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Groshong catheter

Soichi Kojima, Takao Hiraki, Hideo Gobara, Toshihiro Iguchi, Hiroyasu Fujiwara, Yusuke Matsui, Toshiharu Mitsuhashi, Susumu Kanazawa
PURPOSE: To evaluate retrospectively the fracture risk of totally implanted venous access devices connected to Groshong silicone (SC) versus polyurethane (PU) catheters, inserted via the internal jugular vein. MATERIALS AND METHODS: The study population comprised 384 SC and 221 PU central venous catheters implanted via the internal jugular vein. The presence of catheter fracture was evaluated. Variables possibly related to catheter fracture were evaluated. First, in order to determine the factors associated with fracture, fracture rates were compared with the log-rank test between the two groups divided by each of the variables...
October 21, 2016: Journal of Vascular Access
Renata Błasiak, Michał Ławiński, Krystyna Majewska, Aleksandra Gradowska
UNLABELLED: According to the ESPEN and ASPEN guidelines, in the case of a long-term (>3-month) parenteral nutrition should be administered via a subcutaneous central venous catheter (CVC). There are three types of mechanical complications of tunnelled central catheter: catheter rupture, occlusion by TPN depositing and thrombofibrotic occlusion. The aim of the study was to analyse the incidence of complications central catheter in a group of patients receiving HPN. MATERIAL AND METHODS: Between January 2010 and June 2014, HPN was conducted in 584 patients (306 women and 278 men), ninety-nine patients were enrolled in the study: 67 women and 32 men in whom mechanical complications of central catheters were found...
November 2015: Polski Przeglad Chirurgiczny
Paolo Balsorano, Giulia Galducci, Ilaria De Fanti, Samuel Kagan Evans, Angelo Raffaele De Gaudio, Cecilia Pelagatti
PURPOSE: Totally implantable venous access devices (Ports) represent the mainstay for infusion therapy in patients undergoing chemotherapy, total parenteral nutrition and/or long-term antibiotic treatment. Amongst mechanical complications, lesions of the catheter wall represent a rare but potentially severe condition. We report our experience with the accidental detection of catheter ruptures in a series of ports removed for complication or for end of use. METHODS: All ports removed from January 2011 to June 2013 were considered...
September 2014: Journal of Vascular Access
Ben Warner, Sandeep Cliff, Gulnaz Shah, Simon Stern
No abstract text is available yet for this article.
January 2014: British Journal of Haematology
Guilherme A Zottele Bomfim, Nelson Wolosker, Guilherme Yazbek, Christiano V Bernardi, Luisa A Valentim, Thiago M De Castro, Bruno S Pignataro, Daniel A Benitti, Kenji Nishinari
BACKGROUND: Fully implantable catheters are important for oncology treatments. They can be functionally categorized as valved or nonvalved. Theoretically, a valve prevents spontaneous blood reflux into the catheter, reducing the incidence of complications. We sought to compare the results from the implantation of valved and nonvalved fully implantable 8-French catheters inserted via ultrasound-guided puncture in cancer patients undergoing chemotherapy treatment. METHODS: A retrospective analysis of 100 patients who underwent long-term catheter implantation guided by ultrasound was performed looking for early (≤30 days) or late (≥90 days) complications...
February 2014: Annals of Vascular Surgery
H Lucas, S P Attard-Montalto, V Saha, A Bristow, J E Kingston, O B Eden
An audit of 151 central venous catheters (CVCs) in 118 children with malignant disease was carried out over 20 months. The types included 31 valved silastic (Groshong), 58 non-valved silastic (Hickman), and 62 non-valved polyurethane (Cuff Cath) CVCs. There was no difference between the three groups with regard to the clinical diagnosis. The mean patient age at catheter insertion was 5.5 years and the mean weight 21.6 kg. None of the catheter types were associated with an increased risk of problems at insertion, migration, mechanical damage, blockage, sampling, or catheter infection...
March 1996: Pediatric Surgery International
P Debourdeau, D Farge, M Beckers, C Baglin, R M Bauersachs, B Brenner, D Brilhante, A Falanga, G T Gerotzafias, N Haim, A K Kakkar, A A Khorana, R Lecumberri, M Mandala, M Marty, M Monreal, S A Mousa, S Noble, I Pabinger, P Prandoni, M H Prins, M H Qari, M B Streiff, K Syrigos, H R Büller, H Bounameaux
BACKGROUND: Although long-term indwelling central venous catheters (CVCs) may lead to pulmonary embolism (PE) and loss of the CVC, there is lack of consensus on management of CVC-related thrombosis (CRT) in cancer patients and heterogeneity in clinical practices worldwide. OBJECTIVES: To establish common international Good Clinical Practices Guidelines (GCPG) for the management of CRT in cancer patients. METHODS: An international working group of experts was set up to develop GCPG according to an evidence-based medicine approach, using the GRADE system...
