RecruitingNCT06417541

Autopsy and Photon Counting Computed Tomography to Evaluate Thromboses Related to Central Venous Catheters

Autopsy and Photon Counting Computed Tomography to Evaluate Thromboses Related to Central Venous Catheters (PHOTO CAT)


Sponsor

Thomas Kander

Enrollment

75 participants

Start Date

Jan 16, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

Central venous (CVC) is essential in modern healthcare but unfortunately associated with complications, including thrombosis. In a recently published study, it was showed that 12 out of 12 deceased patients had subclinical CVK-related thrombosis (Rockholt et al.). To shed light on this problem, the current studies were designed. In sub-study 1, deceased patients with CVC who are referred for clinical autopsy are included. Before the autopsy, the deceased will be examined with a photon-counting computed tomography (CT) scan and the results will be compared. In sub-study 2, living patients with CVC who are referred for various CT scans without contrast, are included. After informed consent, the patient will be examined with the photon-counting CT, whose reliability has been validated in Part 1 and the incidence of subclinical CVC-related thrombosis will be reported.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Substudy 1
  • Diseased patients with an indwelling central venous catheter and a clinical indication for autopsy
  • Informed and signed consent from next of kind
  • Living patients with an indwelling central venous catheter who are referred to a CT scan without iv contrast
  • Informed and signed consent from the patient

Exclusion Criteria2

  • None
  • \- GFR \<15 mL/min/1.73 m2

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Interventions

DIAGNOSTIC_TESTDiseased patients with an indwelling central venous catheter who is referred to autopsy

Photon counting CT is performed and the results are compared to the results of the autopsy

RADIATIONLiving patients with an indwelling central venous catheter referred to a CT scan without iv contrast

Patients will be investigated using a photon counting CT. Prior to the investigation patients will be investigated with ultrasound. The results from the two modalities will be compared


Locations(1)

Intensive and Perioperative Care. Skåne University Hospital. Lund

Lund, Skåne County, Sweden

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NCT06417541