Image-guided central venous catheter placement for apheresis in allogeneic stem cell donors

Sadler, D.J.; McCarthy, Mary C.; Saliken, John C.; So, C.; Klassen, John S.; Selinger, S; Gray, Robin

doi:10.1002/1098-1101(2000)15:3<173::aid-jca3>3.0.co;2-4

Cited by 10 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In approximately 40% percent of the centers, VAD were inserted by multiple services including interventional radiology, general surgery, and thoracic surgery. Some investigators have reported that radiological-guided insertion of tunneled and nontunneled central venous catheters is cheaper and has lower complication rates than the insertion by surgeons utilizing anatomical landmarks mostly due to the benefit of ultrasound guidance for the venous puncture site [13]. Other authors favor VAD insertion in the operating room or suite because complications, such as pneumothorax, can arise in patients undergoing VAD insertion, and these complications are easier to manage in the operating room.…”

Section: Discussionmentioning

confidence: 99%

Patterns of use of vascular access devices in patients undergoing hematopoietic stem cell transplantation: results of an international survey

Toro

Morales

Loberiza

et al. 2007

Support Care Cancer

View full text Add to dashboard Cite

Our study demonstrated that there are similarities in the utilization of VAD but also wide differences in the standard procedures for the insertion and care of VAD in the transplant setting. More comprehensive studies are needed to assess the use of central venous catheters in transplant recipients. Important areas for future research include the impact of VAD utilization on the quality of life of transplant recipients and the final consequences of VAD complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Patterns of use of vascular access devices in patients undergoing hematopoietic stem cell transplantation: results of an international survey

Toro

Morales

Loberiza

et al. 2007

Support Care Cancer

View full text Add to dashboard Cite

show abstract

“…This institution's practice of routinely inserting an internal jugular catheter into BC donors is relatively unusual and controversial. 41 Line insertion under imaging seems to be safe; since the closure of this study, more than 200 additional donors have had these catheters inserted, with no major complications. It is noteworthy, however, that the preference for BM donation expressed by three donors was related to discomfort from line insertion.…”

Section: Discussionmentioning

confidence: 99%

“…Early in the study, some donors had peripheral venous access, but we shortly established a routine to insert internal jugular catheters under a local anesthetic, using radiologic guidance. 41 The details of BC mobilization and collection are reported elsewhere. 4 A total of 13 BC donors had a prior or subsequent BM harvest; in nine of these, BM harvest took place before the study, the other four were included in both BC and BM donor group studies.…”

Section: Bc Donorsmentioning

confidence: 99%

Mobilized blood cells vs bone marrow harvest: experience compared in 171 donors with particular reference to pain and fatigue

Karlsson¹,

Quinlan²,

Guo³

et al. 2004

Bone Marrow Transplant

View full text Add to dashboard Cite

Summary:This prospective study compared the donor experience of blood cell (BC) mobilization and leukapheresis (n ¼ 116) with that of bone marrow (BM) harvest (n ¼ 55). Internal jugular catheters were inserted electively in 89% of BC donors. Most (80%) BM donors had a harvest with general anesthesia; 20% had epidural or spinal anesthesia. Pain and fatigue were frequent with both procedures and were compared in responses to questionnaires. A total of 85% of BM donors reported moderate or severe pain compared with 68% of BC donors (P ¼ 0.02). The median duration of pain was 14 days for BM donors compared with 3 days after BC mobilization (Po0.0001). More BM donors had pain for more than 7 days (75% vs 0%, Po0.0001). Severe fatigue was experienced by more BM donors (49 vs 16%, Po0.0001). Fatigue lasted significantly longer in BM donors (median 11 vs 4 days, Po0.0001) and more BM donors were fatigued for more than 1 week (69 vs 0%, Po0.0001). A total of 11 donors had both BM and BC collection; seven preferred the latter. Simply considered with respect to pain and fatigue, BC donation appears better tolerated by donors. However, there are other sequelae of both influencing the acceptability for individual donors.

show abstract

“…However, anywhere from .6% to 20% of donors require central line placement. Line placement was accomplished safely and effectively by interventional radiology [37][38][39][40][41].…”

Section: Question 5: What Type Of Venous Access Is Recommended?mentioning

confidence: 99%

Peripheral Blood Progenitor Cell Mobilization for Autologous and Allogeneic Hematopoietic Cell Transplantation: Guidelines from the American Society for Blood and Marrow Transplantation

Duong

Savani

Copelan

et al. 2014

Biology of Blood and Marrow Transplantation

189

135

View full text Add to dashboard Cite

Peripheral blood progenitor cell mobilization practices vary significantly among institutions. Effective mobilization regimens include growth factor alone, chemotherapy and growth factor combined, and, more recently, incorporation of plerixafor with either approach. Many institutions have developed algorithms to improve stem cell mobilization success rates and cost-effectiveness. However, an optimal stem cell mobilization regimen has not been defined. Practical guidelines are needed to address important clinical questions, including which growth factor is optimal, what chemotherapy and dose is most effective, and when to initiate leukapheresis. We present recommendations, based on a comprehensive review of the literature, from the American Society of Blood and Marrow Transplantation.

show abstract

Image-guided central venous catheter placement for apheresis in allogeneic stem cell donors

Cited by 10 publications

References 10 publications

Patterns of use of vascular access devices in patients undergoing hematopoietic stem cell transplantation: results of an international survey

Patterns of use of vascular access devices in patients undergoing hematopoietic stem cell transplantation: results of an international survey

Mobilized blood cells vs bone marrow harvest: experience compared in 171 donors with particular reference to pain and fatigue

Peripheral Blood Progenitor Cell Mobilization for Autologous and Allogeneic Hematopoietic Cell Transplantation: Guidelines from the American Society for Blood and Marrow Transplantation

Contact Info

Product

Resources

About