Technical report: Hickman catheter rescue.
Nineteen malfunctioning or incorrectly positioned Hickman catheters from a series of 320 catheter placements were referred to the radiology department for salvage. Successful catheter 'rescue' was achieved on 14 occasions (73.6%). Eight catheters were repositioned, five were replaced and thrombolysis was successful in a patient with subclavian vein thrombosis. Catheter repositioning techniques are reviewed and a new technique for catheter replacement using the existing venous access and subcutaneous tunnel is described.
Brown
P W
PW
Department of Radiology, Royal Hallamshire Hospital, Sheffield.
McBride
K D
KD
Gaines
P A
PA
D000293:Adolescent; D000328:Adult; D000368:Aged; D002405:Catheterization, Central Venous / Q000295:instrumentation* / Q000379:methods; D002408:Catheters, Indwelling; D004868:Equipment Failure; D005268:Femoral Vein; D006801:Humans; D008875:Middle Aged; D015642:Radiology, Interventional / Q000379:methods*; D015912:Thrombolytic Therapy / Q000379:methods; D017211:Treatment Failure; D016748:Venous Cutdown