbLru0&amp;list=PLudknT6ICYd306X309Bi4S05TQoh7-pf-&amp;index=3\"><span data-contrast=\"none\">entrevistas<\/span><\/a><span data-contrast=\"none\">),<\/span> <span data-contrast=\"none\">que<\/span> <span data-contrast=\"none\">ciertos estudios importantes hechos al respecto han sido sesgados y que,<\/span> <span data-contrast=\"none\">en realidad,<\/span> <span data-contrast=\"none\">en casi todos los casos esta incidencia est\u00e1 ligada a la t\u00e9cnica de inserci\u00f3n.\u00a0\u00a0<\/span><\/p>\n\n\n\n<p><span data-contrast=\"none\">P<\/span><span data-contrast=\"none\">odemos deducir que<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\"> si el procedimiento se cuida el m\u00e1ximo,<\/span><span data-contrast=\"none\"> teniendo en cuenta varios factores que veremos,<\/span><span data-contrast=\"none\"> las incidencias de trombosis en PICC <\/span><span data-contrast=\"none\">pueden <\/span><span data-contrast=\"none\">disminu<\/span><span data-contrast=\"none\">ir <\/span><span data-contrast=\"none\">mucho<\/span><span data-contrast=\"none\">, lo <\/span><span data-contrast=\"none\">cual<\/span><span data-contrast=\"none\"> ya se ha demostrado en la publicaci\u00f3n <\/span><span data-contrast=\"none\">Vassorano<\/span><span data-contrast=\"none\"> del grupo <\/span><span data-contrast=\"none\">GAVeCeLT<\/span><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">Causas de la trombosis relacionada con cateterismo (TRC)<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><\/h2>\n\n\n\n<p><span data-contrast=\"auto\">En<\/span> <span data-contrast=\"auto\">el art\u00edculo<\/span> <i><span data-contrast=\"auto\">Catheter-related<\/span><\/i> <i><span data-contrast=\"auto\">thrombosis: A practical<\/span><\/i> <i><span data-contrast=\"auto\">approach<\/span><\/i> <span data-contrast=\"auto\">que contempla los pacientes de UCI, y que habla de cat\u00e9teres centrales y PICCs usados en este \u00e1mbito,<\/span> <span data-contrast=\"auto\">los mecanismos que llevan a la TRC est\u00e1n clasificadas seg\u00fan tres categor\u00edas:\u00a0<\/span><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><a href=\"http:\/\/campusvygon.com\/cl\/6-complicaciones-picc-ports\/virshow\/\" rel=\"attachment wp-att-19414\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/Virshow.jpg\" alt=\"\" class=\"wp-image-19414\" width=\"750\" height=\"750\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/Virshow.jpg 1000w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/Virshow-300x300.jpg 300w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/Virshow-150x150.jpg 150w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/Virshow-768x768.jpg 768w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/Virshow-70x70.jpg 70w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/Virshow-335x335.jpg 335w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/Virshow-360x360.jpg 360w\" sizes=\"(max-width: 750px) 100vw, 750px\" \/><\/a><\/figure><\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><span data-contrast=\"auto\">Durante el congreso de la SEINAV del 2019, Nancy Moureau explicaba las causas de la trombosis venosa profunda de la siguiente manera:<\/span><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Info-fisiopatolog\u00eda-300x180.jpg\" alt=\"fisiopatolog\u00eda de la trombosis\" class=\"wp-image-8044\" width=\"517\" height=\"310\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Info-fisiopatolog\u00eda-300x180.jpg 300w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Info-fisiopatolog\u00eda-335x201.jpg 335w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Info-fisiopatolog\u00eda.jpg 567w\" sizes=\"(max-width: 517px) 100vw, 517px\" \/><\/figure><\/div>\n\n\n\n<p><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><span data-contrast=\"none\">Si <\/span><span data-contrast=\"none\">tenemos en cuenta <\/span><span data-contrast=\"none\">el aspecto \u201cflujo\u201d, s<\/span><span data-contrast=\"none\">eg\u00fan el Dr. <\/span><span data-contrast=\"none\">Pittiruti<\/span><span data-contrast=\"none\">, <\/span><span data-contrast=\"none\">el problema <\/span><span data-contrast=\"none\">real <\/span><span data-contrast=\"none\">no reside en que el PICC en comparaci\u00f3n con el cat\u00e9ter central tenga una luz m\u00e1s peque\u00f1a (menos flujo)<\/span><span data-contrast=\"none\">;<\/span><span data-contrast=\"none\"> sino<\/span><span data-contrast=\"none\"> en la elecci\u00f3n de <\/span><span data-contrast=\"none\">un cat\u00e9ter de<\/span> <span data-contrast=\"none\">calibre inadecuado <\/span><span data-contrast=\"none\">respecto a la vena<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\"> que puede generar un trombo en la parte proximal del dispositivo, donde la vena es m\u00e1s peque\u00f1a (m\u00e1s perif\u00e9rica).