TY - JOUR
T1 - Interventional Radiologic Placement of Hohn Central Venous Catheters
T2 - Results and Complications in 100 Consecutive Patients
AU - Openshaw, Kurt L.
AU - Picus, Daniel
AU - Hicks, Marshall E.
AU - Darcy, Michael D.
AU - Vesely, Thomas M.
AU - Picus, Joel
PY - 1994/1/1
Y1 - 1994/1/1
N2 - Hohn catheters are single- or double-lumen catheters used for intermediate-length central venous access. The authors report their technique, results, and long-term follow-up in a prospective study of their first 100 consecutive patients. Indications for Hohn subclavian catheter placement included chemotherapy in 53%, antibiotic therapy in 30%, and total parenteral nutrition in 8%. Patients’ ages ranged from 21 to 82 years, and 80% of catheters were placed in inpatients. Hohn catheters were placed with fluoroscopic and/or ultrasound guidance. Patients were followed up for the duration of the study or until their catheters were removed. The technical success rate for catheter placement was 100%. No major procedural complications occurred. Duration of catheter placement varied between 5 and 276 days (mean, 70 days). The catheter infection rate was 8%, which corresponds to 1.1 infections per 1,000 catheter days. Catheter thrombosis occurred in nine cases (9%) and was successfully treated with urokinase in six of these nine. Subclavian vein thrombosis occurred in 3% of patients. Technical success, complication, and long-term patency rates for the Hohn catheter are comparable to or better than those in most surgical series involving tunneled external catheters. The Hohn catheter is an excellent alternative for intermediate-length central venous access. Hohn subclavian catheter placement has become a standard part of the authors’ interventional radiology service and is easily adaptable to all interventional practices.
AB - Hohn catheters are single- or double-lumen catheters used for intermediate-length central venous access. The authors report their technique, results, and long-term follow-up in a prospective study of their first 100 consecutive patients. Indications for Hohn subclavian catheter placement included chemotherapy in 53%, antibiotic therapy in 30%, and total parenteral nutrition in 8%. Patients’ ages ranged from 21 to 82 years, and 80% of catheters were placed in inpatients. Hohn catheters were placed with fluoroscopic and/or ultrasound guidance. Patients were followed up for the duration of the study or until their catheters were removed. The technical success rate for catheter placement was 100%. No major procedural complications occurred. Duration of catheter placement varied between 5 and 276 days (mean, 70 days). The catheter infection rate was 8%, which corresponds to 1.1 infections per 1,000 catheter days. Catheter thrombosis occurred in nine cases (9%) and was successfully treated with urokinase in six of these nine. Subclavian vein thrombosis occurred in 3% of patients. Technical success, complication, and long-term patency rates for the Hohn catheter are comparable to or better than those in most surgical series involving tunneled external catheters. The Hohn catheter is an excellent alternative for intermediate-length central venous access. Hohn subclavian catheter placement has become a standard part of the authors’ interventional radiology service and is easily adaptable to all interventional practices.
KW - Catheters and catheterization, central venous access, 9462.123
KW - Catheters and catheterization, technology
KW - TPN
KW - Veins, subclavian, 9462.123, 9462.4611
KW - total parenteral nutrition
UR - http://www.scopus.com/inward/record.url?scp=0028247631&partnerID=8YFLogxK
U2 - 10.1016/S1051-0443(94)71464-0
DO - 10.1016/S1051-0443(94)71464-0
M3 - Article
C2 - 8136586
AN - SCOPUS:0028247631
SN - 1051-0443
VL - 5
SP - 111
EP - 115
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 1
ER -