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HİCKMAN KATETERİ UYGULAMASINDA ERKEN DÖNEM SONUÇLARIMIZ

Early Results In Insertion Of Hickman Catheter

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 1999

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Long-term central venous lines for chronic hemoaccess are usually inserted in the operating theater under local or general anesthesia by experienced surgeons. We report our preliminary experience in Hickman/Broviac catheter placement by percutaneous technique in twenty patients with haematological malignancies. We outline the implantation methods and complications encountered by this technique. Technical success was achieved in 19 patients (95 %). The mean time for insertion was 45 min. The incidence of hemothorax and arrhytmia was similar (5 %). Secondary migration of the catheter tip was seen in one patient (5 %). infection occurred in only 3 patients (15 %) as a late complication. We conclude that percutaneous insertion of Hickman catheters by anesthesiologists is at least as effective as surgical or radiological techniques. The rate of clinically important complications is acceptable.
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Abstract (Original Language): 
Uzun süreli santral venöz bir yola gereksinim duyulan durumlarda, bu girişim, birçok merkezde genel veya lokal anestezi ile deneyimli cerrahi ekip tarafından gerçekleştirilmektedir Bu çalışmada hematolojik malignitesi olan 20 olguda perkütan teknikle Hickman/Broviac kateteri takılmasında erken dönem tecrübelerimizi bildirdik. Bu teknikte implantasyon metodu ve karşılaşılan komplikasyonlar belirtildi. Teknik olarak 19 hastada başarı sağlandı (% 95). Hemotoraks ve aritmi insidansı benzerdi (% 5). Ortalama takılma süresi 45 dk idi. Bir hastada kateter ucu yer değiştirdi (% 5). Geç komplikasyon olarak sadece üç hastada kateter enfeksiyonu gelişti (% 15). Hickman kateterinin anestezistler tarafından da cerrah ve radyologlar kadar başarı ile takılabileceğini saptadık. Klinik olarak karşılaştığımız önemli komplikasyonların oranı kabul edilebilir düzeydeydi.
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  • 3
203-206
  • Turkish

REFERENCES

References: 

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Turgut Özal Tıp Merkezi Dergisi 6(3): 1999
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