Category:CTCAE4 Vascular disorders

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Adverse Event Grade1 Grade2 Grade3 Grade4 Grade5
Capillary leak syndrome - Symptomatic; medical intervention indicated Severe symptoms; intervention indicated Life-threatening consequences; urgent intervention indicated Death
Flushing Asymptomatic; clinical or diagnostic observations only; intervention not indicated Moderate symptoms; medical intervention indicated; limiting instrumental ADL Symptomatic, associated with hypotension and/or tachycardia; limiting self care ADL - -
Hematoma Mild symptoms; intervention not indicated Minimally invasive evacuation or aspiration indicated Transfusion, radiologic, endoscopic, or elective operative intervention indicated Life-threatening consequences; urgent intervention indicated Death
Hot flashes Mild symptoms; intervention not indicated Moderate symptoms; limiting instrumental ADL Severe symptoms; limiting self care ADL - -
Hypertension Prehypertension (systolic BP 120 - 139 mm Hg or diastolic BP 80 - 89 mm Hg) Stage 1 hypertension (systolic BP 140 - 159 mm Hg or diastolic BP 90 -99 mm Hg); medical intervention indicated; recurrent or persistent (>=24 hrs); symptomatic increase by >20 mm Hg (diastolic) or to >140/90 mm Hg if previously WNL; monotherapy indicated. Pediatric: recurrent or persistent (>=24 hrs) BP >ULN; monotherapy indicated Stage 2 hypertension (systolic BP >= 160 mm Hg or diastolic BP >=100 mm Hg); medical intervention indicated; more than one drug or more intensive therapy than previously used indicated

Pediatric: Same as adult

Life-threatening consequences (e.g. malignant hypertension, transient or permanent neurologic deficit, hypertensive crisis); urgent intervention indicated

Pediatric: Same as adult

Death
Hypotension Asymptomatic, intervention not indicated Non-urgent medical intervention indicated Medical intervention or hospitalization indicated Life-threatening and urgent intervention indicated Death
Lymph leakage - - - - -
Lymphedema Trace thickening or faint discoloration Marked discoloration; leathery skin texture; papillary formation; limiting instrumental ADL Severe symptoms; limiting self care ADL - -
Lymphocele Asymptomatic; clinical or diagnostic observations only; intervention not indicated Symptomatic; medical intervention indicated Severe symptoms; radiologic, endoscopic or elective operative intervention indicated - -
Peripheral ischemia - Brief (<24 hrs) episode of ischemia managed non-surgically and without permanent deficit Recurring or prolonged (>=24 hrs) and/or invasive intervention indicated Life-threatening consequences; evidence of end organ damage; urgent operative intervention indicated Death
Phlebitis - Present - - -
Superficial thrombophlebitis - Present - - -
Superior vena cava syndrome Asymptomatic; incidental finding of SVC thrombosis Symptomatic; medical intervention indicated (e.g., anticoagulation, radiation or chemotherapy) Severe symptoms; multi-modality intervention indicated (e.g., anticoagulation, chemotherapy, radiation, stenting) Life-threatening consequences; urgent multi-modality intervention indicated (e.g., lysis, thrombectomy, surgery) Death
Thromboembolic event Venous thrombosis (e.g., superficial thrombosis) Venous thrombosis (e.g., uncomplicated deep vein thrombosis), medical intervention indicated Thrombosis (e.g., uncomplicated pulmonary embolism _venous_, non-embolic cardiac mural _arterial_ thrombus), medical intervention indicated Life-threatening (e.g., pulmonary embolism, cerebrovascular event, arterial insufficiency); hemodynamic or neurologic instability; urgent intervention indicated Death
Vascular disorders - Other, specify Asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of existing hospitalization indicated; disabling; limiting self care ADL Life-threatening consequences; urgent intervention indicated Death
Vasculitis Asymptomatic, intervention not indicated Moderate symptoms, medical intervention indicated Severe symptoms, medical intervention indicated (e.g., steroids) Life-threatening; evidence of peripheral or visceral ischemia; urgent intervention indicated Death
Visceral arterial ischemia - Brief (<24 hrs) episode of ischemia managed medically and without permanent deficit Prolonged (>=24 hrs) or recurring symptoms and/or invasive intervention indicated Life-threatening consequences; evidence of end organ damage; urgent operative intervention indicated Death
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