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"Oxaliplatin has both irritant and vesicant properties that are difficult to distinguish at initial clinical presentation" Van Praet et al (2022).

Oxaliplatin extravasation management

Abstract:

This case report describes a unique case of chronic reaction after extravasation of oxaliplatin. The pain and extensive subcutaneous induration did not resolve after 9 months of conservative treatment. Surgical debridement with removal of the totally implantable venous access device (TIVAD) resulted in immediate resolution of the symptoms. Oxaliplatin has both irritant and vesicant properties that are difficult to distinguish at initial clinical presentation. In most literature cases complaints resolve within 3 months with conservative treatment yet surgical debridement should be considered if complaints persist beyond this period.


Reference:

Van Praet L, Boecxstaens V, Douchy T. Surgical management after Oxaliplatin extravasation: A case report and literature review. J Vasc Access. 2022 Feb 8:11297298221075237. doi: 10.1177/11297298221075237. Epub ahead of print. PMID: 35130786.

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