Percutaneous placement of Hickman catheters for prolonged venous access

Hawkins, John; Nelson, Edward William

doi:10.1016/0002-9610(82)90538-4

Cited by 35 publications

(8 citation statements)

References 5 publications

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“…The percutaneous technique for CVC and SIP catheter introduction has similarities to central venous catheterization, with which anesthesiologists are familiar. The method consumes less than half the operating time of a surgical cutdown technique, in which the vein is exposed by incision and dissection (8,12,13). We found the method to be highly reliable, with a failure rate of 1 yo.…”

Section: Discussionmentioning

confidence: 92%

Percutaneous placement of permanent central venous catheters: experience with 200 catheters

Wisborg

Koller

1991

Acta Anaesthesiol Scand

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The prospective registration of 200 percutaneous placements of permanent central venous catheters (Hickman catheters and subcutaneous infusion ports) was conducted in 172 patients aged 3 months-95 years. The insertions were reviewed to assess whether certain groups of patients or physicians were associated with more complications than others. Complications occurred in 16 patients (8.0%), of which 12 were arterial punctures. Two attempts (1%) at catheter placement failed. None of the complications required treatment. Of the catheter placements, 70% were performed by one of the three authors, and the rest by seven other experienced anesthesiologists. The complication rates were not different between the two groups. Nor was the complication rate significantly higher in small children. Percutaneous placement of permanent central venous catheters thus proved to be a safe and reliable technique, even in small children. The method is easily learnt by physicians experienced in central venous catheterization. Using this method, permanent venous access may be offered to a large number of patients.

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Section: Discussionmentioning

confidence: 92%

Percutaneous placement of permanent central venous catheters: experience with 200 catheters

Wisborg

Koller

1991

Acta Anaesthesiol Scand

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“…The percutaneous approach has been shown to be efficacious for the insertion of Hickman catheters 5 and considerably reduces operative time. 8 -10 In our series, the length of time needed for catheter placement ranged from 15 to 30 minutes, which is approximately half the time needed for surgical 83 placement.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 These catheters have traditionally been placed surgically either by means of a cutdown on the cephalic or internal or external jugular veins 3,4 or by gaining percutaneous access to the subclavian or internal jugular veins. [5][6][7] We have placed 75 Hickman catheters percutaneously through the internal jugular vein in an interventional radiology suite and present our technique and results. We believe the percutaneous technique considerably reduces operative time, and, when performed in the radiology suite, enables optimal use of angiographic vascular access techniques.…”

mentioning

confidence: 99%

Percutaneous Hickman Catheter Placement in the Radiology Suite

Duque¹,

Fernando²,

Reyes³

et al. 1991

Semin intervent Radiol

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“…Occlusion of a functioning CVA device can occur in up to 50% of the cases. [22][23][24][25][26][27] The majority are thrombotic in nature, with only 1 to 2% attributable to mechanical factors. 28 These are often associated with catheter sepsis.…”

Section: Cva Salvagementioning

confidence: 99%