Skip to main content

Implantable Devices in Patients with Haematological Diseases

  • Conference paper
Supportive Care in Cancer Patients II

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 121))

Abstract

The surgical implantation of catheters connected to subcutaneous reservoirs into a central vein in patients with malignant tumours has become a routine procedure in recent years [1–6]. In the past, many different methods of vascular access have been evaluated in patients suffering from acute leukaemia or other bone marrow-infiltrating malignancies. A number of specific problems exist, arising mainly from prolonged phases of bone marrow aplasia, such as catheter-induced bacteraemia or fungaemia, and insufficient flow capacity for simultaneous treatment with cytostatic drugs, antibiotics, blood transfusions and parenteral nutrition.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rothe A Jr, Piccione W, Ambrosino JJ, Benotti PN, Lokich JJ (1984) Implantable central venous access system. Am J Surg 147: 565–569

    Article  Google Scholar 

  2. Gyves JW, Ensminger WD, Niederhuber JE, Dent T, Walker S, Gilbertson S, Cozzi E, Saran P (1984) A totally implantable injection port system for blood sampling and chemotherapy administration. JAMA 251: 2538–2541

    Article  PubMed  CAS  Google Scholar 

  3. Kessler W, Schmid L, Hoffmann R, Amgwerd R, Wicky B (1985) Erleichterung der Langzeit-Chemotherapie durch ein vollständig implantierbares Kathetersystem. Heiv Chir Acta 52: 253–257

    CAS  Google Scholar 

  4. Starkhammer H, Bengtsson M (1985) Totally implanted device for venous access. Acta Rad 24: 173–176

    Google Scholar 

  5. Brincker H, Saeter G (1986) Fifty-five patient years’ experience with a totally implanted system for intravenous chemotherapy. Cancer 57: 1124–1129

    Article  PubMed  CAS  Google Scholar 

  6. Lorenz M, Hottenrott C, Seufert RM, Kirkowa-Reimann M, Encke A (1986) Dauerhafter intravenöser oder intraarterieller Zugang mit einer subkutan liegenden implantierbaren Infusionskammer. Dtsch Med Wochenschr 111: 772–779

    Article  PubMed  CAS  Google Scholar 

  7. Hickmann RO, Buckner CD, Clift RA, Sanders JE, Stewart P, Thomas ED (1979) A modified right atrial catheter for access to the venous system in marrow transplant recipients. Surg Gynecol Obstet 148: 871–875

    Google Scholar 

  8. Blacklock HA, Pillai MV, Hill RS, Matthews JRD, Clark AG, Wade JF (1980) Use of modified subcutaneous right-atrial catheters for venous access in leukaemic patients. Lancet I: 993–994

    Article  Google Scholar 

  9. Abraham JL, Mullen JL (1982) A prospective study of prolonged central venous access in leukemia. JAMA 248: 2868–2873

    Article  Google Scholar 

  10. Reilly JJ, Steed DL, Ritter PS (1984) Indwelling venous access catheters in patients with acute leukemia. Cancer 53: 219–223

    Article  PubMed  Google Scholar 

  11. Schmid L, Walser K, Kessler W, Senn HJ (1990) Use of a fully implantable drug delivery system in the treatment of acute leukemias and disseminated lymphomas. Oncology (in press)

    Google Scholar 

  12. Wade JC, Newman KA, Schimpff SC, Van Echo DA, Gelber RA, Reed WP, Wiernick PH (1981) Two methods for improved venous access in acute leukemia patients. JAMA 246: 140–144

    Article  PubMed  CAS  Google Scholar 

  13. Reed WP, Newman KA, De Jongh C, Wade JC, Schimpff SC, Wiernick PH, McLaughlin JS (1983) Prolonged venous access for chemotherapy by means of the Hickman catheter. Cancer 52: 185–192

    Article  PubMed  CAS  Google Scholar 

  14. Lockich J, Moore C (1986) Drug extravasation in cancer chemotherapy. Ann Intern Med 104: 124

    Google Scholar 

  15. Tomford JW, Hershey CO, Mclaven ChE, Proter DK, Cohen DI (1984) Intravenous therapy and peripheral venous catheter-associated complications. A prospective controlled study. Arch Intern Med 44: 1191–1194

    Article  Google Scholar 

  16. Wagman LD, Kirkemo A, Johnson MR (1984) Venous access: a prospective randomised study of the Hickman catheter. Surgery 95: 303–308

    PubMed  CAS  Google Scholar 

  17. Cairo MS, Spooner S, Sowden L, Bennetts GA, Towne B, Hodder F (1986) Longterm use of indwelling multipurpose silastic catheters in pediatric cancer patients treated with aggressive chemotherapy. J Clin Oncol 4: 784–788

    PubMed  CAS  Google Scholar 

  18. Wade JC, Schimpff SC, Nervman KA, Wiernick PH (1982) Staphylococcus epidermidis: an increasing cause of infection in patients with granulocytopenia. Ann Intern Med 97: 503–508

    PubMed  CAS  Google Scholar 

  19. Davies AJ (1985) Coagulase negative staphylococcal infections. Br Med J 290: 1230–1231

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag Berlin · Heidelberg

About this paper

Cite this paper

Schmid, L., Feldges, A. (1991). Implantable Devices in Patients with Haematological Diseases. In: Senn, HJ., Glaus, A. (eds) Supportive Care in Cancer Patients II. Recent Results in Cancer Research, vol 121. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84138-5_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-84138-5_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-84140-8

  • Online ISBN: 978-3-642-84138-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics