| Autor: |
McBride, Kieran, Fisher, Ross, Warnock, Neil, Winfield, David, Reed, Malcolm, Gaines, Peter, McBride, K D, Fisher, R, Warnock, N, Winfield, D A, Reed, M W, Gaines, P A |
| Zdroj: |
CardioVascular & Interventional Radiology; Jan1997, Vol. 20 Issue 1, p17-22, 6p |
| Abstrakt: |
Purpose: To compare the differences in practice and outcome of all radiologically and surgically placed central venous catheters retrospectively over a 2-year period simultaneously, at a single institution.Methods: A total of 253 Hickman catheters were inserted in 209 patients; 120 were placed radiologically in 102 patients and 133 were placed surgically in 107 patients. The indication was chemotherapy in 76% of radiological and in 47% of surgical cases; the remainder were for total parenteral nutrition and venous access.Results: There were 6 (4.5%) primary surgical failures and a further 17 (13%) surgical cases requiring multiple placement attempts. Pneumothorax occurred once (0.8%) surgically and four times (3.3%) radiologically. There were no radiological primary misplacements but there were five (3.7%) surgical ones. Catheter or central vein thrombosis occurred in four (3.3%) radiological and five (3.7%) surgical cases. The rate of infection per 1000 catheter-days was 1.9 in radiologically placed catheters and 4.0 in surgically placed ones (p < 0.001). Average catheter life-span was similar for the two placement methods (100 +/- 23 days).Conclusion: Radiological placement is consistently more reliable than surgical placement. There are fewer placement complications and fewer catheter infections overall. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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