Hickman central venous catheters |
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| Affiliation: | 2. Department of Internal Medicine, University of Genoa, Genoa, Italy;3. Department of Electrical, Electronics and Telecommunication Engineering and Naval Architecture (DITEN), University of Genoa, Genoa, Italy;4. Dietetics and Clinical Nutrition Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy;1. Department of Biological Sciences, Virginia Tech, 1405 Perry St., Blacksburg, VA 24061, United States;2. Biology Department, Queen''s University, Biosciences Complex 3523, Kingston, ON, K7L 3N6, Canada;1. Westmead Hospital, Sydney, Australia;2. University of Sydney, Sydney, Australia |
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| Abstract: | Long-term central venous cannulation is frequently required for the treatment of patients with cancer. Almost 25 years ago, Hickman described the use of a long silicone catheter, incorporating a Dacron cuff, which was tunnelled over the chest wall and into the central veins. The technique has slowly evolved. Currently, a percutaneous technique incorporating a peel-away sheath introducer and accurate positioning with the aid of an image intensifier is commonly used. The tip of the catheter is placed in the right atrium to reduce pain and thrombotic complications. With meticulous aseptic technique on insertion and fastidious maintenance of hygiene, these catheters may be used for several years. Insertion complications range from minor bleeding to potentially fatal complications of pneumothorax, haemothorax and laceration of the great veins. |
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