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><br><\/span><\/p>\n\n\n\n<p><span data-contrast=\"none\">E<\/span><span data-contrast=\"none\">n el <\/span><span data-contrast=\"none\">estudio <\/span><span data-contrast=\"none\">\u201c<\/span><span data-contrast=\"none\">Incidencia y factores de riesgo de la tromb<\/span><span data-contrast=\"none\">o<\/span><span data-contrast=\"none\">sis superficial y pr<\/span><span data-contrast=\"none\">o<\/span><span data-contrast=\"none\">funda en <\/span><span data-contrast=\"none\">PICCs<\/span><span data-contrast=\"none\"> pedi\u00e1tricos\u201d<\/span> <span data-contrast=\"none\">(Men\u00e9ndez <\/span><span data-contrast=\"none\">et.al<\/span><span data-contrast=\"none\">)<\/span><span data-contrast=\"none\"> aparecen dos datos interesantes<\/span><span data-contrast=\"none\">:<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"16\" aria-setsize=\"-1\" data-aria-posinset=\"0\" data-aria-level=\"1\"><span data-contrast=\"none\">s<\/span><span data-contrast=\"none\">eg\u00fan la ley de Poiseuille, <\/span><span data-contrast=\"none\">cuanto mayor es la ratio cat\u00e9ter\/vena, <\/span><span data-contrast=\"none\">m<\/span><span data-contrast=\"none\">a<\/span><span data-contrast=\"none\">y<\/span><span data-contrast=\"none\">or es el<\/span><span data-contrast=\"none\"> riesgo de estasis sangu\u00edne<\/span><span data-contrast=\"none\">a<\/span><span data-contrast=\"none\">. Y<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\"> seg\u00fan la triada de Virchow<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\"> m\u00e1s riesgo de trombosis<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"16\" aria-setsize=\"-1\" data-aria-posinset=\"0\" data-aria-level=\"1\"><span data-contrast=\"auto\">la trombosis venosa profunda es menos frecuente en ni\u00f1os y proviene de la expansi\u00f3n del trombo de la TVS<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><br><\/span><\/li><\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">Fisiopatolog\u00eda<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><\/h2>\n\n\n\n<p><span data-contrast=\"auto\">Como <\/span><span data-contrast=\"auto\">hemos <\/span><span data-contrast=\"auto\">visto anteriormente<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> un factor clave en la incidencia de trombosis es el <\/span><b><span data-contrast=\"auto\">trauma endotelial <\/span><\/b><span data-contrast=\"auto\">que se <\/span><span data-contrast=\"auto\">produ<\/span><span data-contrast=\"auto\">ce en el momento de la <\/span><b><span data-contrast=\"auto\">inserci\u00f3n<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">De hecho la formaci\u00f3n de un trombo siempre corresponde a una respuesta del cuerpo frente una agresi\u00f3n:\u00a0<\/span><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Factores-de-coagulaci\u00f3n-300x190.jpg\" alt=\"Factores de coagulaci\u00f3n\" class=\"wp-image-8041\" width=\"546\" height=\"346\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Factores-de-coagulaci\u00f3n-300x190.jpg 300w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Factores-de-coagulaci\u00f3n-335x212.jpg 335w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Factores-de-coagulaci\u00f3n.jpg 567w\" sizes=\"(max-width: 546px) 100vw, 546px\" \/><\/figure><\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">Sintomatolog\u00eda<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><\/h2>\n\n\n\n<p><span data-contrast=\"auto\">Varios s\u00edntomas representativos <\/span><span data-contrast=\"auto\">indican<\/span><span data-contrast=\"auto\"> que estamos en presencia de una trombosis:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Edema del brazo (u hombro)<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Eritema<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Dolor ipsilateral (brazo, hombro, cuello, cara correspondiendo al lado del cat\u00e9ter)<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">S\u00edntomas de obstrucci\u00f3n de la VCS<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Dificultad en sacar sangre del cat\u00e9ter<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li><\/ul>\n\n\n\n<p><span data-contrast=\"auto\">La cantidad de pacientes asintom\u00e1ticos puede ser importante y <\/span><span data-contrast=\"auto\">en estos casos <\/span><span data-contrast=\"auto\">solo se detecta la trombosis de forma fortuita durante otr<\/span><span data-contrast=\"auto\">a<\/span><span data-contrast=\"auto\"> exploraci\u00f3n.