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Two methods for improved venous access in acute leukemia patients

J C Wade, K A Newman, S C Schimpff

|July 10, 1981

Summary

Arteriovenous fistulae provided short-term venous access in acute leukemia patients, while Hickman catheters offered reliable, long-term access with minimal complications and no increased bacteremia risk.

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Area of Science:

Oncology
Vascular Surgery
Infectious Disease

Background:

Improving venous access is critical for acute leukemia patients.
Arteriovenous fistulae and Hickman catheters are common methods.

Purpose of the Study:

To evaluate the efficacy and safety of arteriovenous fistulae and Hickman catheters for venous access in acute leukemia.

Main Methods:

Retrospective analysis of 28 arteriovenous fistulae and 51 Hickman catheters.
Assessment of function duration, complications, and bacteremia incidence.

Main Results:

Fistulae had short function (median 12 days); 8 failed within 24 hours.
Hickman catheters functioned longer (median 91 days), with 19 still in use.

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Complications were minimal for both, with no increased bacteremia for fistulae and uncommon infections for catheters.

Conclusions:

Hickman catheters are safe and reliable for long-term venous access in acute leukemia.
Arteriovenous fistulae have limited utility due to short function duration.