Complications of radiologically placed central venous ports and Hickman catheters in patients with AIDS
| Autor: | G, Muscedere, J D, Bennett, T Y, Lee, I, Mackie, L, Vanderburgh |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
Male Acquired Immunodeficiency Syndrome Catheterization Central Venous Staphylococcus aureus Time Factors Vena Cava Superior AIDS-Related Opportunistic Infections Adolescent Pneumothorax Thrombosis Vena Cava Inferior Radiology Interventional Staphylococcal Infections Subclavian Vein Catheters Indwelling Staphylococcus epidermidis Humans Female Gram-Negative Bacterial Infections Follow-Up Studies Retrospective Studies |
| Zdroj: | Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes. 49(2) |
| ISSN: | 0846-5371 |
| Popis: | To determine any differences in the complications following radiologic placement of 2 devices--Hickman catheters and central venous ports--to permit long-term central venous access in patients with AIDS.Thirty-eight patients with AIDS received 52 long-term central venous access catheters. Seventeen received 23 Hickman catheters and 27 received 29 central venous ports (hence, 6 patients received both). Complications rates were determined retrospectively from clinical records and radiologic studies.The only acute complications were pneumothoraces--3 in the patients receiving Hickman catheters and 2 in the patients receiving central venous ports. Infections developed in 12 of the patients receiving Hickman catheters a median of 53 and a mean of 96 days after placement. Infection developed in 8 of the patients receiving central venous ports a median of 125 days and a mean of 184 days after placement. This difference was statistically significant (p0.001). The most common organism in these infections was Staphylococcus aureus. The only other nonacute complication was 1 nonocclusive thrombosis of the superior vena cava, which occurred in a patient with a Hickman catheter 240 days after placement and resolved once the catheter was removed.Central venous ports are preferred over Hickman catheters for long-term central venous access in patients with AIDS. |
| Databáze: | OpenAIRE |
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