Art�culos Originales |
�El prop�sito fue revisar la morbilidad de los cat�teres colocados en el Servicio de Oncolog�a para tratamiento
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Abstract: | |
� From November 92 to July 94 we implanted 98 central venous catheters for administration of chemotherapy. The candidates for placement of an indwelling or implantable central venous access device presented some of the following characteristcs: In active �tratment with no peripheral veins, on very �prolonged chemotherapy, pediatric or obese patients. The insertion of the catheter was done under local anesthesia and direct fluoroscopic control. There were 34 males and 64 females, ranging from 3 to 74 years of age, with diferent neoplasm. 92 patients were implanted through the subclavian vein, 5 through the cephalic, 1 through the yugular �vein �and 2 were failures for a total of 100 insertios. 18 were permanent implantable (Implantofix) and 80 were indwelling catheters with extravascular portions subcutaneosly tunnelized to a skin exit 10 cm away of the point of insertion. The main complication was local pain in 13 cases, then local infection in 10 patients, flebitis in 6, one neumothorax, 2 subclavisular hematomas. The main reason for removing the catheter was the termination of the tratment (47 patients), flebitis (6) local infection (6). There were no deaths due to the procedure. The median duration of the catheter was four and a half months. This new approach for chemotherapy has made chemotherapy administration easier, has decreased the patients anxiety with a better quality of life. The complications rate were low and similar to other series. (Oncologia Ecuador) 1996, 6 - 127 - 132 Key Words: Permanent Catheters, Chemotherapy |
Autor(es) : Dr. Eduardo Valencia, Dr. Fernando Checa R., Dr. Hern�n P�ez, Dr. Marcelo Alvarez, Dr. Patricio Gavilanez,
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