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Venous access using the Hickman catheter.

A R Ready, R Downing, J W Fielding

    European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
    |June 1, 1985
    PubMed
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    Hickman catheters provide long-term venous access for patients undergoing chemotherapy or parenteral nutrition. However, frequent septic complications necessitate careful management to mitigate risks associated with these essential medical devices.

    Area of Science:

    • Medical Devices
    • Oncology
    • Internal Medicine

    Background:

    • Central venous catheters are crucial for long-term therapies like chemotherapy and parenteral nutrition.
    • Silastic (Hickman) right atrial catheters are commonly used for such treatments.
    • Assessing the efficacy and complications of these catheters is vital for patient care.

    Purpose of the Study:

    • To evaluate the performance and complication rates of silastic (Hickman) right atrial catheters.
    • To determine the mean catheter survival time in patients receiving cytotoxic chemotherapy or parenteral nutrition.
    • To identify factors contributing to premature catheter removal.

    Main Methods:

    • Prospective implantation of 50 silastic (Hickman) right atrial catheters in 43 patients.

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  • Monitoring of catheter survival duration and reasons for removal.
  • Documentation of septic complications and their management.

    • Main Results:

    • The mean catheter survival was 72 days (range: 2-316 days).
    • Seventeen catheters (34%) were removed before treatment completion.
    • Thirteen catheters (26%) were removed due to septic complications.

    Conclusions:

    • Hickman catheters offer prolonged venous access for chemotherapy and parenteral nutrition.
    • Septic complications are a significant risk, occurring frequently without uniform care.
    • Careful risk-benefit assessment and standardized maintenance protocols are essential for Hickman catheter use.