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Related Experiment Videos

Long-term indwelling silicone catheters: a simple, safe method for venous access.

I H Koven, E R Sigurdson, I Rother

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |May 1, 1987
    PubMed
    Summary

    Silastic permanent indwelling catheters offer a simple and effective solution for long-term intravenous chemotherapy venous access. This method demonstrated a high patient acceptance rate with minimal complications, addressing issues caused by chemotherapy

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    Area of Science:

    • Oncology
    • Vascular Access
    • Medical Devices

    Background:

    • Long-term intravenous chemotherapy poses challenges for venous access due to drug-induced venous sclerosis.
    • Silastic permanent indwelling catheters were developed to overcome these challenges, despite initial concerns regarding complications and equipment.
    • Effective venous access is critical for delivering chemotherapy and managing cancer patients.

    Purpose of the Study:

    • To evaluate the simplicity, effectiveness, and complication rate of Silastic permanent indwelling catheters for superior vena cava access.
    • To demonstrate the safety and patient acceptance of this venous access method in a cohort of cancer patients.

    Main Methods:

    • Ninety-six patients with various malignancies (lymphoma, leukemia, breast cancer) underwent insertion of a Silastic catheter into the superior vena cava.

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  • Catheter insertion was performed via the subclavian vein using a Cordis Vein Dilator Kit and guide wire under fluoroscopic guidance.
  • Complications such as sepsis, thrombosis, bleeding, air embolism, and pulmonary issues were monitored.

    • Main Results:

    • A significant reduction in local sepsis was observed after initial cases (0/53 vs. 6/43).
    • Six catheters (6.25%) experienced thrombosis requiring revision; no bleeding, air embolism, or pulmonary complications occurred.
    • Patient acceptance was high compared to traditional peripheral venipuncture for repeated access.

    Conclusions:

    • Silastic permanent indwelling catheters provide a simple, effective, and safe method for long-term venous access in cancer patients undergoing chemotherapy.
    • The procedure is associated with a low complication rate and high patient satisfaction, making it a valuable alternative to repeated venipuncture.