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">\u00bfC\u00f3mo prevenir la trombosis en pacientes portadores de PICC?<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><\/h2>\n\n\n\n<p><span data-contrast=\"auto\">GAVeCeLT<\/span><span data-contrast=\"auto\"> en su manual sobre PICC y <\/span><span data-contrast=\"auto\">Midline<\/span><span data-contrast=\"auto\"> indica que <\/span><span data-contrast=\"auto\">e<\/span><span data-contrast=\"none\">s posible prevenir la trombosis de la forma siguiente:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\">Usar cat\u00e9teres de <b>silicona<\/b> o <b>PUR<\/b><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\">No colocar un PICC <b>cerca o del mismo lado<\/b> que una <b>trombosis reciente<\/b><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\">Elegir una vena que tenga <b>m\u00ednimo 3 veces el di\u00e1metro<\/b> del cat\u00e9ter, factor especialmente sensible en ni\u00f1os (Men\u00e9ndez et.al)<\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\">Usar siempre <b>ecograf\u00eda<\/b><b> para <\/b>minimizar al m\u00e1ximo la invasividad de la inserci\u00f3n<\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\">Asegurarse de que la punta est\u00e9 <b>al nivel de la uni\u00f3n cavo-auricular<\/b> y posicionada hacia <b>abajo<\/b><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\">Usar sistemas que permiten <b>una fijaci\u00f3n adecuada<\/b> del cat\u00e9ter: dispositivo <b>sin sutura<\/b> + ap\u00f3sito transparente.<\/li><\/ul>\n\n\n\n<p><span data-contrast=\"none\">Se\u00f1ala que obviamente l<\/span><span data-contrast=\"none\">os trastornos de la coagulaci\u00f3n (cong\u00e9nitos o adquiridos) son un factor independiente que incide directamente<\/span><span data-contrast=\"none\"> en la trombosis<\/span><span data-contrast=\"none\"> y<\/span><span data-contrast=\"none\">:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\">que no se puede prevenir <b>respecto al<\/b><b> cateterismo<\/b><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\">para el cu\u00e1l se puede hacer una <b>profilaxis <\/b><b>con<\/b><b> heparina de bajo peso molecular<\/b> <b>\u00fanicamente en pacientes seleccionados<\/b>: antecedentes de trombosis relacionada con cateterismo, trombofilia cong\u00e9nita, antecedentes de trombosis de varios tipos debidos a patolog\u00edas con riesgo tromb\u00f3tico asociado, etc\u2026<\/li><\/ul>\n\n\n\n<p><span data-contrast=\"none\">Por otra parte, e<\/span><span data-contrast=\"none\">l estudio<\/span> <span data-contrast=\"none\">llamado <\/span><i><span data-contrast=\"none\">The<\/span><\/i><i><span data-contrast=\"none\"> Michigan <\/span><\/i><i><span data-contrast=\"none\">Risk<\/span><\/i><i><span data-contrast=\"none\"> Score <\/span><\/i><i><span data-contrast=\"none\">to<\/span><\/i> <i><span data-contrast=\"none\">Predict<\/span><\/i> <i><span data-contrast=\"none\">Peripherally<\/span><\/i> <i><span data-contrast=\"none\">Inserted<\/span><\/i><i><span data-contrast=\"none\"> Central <\/span><\/i><i><span data-contrast=\"none\">Catheter-Associated<\/span><\/i> <i><span data-contrast=\"none\">Thrombosis<\/span><\/i> <span data-contrast=\"none\">ha permitido la elaboraci\u00f3n de<\/span><span data-contrast=\"none\"> una <\/span><b><span data-contrast=\"none\">escala<\/span><\/b><span data-contrast=\"none\"> para poder establecer e<\/span><span data-contrast=\"none\">l <\/span><b><span data-contrast=\"none\">riesgo<\/span><\/b><span data-contrast=\"none\"> que tiene un paciente de desarrollar una <\/span><b><span data-contrast=\"none\">trombosis<\/span><\/b><span data-contrast=\"none\">. El riesgo se calcula a trav\u00e9s de las variables siguientes:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Presencia de otro cat\u00e9ter central cuando se coloca el PICC &#8211; <\/span><b><i><span data-contrast=\"none\">1 punto<\/span><\/i><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:709,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Leucocitos &lt; 12.000 en el momento de la inserci\u00f3n &#8211; <\/span><b><i><span data-contrast=\"none\">1 punto<\/span><\/i><\/b><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">C\u00e1ncer activo \u2013 <\/span><b><i><span data-contrast=\"none\">2 puntos<\/span><\/i><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:709,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Numero de luces del PICC: 1 y 2 luces \u2013 <\/span><b><i><span data-contrast=\"none\">2 puntos<\/span><\/i><\/b><span data-contrast=\"none\">; 3 y 4 luces \u2013 <\/span><b><i><span data-contrast=\"none\">3 puntos<\/span><\/i><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:709,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Antecedentes de trombosis &#8211; <\/span><b><i><span data-contrast=\"none\">2 puntos<\/span><\/i><\/b><span data-contrast=\"none\"> y si ha sido en los 30 d\u00edas anteriores &#8211; <\/span><b><i><span data-contrast=\"none\">3 puntos<\/span><\/i><\/b><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:709,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><\/ul>\n\n\n\n<p><span data-contrast=\"none\">A partir de los datos analizados a trav\u00e9s de un estudio observacional multic\u00e9ntrico implicando a m\u00e1s de 23.000 pacientes (en 51 hospitales), se ha creado <\/span><span data-contrast=\"none\">cuatro<\/span><span data-contrast=\"none\"> grupos en funci\u00f3n del nivel de riesgo:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><span data-contrast=\"none\">Pacientes clase I: 0 puntos = 0.9% de riesgo\u00a0<\/span><\/li><li><span data-contrast=\"none\">Pacientes clase II: 1-2 puntos = 1,5% de riesgo\u00a0\u00a0<\/span><\/li><li><span data-contrast=\"none\">Pacientes clase III: 3-4 puntos = 2,6% de riesgo\u00a0<\/span><\/li><li><span data-contrast=\"none\">Pacientes clase IV: >4 puntos = 4,5% de riesgo<\/span><\/li><\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Info-PICC-y-trombosis-225x300.jpg\" alt=\"PICC y trombosis\" class=\"wp-image-8042\" width=\"428\" height=\"571\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Info-PICC-y-trombosis-225x300.jpg 225w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Info-PICC-y-trombosis-251x335.jpg 251w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Info-PICC-y-trombosis.jpg 425w\" sizes=\"(max-width: 428px) 100vw, 428px\" \/><\/figure><\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Bibliograf\u00eda<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li><span data-contrast=\"none\">The risk of venous thromboembolism<\/span> <span data-contrast=\"none\">associated with peripherally inserted<\/span> <span data-contrast=\"none\">central catheters in ambulant cancer<\/span> <span data-contrast=\"none\">patients<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><span data-contrast=\"none\">Jones <\/span><span data-contrast=\"none\">et al. <\/span><span data-contrast=\"none\">Thrombosis<\/span><span data-contrast=\"none\"> Journal <\/span><span data-contrast=\"none\">2017<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559731&quot;:45,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><span data-contrast=\"auto\">Peripherally inserted central catheter (PICC)-related thrombosis<\/span> <span data-contrast=\"auto\">in critically ill patients<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><span data-contrast=\"none\">Zochios<\/span><span data-contrast=\"none\"> et al<\/span> <span data-contrast=\"none\">J <\/span><span data-contrast=\"none\">Vasc<\/span><span data-contrast=\"none\"> Access 2014<\/span><span data-contrast=\"none\">;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559731&quot;:45,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><span data-contrast=\"none\">The Michigan Risk Score to Predict Peripherally Inserted Central Catheter-Associated Thrombosis<\/span><span data-contrast=\"none\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp; <\/span><span data-contrast=\"auto\">Chopra,<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28796444\"><span data-contrast=\"auto\">J <\/span><span data-contrast=\"auto\">Thromb<\/span> <span data-contrast=\"auto\">Haemost<\/span><span data-contrast=\"auto\">.