Central Venous Access for Chemoterapy in Patients with Malignant Disease

항암 화학요법을 받는 환자들에서의 중심정맥삽관술

  • Published : 1993.06.01

Abstract

From July 1990 to August 1992,78 Hickman catheters and 22 chemoports were inserted in 98 patients for chemotherapy.We analyzed the clinical data of these patients. The results were as follows: 1]Mean age of patients was 42.8$\pm$1.6[SE] years 2]Male to female ratio was 1.09:1 3]The diseases of the cases were leukemia[66] ,lymphoma[8], stomach cancer[8],uterine cervix cancer[5],ovarian cancer[4],lung cancer[3],aplastic anemia[2],maxillary gland cancer[1],pancreas cancer[1],malignant mesothelioma[1] and multiple myeloma[1] 4]Mean values of preoperative WBC counts,platelet counts,PT and APTT were 31,500$\pm$ 8,132[SE]/mm,104,000$\pm$ 12,200 [SE]/mm,82$\pm$ 1.9[SE]% and 32$\pm$ 0.8[SE] sec,respectively. 5]The average duration of catheter uses was 121.7$\pm$ 17.3[SE]days. 6]The complications were subcutaneous tunnel bleeding or hematoma[2],exit site or subcutaneous tunnel infection[2] and catheter related septicemia[1]. 7]The causes of catheter removal were patient`s death or hopeless discharge[22],completion of treatment[6],subcutaneus hematoma or bleeding[2],exit site or subcutaneous tunnel infection[2] and catheter related septicemia[1].So,we concluded that Hickman catheter and chemoport were useful vascular access for chemotherapy in patients with malignant diseases, with low rate of complication and longterm duration.

Keywords

References

  1. Am J Surg v.144 Percutaneous placement of Hickman catheters for prolonged venous access Hawkins,J.;Nelson,E.W.
  2. Surg Gynecol Obstet v.14 Technique for placement of a permanent home hyperalimentation catheter Heimbach,D.M.;Ivey,T.D.
  3. Surg Gynec Obstet v.136 A silicon rubber atrial catheter for prolonged parentral alimentation Broviac,J.W.;Cole,J.J.;Scribner,B.H.
  4. Surg Gynec Obstet v.139 Prolonged parentral nutrition in the home Broviac,J.W.;Scribner,B.H.
  5. Br J Surg v.66 The use of the Hickman catheter in the management of patients with leukemia and other malignancies Thomas,M.
  6. 외과학회지 v.33 no.2 히크만 카테타(Hickman Catheter) 이건욱;이성찬;김병국
  7. Am J Surg v.147 Implantable central venous access system Bothe Jr.A.;Piccione,W.;Ambrosino,J.J.;Benotti,P.N.;Lokich,J.J.
  8. Cancer v.55 Results from use of 826 vascular access devices in cancer patients Raaf,J.H.
  9. Surg Gynec obstet v.148 A modified right atrial catheter for access to the venous system in marrow transplant recipients Hickman,R.O.;Buckner,C.D.;Clift,R.A.;Sanders,J.E.;Stewart,P.;Thomas,E.D.
  10. Surg Gynec obstet v.166 Placement of Hickman-Broviac catheter in the cephalic vein Chuter,T.;Starker,P.M.
  11. Cancer v.52 Prolonged venous access for chemotherapy by means of the Hickman catheter Reed,W.P.;Newman,K.A.;Carlos,D.J.;Wade,J.C.;Schimpff,S.C.;Wiernik,P.H.;McLaughlin,J.S.
  12. 외과학회지 v.40 no.3 Hickman Catheter 응용 300례의 임상분석 김응국;이종서;이도상;박장송;송영택;주상용
  13. 외과학회지 v.34 no.5 Hickman catheter 응용의 임상적 분석 송형섭;문인성;장석균;송영택;주상용
  14. Am J Surg v.140 Hickman-broviac catheter-Indication and results Thomas,J.H.;MacArthur,R.I.;Pierce,G.E.;Hermreck,A.S.
  15. Am J Surg v.145 Hickman catheter placement simplified Wool,N.L.;Straus,A.K.;Roseman,D.L.
  16. Surg Gynec Obstet v.156 An improved technique for the insertion of Hickman catheters in patients with thrombocytopenia and gramulocytopenia Reed,W.P.;Newman,K.A.
  17. JAMA v.24 no.21 A Prospective study of prolobged central venous access in leukemia Abrahm,J.L.;Mullen,J.L.
  18. Ann Surg v.190 no.5 Vascular access grafts for chemotheraphy-use in forty patients at M.D. Anderson Hospital Raaf,J.H.
  19. Surgery v.95 Venous access: A Prospective, randomized study of the Hickman catheter Wagman,L.D.;Kirkemo,A.;Johnston,M.R.