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Related Experiment Videos

Technical report: Hickman catheter rescue

P W Brown1, K D McBride, P A Gaines

  • 1Department of Radiology, Royal Hallamshire Hospital, Sheffield.

Clinical Radiology
|December 1, 1994
PubMed
Summary

Radiologists successfully salvaged 73.6% of malfunctioning Hickman catheters through repositioning or replacement. Techniques were reviewed, and a novel replacement method using existing access was detailed.

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Area of Science:

  • Interventional Radiology
  • Medical Device Management

Background:

  • Hickman catheters are crucial for long-term venous access but are prone to malfunction or malposition.
  • Salvaging misplaced or malfunctioning catheters is essential to avoid complications and ensure treatment continuity.

Purpose of the Study:

  • To evaluate the success rate of salvaging malfunctioning or malpositioned Hickman catheters.
  • To review existing catheter repositioning techniques.
  • To introduce a new technique for Hickman catheter replacement.

Main Methods:

  • Retrospective review of 320 Hickman catheter placements, identifying 19 cases requiring salvage.
  • Analysis of salvage procedures including repositioning, replacement, and thrombolysis.
  • Description of a novel catheter replacement technique.

Main Results:

  • Successful salvage was achieved in 14 out of 19 cases (73.6%).
  • Eight catheters were successfully repositioned.
  • Five catheters were replaced, with one case involving thrombolysis for subclavian vein thrombosis.

Conclusions:

  • Catheter salvage procedures, including repositioning and replacement, are highly effective for malfunctioning Hickman catheters.
  • The described novel replacement technique offers a viable option for salvaging catheters using existing infrastructure.
  • Interventional radiology plays a key role in managing Hickman catheter complications.

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