title: Hickman catheter embolism in a child during stem cell transplantation.
abstract: The majority of stem cell recipients rely on indwelling central venous catheters situated in superior vena cava or right atrium. Semi-permanent tunneled silicone rubber Hickman catheters are widely used to provide durable central venous access for patients undergoing stem cell transplantation. A case of 5 years old child with diagnosis of severe aplastic anemia is reported. The patient received peripheral blood stem cells (PBSC) and had successful engraftment with complete hematological recovery. He had Hickman catheter embolism in the pulmonary circulation following unsuccessful attempt to remove the line. The catheter was successfully removed by midsternostomy operation. The child is normal with sustained remission on day +218 post stem cell transplant.
authors.affiliation: Armed Forces Bone Marrow Transplant Center, Rawalpindi. parvez101@yahoo.com
authors.forename: Parvez
authors.initials: P
authors.lastname: Ahmed
authors.forename: Badshah
authors.initials: B
authors.lastname: Khan
authors.forename: Khalil
authors.initials: K
authors.lastname: Ullah
authors.forename: Waqas
authors.initials: W
authors.lastname: Ahmed
authors.forename: Iftikhar
authors.initials: I
authors.lastname: Hussain
authors.forename: Asif Ali
authors.initials: AA
authors.lastname: Khan
authors.forename: Masood
authors.initials: M
authors.lastname: Anwar
mesh_terms: D000741:Anemia, Aplastic / Q000175:diagnosis / Q000628:therapy*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002675:Child, Preschool; D020878:Device Removal; D004868:Equipment Failure; D005500:Follow-Up Studies; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D017131:Thrombectomy / Q000379:methods; D013923:Thromboembolism / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D014683:Vena Cava, Superior