Use of percutaneous radial artery catheter for peripheral blood progenitor cell collection in pediatric patients
BACKGROUND: Leukapheresis procedures require adequate flow rates, which in children may frequently involve invasive vascular access placement.
STUDY DESIGN AND METHODS: A minimally invasive peripheral radial artery catheter was used for drawing blood in 85 leukapheresis procedures performed in 33 pediatric patients. Blood return to the patients was provided by either a central Broviac-type catheter or a peripheral venous access. The patients' age range was 1 to 18 years (median, 9.5) and the weight range was 9 to 73 kg (median, 29 kg). Vasocan Braunüle Luer Lock IV cannulas (22 gauge in 78 and 20 gauge in 7) were placed percutaneously under local anesthesia, and in 8 patients, catheter placement was carried out during general anesthesia for other procedures. A continuous flow cell separator was used in all cases (Fresenius AS104 in 23 and AS204 in 62).
RESULTS: Flow rates ranged from 18 to 45 mL per minute, the mean number of total blood volumes processed was 2.07 (range, 0.51-2.51), and the mean duration of the procedures was 150 minutes (range, 90-260). The 22-gauge cannulas provided adequate flow rates independently of patient age and weight. No significant thrombotic, embolic, hemorrhagic, ischemic, or infectious complications were observed.
CONCLUSION: Peripheral radial artery catheters are safe, are minimally invasive, and provide steady, high-flow rates, and they should be considered for patients requiring leukapheresis and lacking a suitable vascular access for drawing blood.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2003 |
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| Erschienen: |
2003 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:43 |
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| Enthalten in: |
Transfusion - 43(2003), 2 vom: 15. Feb., Seite 254-8 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Bambi, Franco [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 24.04.2003 Date Revised 10.12.2019 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM123377374 |
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| 100 | 1 | |a Bambi, Franco |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Use of percutaneous radial artery catheter for peripheral blood progenitor cell collection in pediatric patients |
| 264 | 1 | |c 2003 | |
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| 500 | |a Date Completed 24.04.2003 | ||
| 500 | |a Date Revised 10.12.2019 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Leukapheresis procedures require adequate flow rates, which in children may frequently involve invasive vascular access placement | ||
| 520 | |a STUDY DESIGN AND METHODS: A minimally invasive peripheral radial artery catheter was used for drawing blood in 85 leukapheresis procedures performed in 33 pediatric patients. Blood return to the patients was provided by either a central Broviac-type catheter or a peripheral venous access. The patients' age range was 1 to 18 years (median, 9.5) and the weight range was 9 to 73 kg (median, 29 kg). Vasocan Braunüle Luer Lock IV cannulas (22 gauge in 78 and 20 gauge in 7) were placed percutaneously under local anesthesia, and in 8 patients, catheter placement was carried out during general anesthesia for other procedures. A continuous flow cell separator was used in all cases (Fresenius AS104 in 23 and AS204 in 62) | ||
| 520 | |a RESULTS: Flow rates ranged from 18 to 45 mL per minute, the mean number of total blood volumes processed was 2.07 (range, 0.51-2.51), and the mean duration of the procedures was 150 minutes (range, 90-260). The 22-gauge cannulas provided adequate flow rates independently of patient age and weight. No significant thrombotic, embolic, hemorrhagic, ischemic, or infectious complications were observed | ||
| 520 | |a CONCLUSION: Peripheral radial artery catheters are safe, are minimally invasive, and provide steady, high-flow rates, and they should be considered for patients requiring leukapheresis and lacking a suitable vascular access for drawing blood | ||
| 650 | 4 | |a Evaluation Study | |
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Fontanazza, Silvia |e verfasserin |4 aut | |
| 700 | 1 | |a Messeri, Andrea |e verfasserin |4 aut | |
| 700 | 1 | |a Lippi, Alma |e verfasserin |4 aut | |
| 700 | 1 | |a Tucci, Fabio |e verfasserin |4 aut | |
| 700 | 1 | |a Tamburini, Angela |e verfasserin |4 aut | |
| 700 | 1 | |a Tintori, Veronica |e verfasserin |4 aut | |
| 700 | 1 | |a Casini, Tommaso |e verfasserin |4 aut | |
| 700 | 1 | |a Lacitignola, Laura |e verfasserin |4 aut | |
| 700 | 1 | |a Tondo, Annalisa |e verfasserin |4 aut | |
| 700 | 1 | |a Veltroni, Marinella |e verfasserin |4 aut | |
| 700 | 1 | |a Bernini, Gabriella |e verfasserin |4 aut | |
| 700 | 1 | |a Faulkner, Lawrence B |e verfasserin |4 aut | |
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