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Related Experiment Videos

Percutaneous subclavian catheterization for prolonged systemic chemotherapy.

W R Thompson, H R Alexander, A J Martin

    Journal of Surgical Oncology
    |July 1, 1985
    PubMed
    Summary

    Percutaneous placement of Broviac catheters offers safe and reliable venous access for adult cancer patients undergoing chemotherapy. Complications were rare, with a low infection rate and long catheter lifespan, ensuring effective treatment delivery.

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    Area of Science:

    • Medical Devices
    • Oncology
    • Vascular Access

    Background:

    • Systemic chemotherapy requires reliable long-term venous access.
    • Broviac catheters are utilized for prolonged intravenous therapies.
    • Assessing the safety and efficacy of percutaneous subclavian vein catheterization is crucial.

    Purpose of the Study:

    • To review experience with 108 Broviac catheters.
    • To evaluate the safety and complication rates of percutaneously placed subclavian venous catheters in adult cancer patients receiving chemotherapy.
    • To determine the efficacy and longevity of these catheters for prolonged treatment.

    Main Methods:

    • Retrospective review of 108 Broviac catheter cases.
    • Focus on 68 percutaneously placed right atrial catheters in adult patients undergoing systemic chemotherapy.

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  • Analysis of perioperative and late complications, including pneumothorax, bleeding, and infection.

    • Main Results:

    • Perioperative and late complications associated with subclavian catheters were infrequent.
    • No instances of pneumothorax or significant bleeding occurred during insertion, even in thrombocytopenic patients.
    • Mean catheter dwell time was 93 days, with an infection rate of only 7% (5 cases).

    Conclusions:

    • Percutaneous placement of right atrial Broviac catheters is a safe and effective procedure.
    • This method provides reliable venous access for extended chemotherapy delivery in cancer patients.
    • The low complication and infection rates support its use in this patient population.