![]() I am always surprised when I see comments such as those who say they see increased clotting when using one open-ended polyurethane PICC over any other open-ended PICC. ![]() I have had them pulled out by patients, but never pulled apart. We use saline flushes and a neutral displacement valve. Our experience with occlusions and other complications has been the same or fewer than we experienced using Groshong PICCs. In addition to the power injection capability, we can also monitor CVP pressures if the patient ends up in the ICU. Over the past two or three years, the advantages of the Power PICCS have won us over to the point that we now use Groshongs only very rarely. We used to place Groshong PICCs in 100% of our patients. The superiority of power-injectable PICCs in the acute care setting are subtantial. ![]() Having no crystal ball, we often don't know for sure what therapy the patient will end up on, or whether home care will become an option. These lines are frequently placed during the diagnostic workup phase. European Journal of Cancer Care, 26(6), e12627.I think the solution to this is that we will have to find better solutions to caring for these lines in the home care setting. Application of peripherally inserted central catheter in acute myeloid leukaemia patients undergoing induction chemotherapy. Biology of Blood and Marrow Transplantation, 15(5), 632-638. Platelet engraftment in patients with hematologic malignancies following unmanipulated haploidentical blood and marrow transplantation: Effects of CD34+ cell dose and disease status. Outcome and late effects among acute myeloid leukemia survivors: A nationwide population-based study. Peripherally inserted central catheters (PICCs) in the management of oncohematological patients submitted to autologous stem cell transplantation. īellesi, S., Chiusolo, P., De Pascale, G., Pittiruti, M., Scoppettuolo, G., Metafuni, E., Giammarco, S., Sora, F., Laurenti, L., Leone, G., & Sica, S. Canadian Association of Radiologists Journal, 63(4), 323-328. Bard PowerPICC solo2 vs cook turbo-ject: A tale of two PICCs. ![]() However, its application in cyclosporine level monitoring needs further investigation.Īllo-HSCT cyclosporine polyurethane power injectable PICCs.Īlport, B., Burbridge, B., & Lim, H. The dual-lumen power injectable PICCs provided a reliable access for blood sample collection, decreasing the number of blind percutaneous venous punctures in allo-HSCT. The power injectable PICC is a feasible venous access device for allo-HSCT. However, cyclosporine levels in samples obtained via these PICCs were significantly higher than those in samples obtained via percutaneous venous puncture (261.5 ± 139.2 vs. No power injectable PICC-related thrombotic adverse events were identified 90.4% (47/52) of cases with power injectable PICC removal occurred because of lack of medical utility, suggesting that power injectable PICC-related complications were manageable. The insertion-site blood oozing and central line-associated bloodstream infection rates were 36.5% (19/52) and 26.9% (14/52), respectively, indicating the feasibility of these PICCs for various applications in allo-HSCT. The median PICC placement duration was 29 days. We also compared the cyclosporine levels in 188 paired blood samples, simultaneously obtained via power injectable PICCs and percutaneous venous puncture, to investigate whether power injectable PICC is a feasible route for cyclosporine concentration monitoring in allo-HSCT. We prospectively evaluated the applications and complications of power injectable PICCs in 52 consecutive allo-HSCT recipients. To explore whether dual-lumen power injectable peripherally inserted central catheters (PICCs) could be effectively and safely applied in allogeneic hematopoietic stem cell transplantation (allo-HSCT) and for serum cyclosporine level monitoring.Ĭompared to conventional central venous access devices, PICC provides a feasible route not only for fluid infusion, but also for blood sample collection in patients undergoing oncological treatments.Ī prospective observational study was conducted according to the STROBE guidelines.
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