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Titolo:
Outcome of polyester cuff retention following traction removal of tunneledcentral venous catheters
Autore:
Kohli, MD; Trerotola, SO; Namyslowski, J; Stecker, MS; McLennan, G; Patel, NH; Johnson, MS; Shah, H; Seshadri, R;
Indirizzi:
Indiana Univ Hosp, Sch Med, Dept Radiol, Indianapolis, IN 46202 USA Indiana Univ Hosp Indianapolis IN USA 46202 l, Indianapolis, IN 46202 USA Indiana Univ Hosp, Sch Med, Dept Med, Indianapolis, IN 46202 USA Indiana Univ Hosp Indianapolis IN USA 46202 d, Indianapolis, IN 46202 USA Indiana Univ Hosp, Sch Med, Div Biostat, Indianapolis, IN 46202 USA Indiana Univ Hosp Indianapolis IN USA 46202 t, Indianapolis, IN 46202 USA
Titolo Testata:
RADIOLOGY
fascicolo: 3, volume: 219, anno: 2001,
pagine: 651 - 654
SICI:
0033-8419(200106)219:3<651:OOPCRF>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
MARROW TRANSPLANT RECIPIENTS; HICKMAN CATHETER; ATRIAL CATHETER; DACRON CUFF; INFECTION;
Keywords:
catheters and catheterization, central venous access; catheters and catheterization, complications; interventional procedures, complications;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Trerotola, SO Indiana Univ Hosp, Sch Med, Dept Radiol, Rm 0279,550 N Univ Blvd, Indianapolis, IN 46202 USA Indiana Univ Hosp Rm 0279,550 N Univ Blvd Indianapolis IN USA 46202
Citazione:
M.D. Kohli et al., "Outcome of polyester cuff retention following traction removal of tunneledcentral venous catheters", RADIOLOGY, 219(3), 2001, pp. 651-654

Abstract

PURPOSE: To elucidate the factors that contribute to cuff retention duringtraction removal of tunneled catheters, as well as to determine the risk of complication associated with polyester cuff retention. MATERIALS AND METHODS: A total of 428 tunneled, cuffed catheters were removed with traction:and local anesthesia. Polyester cuff retention was recorded when it occurred, and the effects of cuff retention were determined at amean follow-up of 250 days. Statistical analysis was performed to determine the variables influencing cuff retention. RESULTS: Traction removal was successful in 428 (100%) patients. Of 428 catheters removed, 41 (10%) cuffs were retained. Silicone 10-F double-lumen and 9.6-F single-lumen catheters had a higher rate of cuff retention (27 [32%] of 84 and nine [39%] of 23, respectively) than did the split-tip polyurethane hemodialysis catheter (two [1%] of 196; P < .001). Cuff retention rates among other catheter types compared with that of the polyurethane catheter were not significantly different. Duration of catheter dwell did not significantly influence cuff retention. Of 41 retained cuffs, three required removal with cutdown for cuff migration to the exit site, which inhibited healing (n = 1); for suspected infection (n = 1); or for cosmetic purposes asrequested by the patient (n = 1). The remaining patients had no complications associated with cuff retention. CONCLUSION: Traction removal of smaller-bore silicone catheters is more likely to result in cuff retention than removal of larger silicons and polyurethane catheters, and cuff retention is usually inconsequential.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/21 alle ore 15:47:07