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Subclavian vein catheterization for apheresis access
Insights
Shiley Vas-Caths in subclavian veins enabled 400 apheresis procedures with no infections or clotting. Strict sterile techniques and minimal catheter handling ensured patient safety for up to three months.
Area of Science:
- Medical Devices
- Vascular Access
- Apheresis Procedures
Background:
- Apheresis requires reliable vascular access.
- Peripheral vein access is often insufficient for apheresis.
- Subclavian vein catheterization is an alternative for apheresis.
Purpose of the Study:
- To evaluate the safety and efficacy of Shiley Vas-Caths for subclavian vein catheterization in apheresis patients.
- To assess complication rates associated with long-term subclavian catheter use in apheresis.
Main Methods:
- Shiley Vas-Caths were inserted into the subclavian veins of 20 patients.
- Catheters were used for apheresis procedures, with some maintained for up to 3 months.
- Strict sterile procedures, frequent dressing changes, and limited catheter manipulation were employed.
Main Results:
- 400 out of 430 apheresis procedures (93.1%) required subclavian vein catheterization.
- No complications, including infection or blood clotting, were recorded.
- Contamination was limited to normal skin flora on the external cannula surface.
Conclusions:
- Shiley Vas-Caths are a safe and effective option for subclavian vein catheterization in apheresis.
- Strict adherence to sterile techniques minimizes complications associated with indwelling apheresis catheters.
- Limited catheter manipulation is crucial for maintaining catheter patency and preventing infection.
Abstract:
We have inserted Shiley Vas-Caths into the subclavian veins of 20 patients. These indwelling catheters are used for apheresis and some were maintained up to 3 months. Of the 430 apheresis procedures performed, 30 (6.9%) had good peripheral vein access while 400 (93.1%) required subclavian vein catheterization. No complications, including infection and blood clotting, have been recorded. The only contamination noted was normal skin flora cultured on the outside of the exposed portion of the cannula. We attribute our success to limited catheter manipulation, frequent dressing changes, and adhering to strict, sterile procedures.