Experience with Double Lumen Right Atrial Catheters

Abstract

A double lumen right atrial catheter was placed in 57 allogeneic marrow transplant recipients, and its use was compared to a concurrent series of 63 patients receiving the large-bore single lumen catheter. Ten double lumen catheter recipients developed septicemia, while neutropenic with granulocyte counts less than 100 per cubic centimeter, and three had their catheters removed for persistent septicemia. Seventeen single lumen catheter recipients developed septicemia while granulocytopenic, and one had the catheter removed for persistent septicemia. Hyperalimentation was more effectively delivered with the double lumen catheter which provides a route for infusion of hyperalimentation solutions at a constant rate during infusions of blood products, antibiotics, and other fluids.

Get full access to this article

View all access options for this article.

References

Hickman RO , Buckner CD Clift RA et al: A modified right atrial catheter for access to the venous system in marrow transplant recipients. Surg Gynecol Obstet 148:871-875. 1979

Larson EB Wooding M. Hickman RO : Infectious complications of right atrial catheters used for venous access in patients receiving intensive chemotherapy. Surg Gynecol Obstet 153:369-373. 1981

Merritt RJ , Ennis CE Andrassy R-J. , et al: Use of Hickman right atrial catheter in pediatric oncology patients . JPEN 5:83-85, 1981

Broviac JW , Cole JJ , Scribner BH : A silicon rubber atrial catheter for prolonged parenteral alimentation . Surg Gynecol Obstet 136:602-606, 1973

Heimbach DM , Ivey TD : Technique for placement of a permanent home hyperalimentation catheter . Surg Gynecol Obstet 143:634-636, 1976

Buckner CD , Clift RA , Sanders JE , et al: Protective environment for marrow transplant recipients. A prospective study. Ann Intern Med 89:893-901, 1978

Clift RA , Sanders JE , Thomas ED , et al: Granulocyte transfusions for the prevention of infection in patients receiving bone-marrow transplants. N Engl J Med 298:1052-1057, 1978

Harris JA , Benedict FG : Biometric Studies of Basal Metabolism in Man. Carnegie Institution of Washington, Publication No279, 1979

Clift RA , Buckner CD , Fefer A. , et al: Infectious complications of marrow transplantation. Transplant Proc 6:389-393, 1974

10.

Meyers JD , Thomas ED : Infection complicating bone marrow transplantation. IN Clinical Approach to Infection in the Immunocompromised Host, Chap 15, RH Rubin , LS Young (eds). Plenum Press, New York , pp 507-551, 1982