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Image‐guided central venous catheter placement for apheresis in allogeneic stem cell donors
Author(s) -
Sadler D.J.,
McCarthy M.,
Saliken J.C.,
So C.B.,
Klassen J.,
Selinger S.,
Gray R.R.
Publication year - 2000
Publication title -
journal of clinical apheresis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.697
H-Index - 46
eISSN - 1098-1101
pISSN - 0733-2459
DOI - 10.1002/1098-1101(2000)15:3<173::aid-jca3>3.0.co;2-4
Subject(s) - medicine , apheresis , surgery , central venous catheter , catheter , population , venous access , platelet , environmental health
Peripheral blood stem cell harvest by apheresis is an increasingly important procedure utilized in the treatment of many malignancies. Whether autologous or allogeneic, it is frequently performed via peripheral access because of concern over major complications associated with central venous catheter placement. This study was to determine the safety and success, complications and premature failure rates for radiolocially placed ultrasound‐guided non‐tunneled central venous catheters placed for apheresis in a donor (allogeneic) population. One hundred central venous catheters were placed in ninety‐one individuals for allogeneic stem cell harvest. Procedural success and complications relating to placement were noted in all. In 97 cases the number of needle passes required for venous cannulation and whether this was achieved with a single wall puncture was noted. Duration of catheterization and reason for removal were recorded in all cases. All catheters were placed by a right transjugular route. Venous cannulation and functioning line placement was achieved in every case; 92/97 (95%) required only a single needle pass and 84/97 (87%) only a single wall puncture. There were no placement related complications; 94 catheters were removed the same day with the remainder removed within 48 hr. All completed apheresis. Our study demonstrates the safe use of central venous catheters for apheresis in normal donors if ultrasound guidance is used for the puncture and the duration of catheterization is short. J. Clin. Apheresis 15:173–175, 2000. © 2000 Wiley‐Liss, Inc.