Percutaneous placement of Hickman catheters: comparison of sonographically guided and blind techniques

AJR. American Journal of Roentgenology
J S LamérisH E Schütte

Abstract

We studied the value of sonographically guided puncture of the subclavian vein for placement of indwelling right atrial and permanent subcutaneously tunneled catheters (Hickman) for long-term venous access. The commonly used blind puncture is associated with complications such as pneumothorax, arterial puncture, and hemothorax. The results and complications of 40 sonographically guided punctures and fluoroscopically controlled catheterizations of the subclavian vein (group 1, 31 patients) performed in the radiology department were compared with those of 40 blind percutaneous punctures and fluoroscopically controlled catheterizations (group 2, 29 patients) performed in the operating room. The patients were selected consecutively. The groups were comparable in age, sex, and indication for catheter placement; administration of chemotherapy for hematologic malignancies was the major indication (group 1, 84%; group 2, 83%). All punctures in group 1 were successful; group 2 had two failures (5%). Puncture-related complications occurred significantly more in group 2 (10%) than in group 1 (0%) (p less than .05). These complications were pneumothorax in three cases and hemothorax in one. Complications not related to the puncture techniq...Continue Reading

Citations

Mar 16, 2006·Pediatric Radiology·James S Donaldson
Oct 13, 2007·Pediatric Radiology·Alex BarnacleMelanie P Hiorns
Aug 26, 2006·Cardiovascular and Interventional Radiology·Arul GaneshanRaman Uberoi
Oct 17, 2007·Cardiovascular and Interventional Radiology·Thomas JahnkeStefan Mueller-Huelsbeck
Jan 1, 1997·Cardiovascular and Interventional Radiology·K D McBrideP A Gaines
Mar 7, 2003·Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis·Ali Ekrem UnalOsman Ilhan
Apr 6, 2006·Nature Clinical Practice. Oncology·Giancarlo Agnelli, Melina Verso
Jul 20, 1999·Kidney International·S J Schwab, G Beathard
Oct 10, 2002·Kidney International·John A KellumUNKNOWN ADQI Workgroup
Aug 23, 2002·Seminars in Dialysis·Nicholas Chalmers
Jul 4, 2003·Seminars in Dialysis·Donald Schon, David Whittman
Jun 1, 2004·Seminars in Interventional Radiology·Aalpen A PatelScott O Trerotola
Aug 5, 1995·BMJ : British Medical Journal·A Adam
Mar 27, 2001·AJR. American Journal of Roentgenology·J M LorenzJ A Leef
May 6, 2010·Annals of Cardiac Anaesthesia·P Bhaskar RaoArvind K Baronia
Apr 21, 2012·International Journal of Nephrology·Timmy LeeMichele Mokrzycki
Aug 31, 2001·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·H C Traunecker, B J Morland
Nov 1, 1993·American Journal of Obstetrics and Gynecology·D M ShererJ R Woods
Feb 19, 2013·Clinical Radiology·M NayeemuddinJ R Asquith
Sep 30, 2003·Journal of Vascular and Interventional Radiology : JVIR·James E SilberzweigUNKNOWN Society of Interventional Radiology Technology Assessment Committee
Jul 9, 2010·Journal of Vascular and Interventional Radiology : JVIR·Sean R DariushniaUNKNOWN Society of Interventional Radiology Standards of Practice Committee
Jan 1, 1993·Journal of Vascular and Interventional Radiology : JVIR·M A Mauro, P F Jaques
Nov 1, 1996·Journal of Vascular and Interventional Radiology : JVIR·A A Nemcek
Aug 6, 2000·Journal of Vascular and Interventional Radiology : JVIR·R KayeR B Towbin
Mar 29, 2000·Journal of Vascular and Interventional Radiology : JVIR·J E SilberzweigC W Bakal
Sep 27, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Melina Verso, Giancarlo Agnelli
Oct 17, 2002·Advances in Renal Replacement Therapy·Andrew Davenport, Sangeeta Mehta
Dec 29, 1994·The New England Journal of Medicine·W D Haire, R P Lieberman
Jul 9, 1999·Hospital Medicine·J I Vrazas
Mar 1, 2007·Journal of Medical Ultrasonics·Tomoyuki OhtaAtsushi Tsugu
Mar 26, 2009·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Nikolaos MelasDimitrios Kiskinis
Nov 24, 1999·Current Opinion in Clinical Nutrition and Metabolic Care·F C Albuquerque Júnior, P R Vasconcelos
Jul 10, 2007·International Journal of Laboratory Hematology·L BishopJ Treleaven
Nov 24, 1999·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·J L NouwenS de Marie
Dec 29, 2020·The Journal of Surgical Research·Soundappan S V SoundappanJonathan Karpelowsky
Mar 7, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved