TY - JOUR
T1 - Peripherally inserted central catheters (PICCs) in the management of oncohematological patients submitted to autologous stem cell transplantation
AU - Bellesi, Silvia
AU - Chiusolo, Patrizia
AU - De Pascale, Gennaro
AU - Pittiruti, Mauro
AU - Scoppettuolo, Giancarlo
AU - Metafuni, Elisabetta
AU - Giammarco, Sabrina
AU - Sora', Federica
AU - Laurenti, Luca
AU - Leone, Giuseppe
AU - Sica, Simona
AU - Pitocco, Dario
PY - 2013
Y1 - 2013
N2 - The aim of our study was to evaluate the feasibility and the safety of the use of peripherally inserted central catheters (PICCs) during autologous peripheral blood stem cell transplantation. Sixty PICCs were inserted in 57 patients (23 females and 34 males; mean age 48, range 19-68 years) and remained in place for an overall period of 1,276 days. All PICCs were positioned by a team of specifically trained physicians and nurses and utilized by specifically trained nurses of our hematology unit. No major insertion-related complications were observed; the only complication during insertion was one local hematoma (1.6 %) due to accidental arterial puncture. Late complications were accidental catheter removal (5 %, 2.3 per 1,000 PICC days), symptomatic catheter-related venous thrombosis (5 %, 2.3 per 1,000 PICC days), and catheter-related bloodstream infection (CRBSI; 3.3 %, 1.5 CRBSI per 1,000 PICC days). The reasons for catheter removal were completion of therapy (42 patients, 70 %), fever of unknown origin (9 patients, 15 %), catheter-related thrombosis (2 patients, 3.3 %), CRBSI (2 patients, 3.3 %), accidental removal (3 patients, 5 %), lumen occlusion (1 patient, 1.6 %), positive culture from peripheral blood (1 patient, 1.6 %), and death (1 patient, 1.6 %). Our data suggest that PICCs are a safe and effective alternative to conventional central venous catheters even in patients particularly prone to infective and hemorrhagic complications such as patients receiving autologous stem cell transplantation.
AB - The aim of our study was to evaluate the feasibility and the safety of the use of peripherally inserted central catheters (PICCs) during autologous peripheral blood stem cell transplantation. Sixty PICCs were inserted in 57 patients (23 females and 34 males; mean age 48, range 19-68 years) and remained in place for an overall period of 1,276 days. All PICCs were positioned by a team of specifically trained physicians and nurses and utilized by specifically trained nurses of our hematology unit. No major insertion-related complications were observed; the only complication during insertion was one local hematoma (1.6 %) due to accidental arterial puncture. Late complications were accidental catheter removal (5 %, 2.3 per 1,000 PICC days), symptomatic catheter-related venous thrombosis (5 %, 2.3 per 1,000 PICC days), and catheter-related bloodstream infection (CRBSI; 3.3 %, 1.5 CRBSI per 1,000 PICC days). The reasons for catheter removal were completion of therapy (42 patients, 70 %), fever of unknown origin (9 patients, 15 %), catheter-related thrombosis (2 patients, 3.3 %), CRBSI (2 patients, 3.3 %), accidental removal (3 patients, 5 %), lumen occlusion (1 patient, 1.6 %), positive culture from peripheral blood (1 patient, 1.6 %), and death (1 patient, 1.6 %). Our data suggest that PICCs are a safe and effective alternative to conventional central venous catheters even in patients particularly prone to infective and hemorrhagic complications such as patients receiving autologous stem cell transplantation.
KW - Adult
KW - Aged
KW - Autologous
KW - Bacteremia
KW - Catheterization
KW - Central Venous
KW - Feasibility Studies
KW - Female
KW - Hematologic Neoplasms
KW - Humans
KW - Male
KW - Middle Aged
KW - Peripheral
KW - Stem Cell Transplantation
KW - Transplantation
KW - Venous Thrombosis
KW - Young Adult
KW - Adult
KW - Aged
KW - Autologous
KW - Bacteremia
KW - Catheterization
KW - Central Venous
KW - Feasibility Studies
KW - Female
KW - Hematologic Neoplasms
KW - Humans
KW - Male
KW - Middle Aged
KW - Peripheral
KW - Stem Cell Transplantation
KW - Transplantation
KW - Venous Thrombosis
KW - Young Adult
UR - https://publicatt.unicatt.it/handle/10807/63480
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=84874112166&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84874112166&origin=inward
U2 - 10.1007/s00520-012-1554-0
DO - 10.1007/s00520-012-1554-0
M3 - Article
SN - 0941-4355
VL - 21
SP - 531
EP - 535
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
IS - 2
ER -