Die Entstehung eines brustkrebsassoziierten Lymphödems stellt eine gefürchtete Komplikation
dar. Die dogmatische Beschränkung von Venenpunktionen und Blutdruckmessungen auf den
kontralateralen Arm kann sich jedoch zu einer Herausforderung entwickeln und wird
nicht nur deswegen zunehmend kritisch diskutiert.
Abstract
Breast cancer ranges among the most commonly diagnosed oncological diseases worldwide.
Strategies of timely detection and advanced multimodal therapies have significantly
improved 10-year survival rates.
Hence, breast cancer survivors regularly present for non-cancer related procedures.
This challenges the historical practice of complete avoidance of ipsilateral venous
catheter placement or blood pressure measurements. While this dogma has evolved from
the belief these interventions might increase the risk of breast-cancer related lymphedema,
a growing body of evidence has now proven otherwise. Ipsilateral venipunctures and
catheters are not associated with increased complications of transitional limb swelling
or persistent edema and ipsilateral procedures are therefore not contraindicated.
Education of patients and providers are necessary to clarify on this long-standing
myth.
Schlüsselwörter
Brustkrebs - Venenpunktion - Lymphödem - periphervenöser Zugang - Lymphadenektomie
- intravenöse Katheteranlage
Keywords
venipuncture - breast cancner - lymphoedema - lymphadenectomy
