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Blind percutaneous insertion of Hickman lines by a specialist team

Blind percutaneous insertion of Hickman lines by a specialist team
Blind percutaneous insertion of Hickman lines by a specialist team
Background: Long-term intravenous lines for the delivery of chemotherapy can be inserted by the percutaneous route or under direct vision by surgical exploration. Though the percutaneous route is widely used, many centres still employ a surgical approach. This study evaluates the safety of the blind percutaneous approach.
Method: Prospective records were kept of all Hickman lines inserted on the oncology unit of a large teaching hospital.
Results: 127 consecutive lines were inserted in 115 adults by a single surgeon over a 30 month period using a blind percutaneous approach. There were 4 complications of insertion: 2 pneumothoraces (1.6%), 1 arrhythmia (0.8%) and bleeding from the subcutaneous tunnel (0.8%). Only 1 line had to be removed in the first 14 days because of hub fracture and leakage.
Conclusions: Percutaneous insertion of Hickman lines using the blind technique is associated with a low incidence of complications when performed by an experienced operator.
0035-8843
332-334
Hanson, J.M.
d8ad6dfa-70d9-48d5-911e-fbd0b6ba7d36
Challiss, D.
8fd77d47-daa5-41c5-930e-ba0b06c1351c
Primrose, J.N.
d85f3b28-24c6-475f-955b-ec457a3f9185
Plusa, S.M.
e92561ce-2a8b-4773-a208-c8b3bf979288
Hanson, J.M.
d8ad6dfa-70d9-48d5-911e-fbd0b6ba7d36
Challiss, D.
8fd77d47-daa5-41c5-930e-ba0b06c1351c
Primrose, J.N.
d85f3b28-24c6-475f-955b-ec457a3f9185
Plusa, S.M.
e92561ce-2a8b-4773-a208-c8b3bf979288

Hanson, J.M., Challiss, D., Primrose, J.N. and Plusa, S.M. (2001) Blind percutaneous insertion of Hickman lines by a specialist team. Annals of The Royal College of Surgeons of England, 83 (5), 332-334.

Record type: Article

Abstract

Background: Long-term intravenous lines for the delivery of chemotherapy can be inserted by the percutaneous route or under direct vision by surgical exploration. Though the percutaneous route is widely used, many centres still employ a surgical approach. This study evaluates the safety of the blind percutaneous approach.
Method: Prospective records were kept of all Hickman lines inserted on the oncology unit of a large teaching hospital.
Results: 127 consecutive lines were inserted in 115 adults by a single surgeon over a 30 month period using a blind percutaneous approach. There were 4 complications of insertion: 2 pneumothoraces (1.6%), 1 arrhythmia (0.8%) and bleeding from the subcutaneous tunnel (0.8%). Only 1 line had to be removed in the first 14 days because of hub fracture and leakage.
Conclusions: Percutaneous insertion of Hickman lines using the blind technique is associated with a low incidence of complications when performed by an experienced operator.

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Published date: 2001

Identifiers

Local EPrints ID: 26357
URI: http://eprints.soton.ac.uk/id/eprint/26357
ISSN: 0035-8843
PURE UUID: e1659d36-3782-42db-a9df-a31caf15cfe4
ORCID for J.N. Primrose: ORCID iD orcid.org/0000-0002-2069-7605

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Date deposited: 24 Apr 2006
Last modified: 23 Jul 2022 01:38

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Contributors

Author: J.M. Hanson
Author: D. Challiss
Author: J.N. Primrose ORCID iD
Author: S.M. Plusa

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