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Groshong versus Hickman catheters.

M D Pasquale¹, J M Campbell, C M Magnant

¹Department of Surgery, Georgetown University Hospital, Washington, District of Columbia 20007.

Surgery, Gynecology & Obstetrics

|May 1, 1992

Summary

For cancer patients needing vascular access, Hickman catheters showed fewer malfunctions than Groshong catheters. Both catheter types had similar rates of sepsis and thrombus formation, but Hickman offered better catheter function.

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Area of Science:

Oncology
Vascular Surgery
Medical Devices

Background:

Establishing safe and efficient vascular access is crucial for cancer patients.
Percutaneous central venous cannulation is a common method for vascular access.
Key concerns include sepsis, thrombus formation, and catheter malfunction.

Purpose of the Study:

To compare the incidence of complications between Groshong and Hickman central venous catheters.
To evaluate the functional performance of Groshong versus Hickman catheters in cancer patients.

Main Methods:

A comparative study was conducted on patients with cancer requiring central venous access.
The study assessed complications such as sepsis, thrombus formation, and catheter malfunction.
Data were collected and analyzed for both Groshong and Hickman catheter groups.

Main Results:

No significant difference was found in septic complications between Groshong and Hickman catheters.
Thrombus formation rates were similar in both catheter groups.
Hickman catheters demonstrated significantly less catheter malfunction compared to Groshong catheters (p < 0.05).

Conclusions:

Hickman catheters appear to be a more favorable option than Groshong catheters regarding catheter function in cancer patients.
While sepsis and thrombus formation were comparable, catheter malfunction rates favor the Hickman catheter.

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