January 2013: Journal of Thrombosis and Haemostasis: JTH
Joseph D Tobias, Joy Allee, Venkataraman Ramachandran, Ted Groshong
In pediatric-aged patients, various factors may result in perioperative hypertension including renal failure or insufficiency, volume overload, or other factors that activate the sympathetic nervous system including pain and agitation. Perioperative blood pressure control may be even more difficult to achieve and maintain in patients with pre-existing hypertension. We present a 16-year-old adolescent with renal failure and hypertension who presented for anesthetic care during placement of a peritoneal dialysis catheter...
July 2009: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
Paolo Cotogni, Mauro Pittiruti, Cristina Barbero, Taira Monge, Augusta Palmo, Daniela Boggio Bertinet
BACKGROUND: Although home parenteral nutrition (HPN) is often indicated in cancer patients, many physicians are concerned about the risks potentially associated with the use of central venous access devices (VADs) in these patients. The aim of this prospective study was to investigate the actual incidence of VAD-related complications in cancer patients on HPN. METHODS: All adult cancer patient candidates for VAD insertion and HPN were enrolled. The incidence of complications associated with 4 types of VADs (peripherally inserted central catheter [PICC], Hohn catheter, tunneled Groshong catheter, and port) was investigated, as well as the most significant risk factors...
May 2013: JPEN. Journal of Parenteral and Enteral Nutrition
Andrew J Johnston, Carmel T Streater, Remy Noorani, Joanne L Crofts, Aldwin B Del Mundo, Richard A Parker
PURPOSE: Peripherally Inserted Central Catheters (PICCs) are increasingly being used to provide short to medium-term central venous access. The current study was designed to test the hypothesis that PICC valve technology does not influence PICC occlusion rates. METHODS: Intensive care unit (ICU) patients who required a PICC were randomized to one of three types of dual lumen PICC (open ended non-valved, Groshong valve, PASV valve). PICC occlusions were recorded and managed with a protocol that used urokinase...
October 2012: Journal of Vascular Access
Giuseppe Capozzoli, Gino Accinelli, Loris Fabbro, Roberta Pedrazzoli, Franco Auricchio
BACKGROUND: Intra-cavitary electrocardiography (ECG) is a well-known method for correct positioning of the tip of central venous catheters (CVC). A significant increase in the P wave, as registered by the intra-cavitary electrode, signals the entrance of the catheter into the right atrium. METHODS: In this prospective observational study, 155 consecutive oncologic patients were enrolled for cannulation of the right or left internal jugular vein for insertion of a tunneled Groshong catheter...
July 2012: Journal of Vascular Access
Wolf Heberlein
Tunneled cuffed catheters provide reliable and instant long-term intravenous access for a large variety of therapeutic purposes, including chemotherapy, parenteral nutrition, and apheresis. The most frequent application is for patients with renal failure as an access device for hemodialysis. In this capacity, the rate of catheter use has remained stable in the United States, despite the promotion of arteriovenous fistulas and arteriovenous grafts. The latter 2 procedures achieve superior longevity and much higher cost-efficiency...
December 2011: Techniques in Vascular and Interventional Radiology
Hiromichi Miyagaki, Kiyokazu Nakajima, Joji Hara, Makoto Yamasaki, Yukinori Kurokawa, Hiroshi Miyata, Shuji Takiguchi, Yoshiyuki Fujiwara, Masaki Mori, Yuichiro Doki
BACKGROUND & AIMS: Peripherally inserted central venous catheters (PICC) are long-term vascular access devices inserted through a peripheral vein of the arm and serve as an alternative to traditional central venous catheters. Currently different types of PICCs are available. No data, however, are available in regard to materials and tip designs. We designed a prospective, randomized trial comparing two major PICCs with different material and tip design: a silicone catheter with distal side slits (Groshong Catheter) and a polyurethane catheter with open-end tip (PI Catheter)...
