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August 1981

Use of Hickman Right Atrial Catheter for Vascular Access in Marrow Transplant Recipients

Author Affiliations

Genoa, Italy

Arch Surg. 1981;116(8):1099. doi:10.1001/archsurg.1981.01380200095023

To the Editor.–Hickman right atrial catheters (HRAC) were placed in 40 patients (aged 10 to 44 years) with acute leukemia or aplastic anemia, who were eligible for bone marrow transplantation (BMT).1 The internal diameter of the silicone rubber catheters was 1.6 mm. Prior to insertion, catheters were washed with soap and water and sterilized for 30 minutes at 121 °C. The tip of the catheter was radiologically guided to the right atrium via the cephalic vein (31 cases) dissected in the deltopectoral groove, or in the internal jugular vein (nine cases). The extravascular portion of the catheter was placed in a subcutaneous channel2 on the chest wall. Blood was drawn drawn daily for routine tests through the catheter; total parenteral nutrition (TPN) compounds, chemotherapy drugs, hydration solutions, antibiotics, and blood products were all administrated through the HRAC. However, when blood products were infused, use of TPN solutions

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