1. Femoral Catheters: Safety and Efficacy in Peripheral Blood Stem Cell Collection
- Author
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Adorno, G., Zinno, F., Bruno, A., Lanti, A., Ballatore, G., Masi, M., Cudillo, L., Del Poeta, G., Riccitelli, A., Del Principe, M.I., Pepe, R., Marchitelli, E., Morosetti, M., Meloni, C., Isacchi, G., and Amadori, S.
- Abstract
Central venous access is necessary in patients candidate for peripheral blood stem cell (PBSC) collection. We report our experience with a dual lumen femoral catheter (Gamcath, 11 french), initially designed for hemodialysis. We studied 147 patients and performed 488 collections after mobilization with either G-CSF alone or chemotherapy + G-CSF, when the white blood cell count exceeded 1 × 109/L, or when a measurable population of CD34+ cells (20 / μL) was detected in peripheral blood. All patients received systemic anticoagulation with a low weight heparin and ultrasound examination was performed after the removal of the catheter. Seven patients developed thrombosis (4.7%), ten experienced hematomas at the site of catether placement (6.8%) despite prophylactic platelet transfusions, while only one patient (0.6%) had a catheter-related infection. In conclusion, the short-term use of large bore femoral catheters in setting up PBSC collection seems to be associated with minimal risk of infection and low thrombotic incidence.
- Published
- 1999
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