<\/span><\/a><span data-contrast=\"none\">\u202f2017<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><span data-contrast=\"auto\">The <\/span><span data-contrast=\"auto\">GAVeCeLT<\/span> <span data-contrast=\"auto\">Manual of PICC and Midline&nbsp;&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp; <\/span><span data-contrast=\"auto\">Pittiruti<\/span><span data-contrast=\"auto\"> y <\/span><span data-contrast=\"auto\">Scoppettuolo<\/span> <span data-contrast=\"auto\">2017<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><span data-contrast=\"auto\">Ponencia<\/span> <span data-contrast=\"auto\">Deep Vein Thrombosis and Vascular Access, a difficult coexistence<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp; <\/span><span data-contrast=\"auto\">Nancy <\/span><span data-contrast=\"auto\">Moureau<\/span><span data-contrast=\"auto\"> &#8211; <\/span><span data-contrast=\"auto\">Congreso<\/span><span data-contrast=\"auto\"> SEINAV 2019&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><span data-contrast=\"none\">Peripherally inserted central catheter (PICC)-related venous thrombosis<\/span><span data-contrast=\"none\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><span data-contrast=\"none\">Chopra 2020<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><a href=\"https:\/\/www.uptodate.com\/contents\/peripherally-inserted-central-catheter-picc-related-venous-thrombosis\"><span data-contrast=\"none\">https:\/\/www.uptodate.com\/contents\/peripherally-inserted-central-catheter-picc-related-venous-thrombosis<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><span data-contrast=\"auto\">Entrevista<\/span><span data-contrast=\"auto\"> a Mauro <\/span><span data-contrast=\"auto\">Pittiruti<\/span><span data-contrast=\"auto\"> 2019<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><a href=\"https:\/\/www.youtube.com\/watch?v=10m2TdbLru0\"><span data-contrast=\"none\">https:\/\/www.youtube.com\/watch?v=10m2TdbLru0<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><span data-contrast=\"none\">Ponencia<\/span> <span data-contrast=\"none\">The <\/span><span data-contrast=\"none\">GAVeCeLT<\/span><span data-contrast=\"none\"> bundle for preven<\/span><span data-contrast=\"none\">tio<\/span><span data-contrast=\"none\">n of catheter-related upper extremi<\/span><span data-contrast=\"none\">ti<\/span><span data-contrast=\"none\">es and central venous thrombosis<\/span><span data-contrast=\"none\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span><span data-contrast=\"none\">Mauro <\/span><span data-contrast=\"none\">Pittiruti<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp; <\/span><a href=\"https:\/\/www.improvepicc.com\/uploads\/5\/6\/5\/0\/56503399\/gavecelt_bundle_for_prevention_of_thrombosis.pdf\"><span data-contrast=\"none\">https:\/\/www.improvepicc.com\/uploads\/5\/6\/5\/0\/56503399\/gavecelt_bundle_for_prevention_of_thrombosis.pdf<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">&nbsp;<\/span>[\/accordion]<\/li><\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">contenidos utilizados<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>Foto de portada: <a class=\"blue bleu-de-france-text js-contributor-link\" style=\"font-size: revert;\" href=\"https:\/\/stock.adobe.com\/es\/contributor\/205355035\/kateryna-kon?load_type=author&amp;prev_url=detail\" data-ingest-clicktype=\"details-contributor-link\">Kateryna_Kon<\/a> en Adobe Stock<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>La trombosis sigue siendo una de las complicaciones conocidas en PICCs. Aunque a lo largo de los a\u00f1os se ha ido entiendo mejor cu\u00e1les son los factores que favorecen su aparici\u00f3n, no deja de ser una complicaci\u00f3n grave que puede perjudicar al paciente por provocar un retraso en su tratamiento y que puede poner en [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":28214,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[80,116],"tags":[294,295,300,296,299,75,298,301,293,297],"class_list":["post-8045","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articulos","category-terapias-intravasculares","tag-cateterismo","tag-edema","tag-endotelio","tag-eritema","tag-fibrina","tag-picc","tag-trc","tag-trombo","tag-trombosis","tag-truma-endotelial"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>5 puntos para saber todo sobre la trombosis en PICCs - Campus Vygon Chile<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/campusvygon.com\/cl\/5-puntos-para-saber-todo-sobre-la-trombosis-en-piccs\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"5 puntos para saber todo sobre la trombosis en PICCs - Campus Vygon Chile\" \/>\n<meta property=\"og:description\" content=\"La trombosis sigue siendo una de las complicaciones conocidas en PICCs. 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