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Thrombotic and infectious complications of hickman-broviac catheters

Academic Article
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Overview

authors

  • Jacobs, M. B.
  • Yeager, Mark

publication date

  • 1984

journal

  • Archives of Internal Medicine  Journal

abstract

  • Hickman-Broviac catheters are often used when long-term venous access is required. Although generally safe, catheter-related thrombosis and infection are two of the most frequent and clinically important complications associated with their use. A 47-year-old woman with breast cancer had a Hickman catheter placed for chemotherapy; subsequently, the superior vena caval syndrome developed due to a large thrombus surrounding the catheter tip. A very low dose of streptokinase successfully lysed this clot within 12 hours. A 60-year-old woman with acute myelogenous leukemia had a Hickman catheter placed to facilitate induction and maintenance chemotherapy. Two episodes of catheter-related Staphylococcus epidermidis sepsis later developed, the first of which cleared without removal of the cannula.

subject areas

  • Breast Neoplasms
  • Catheterization
  • Catheters, Indwelling
  • Drug Therapy
  • Female
  • Humans
  • Leukemia, Myeloid, Acute
  • Middle Aged
  • Staphylococcal Infections
  • Thrombosis
  • Vena Cava, Superior
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Identity

International Standard Serial Number (ISSN)

  • 0003-9926

Digital Object Identifier (DOI)

  • 10.1001/archinte.144.8.1597

PubMed ID

  • 6589978
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Additional Document Info

start page

  • 1597

end page

  • 1599

volume

  • 144

issue

  • 8

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