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prophylactic coumadin for implanted ports
Is there data to support placing patients on prophylactic coumadin to prevent occlusions in implanted ports?  I work in an oncology office where we administer chemotherapy.  Most of our patients have implanted ports and we need to have a good blood return prior to administration.  We have occlusion problems occasionally, mostly fibrin sheaths (we send them to the hospital radiology for a dye study and TPA).  Some of our patients are placed on 1 mg of coumadin and I'm looking for articles or evidence to support this practice. I thought that this was done on anecdotal evidence in the past, but it was not supported by studies/evidence.  

Thanks in advance for any information.

The only published evidence
The only published evidence are a couple of very small studies, not enough to establish a sufficient guideline or standard of practice, also very controversial issue. Some oncologist use low dose coumadin but many others do not. Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

Thanks Lynn.  I was hoping
Thanks Lynn.  I was hoping you would respond.  I couldn't find anything.

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