February 2012: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Akila Subramaniam, Kenneth H Kim, Shannon A Bryant, Kristopher J Kimball, Warner K Huh, J Michael Straughn, Jacob M Estes, Ronald D Alvarez
OBJECTIVE: The purpose of this study was to investigate the incidence of mechanical complications associated with low-profile subcutaneous implantable venous access devices in gynecologic oncology patients. METHODS: Gynecologic oncology patients with low-profile Port-a-Caths implanted between March 2005 and July 2006 were identified into a computerized database. Patient demographics, operative complications, number of chemotherapy cycles, duration of implantation, and mechanical complications were collected...
October 2011: Gynecologic Oncology
Raphaelle Girard, Catherine Traullé, Nathalie DeSantis, Daniel Espinouse, Sophie Gardes, Bertrand Coiffier
Incidence rates of bacteraemia and catheter-related infections were measured prospectively amongst haematological patients having long-term catheters and hospitalised in the ambulatory care unit between November 2005 and October 2006. The following risk factors were collected: age, sex, catheter type, follow-up duration, level of personal hygiene, pathology, number of lines of treatment, autograft and erythropoietin treatment. 340 patients were included, having 353 catheters (100 of the Groshong-type, followed during 17,621 days, and 253 of the type with implantable ports, followed during 51,049 days)...
2010: Journal of Infection and Public Health
Cheng K Ong, Sudhakar K Venkatesh, Gabriel B Lau, Shih C Wang
PURPOSE: The objective of this study was to evaluate and compare the relative durability and complications between the proximal valve polyurethane and distal valve silicone peripherally inserted central catheters (PICCs). METHODS: Institutional review board approval was obtained. A total of 326 patients (mean age, 50.4 years) was assigned randomly to receive either a proximal valve polyurethane PICC (n = 198) or a distal valve silicone Groshong PICC (n = 194). All PICCs were inserted under radiologic guidance by interventional radiologists...
August 2010: Journal of Vascular and Interventional Radiology: JVIR
Antonio Ruggiero, Giuseppe Barone, Gabriella Margani, Lorenzo Nanni, Mauro Pittiruti, Riccardo Riccardi
BACKGROUND: Children with cancer undergo intensive treatments requiring reliable vascular access. Central venous catheters (CVCs) reduce discomfort due to venipuncture and the risks of extravasations from chemotherapy administration. The aim of our retrospective study was to assess safety and complications of Groshong devices in children with cancer. PATIENTS AND METHODS: One hundred ninety Groshong CVCs were placed in 166 children over a 5-year period. Early complications, and infectious and mechanical events were collected...
July 1, 2010: Pediatric Blood & Cancer
Kenji Nishinari, Nelson Wolosker, Christiano Vinicius Bernardi, Guilherme Yazbek
PURPOSE: There are few studies regarding the use of totally implantable valved ports for chemotherapy. The objective of this study was to analyze the results obtained from consecutive implantation of 350 devices. METHODS: Adult patients submitted to port insertion in veins of the superior vena cava system over a 17-month period (July 2006 to December 2007) were considered. The device used was composed of a titanium and silicone rubber port (Dome Port; Bard Inc, Salt Lake City, UT) connected to an 8...
January 2010: Journal of Vascular Access
Mitsuru Ishizuka, Hitoshi Nagata, Kazutoshi Takagi, Tokihiko Sawada, Keiichi Kubota
BACKGROUND: The Groshong catheter (GC) is considered to have a lower risk of central venous catheter-related bloodstream infection (CVC-RBSI) than conventional catheters because of its valve system (closed-end) for preventing blood reflux. However, few studies have compared the GC with conventional (open-end) catheters in terms of catheter-related complications. PURPOSE: To compare the incidence of catheter-related complications including CVC-RBSI between the GC and the Argyle catheter (AC)...
November 2009: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
Ching-Chuan Hsieh, Hsu-Huei Weng, Wen-Shih Huang, Wen-Ke Wang, Chiung-Lun Kao, Ming-Shian Lu, Chia-Siu Wang
AIM: To analyze the risk factors for central port failure in cancer patients administered chemotherapy, using univariate and multivariate analyses. METHODS: A total of 1348 totally implantable venous access devices (TIVADs) were implanted into 1280 cancer patients in this cohort study. A Cox proportional hazard model was applied to analyze risk factors for failure of TIVADs. Log-rank test was used to compare actuarial survival rates. Infection, thrombosis, and surgical complication rates (chi(2) test or Fisher's exact test) were compared in relation to the risk factors...
October 7, 2009: World Journal of Gastroenterology: WJG
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