Patterns of use of vascular access devices in patients undergoing hematopoietic stem cell transplantation: results of an international survey

Abstract

Our study demonstrated that there are similarities in the utilization of VAD but also wide differences in the standard procedures for the insertion and care of VAD in the transplant setting. More comprehensive studies are needed to assess the use of central venous catheters in transplant recipients. Important areas for future research include the impact of VAD utilization on the quality of life of transplant recipients and the final consequences of VAD complications.

Effective collection of peripheral blood stem cells in children weighing 20 kilogram or less in a single large‐volume apheresis procedure

“…We prefer to use central venous access, trying to maintain a continuous blood flow in order to prevent prolonging the apheresis procedure, and thus limiting the time to avoid potential complications that may occur, in addition to providing comfort for the donor. Central venous catheter placement has been associated with adverse events such as bleeding, infections, thrombotic events, and pneumothorax , however, in our cases, no serious adverse events related to the placement and use of a central venous catheter were observed. In each case, the catheter was placed by a group of expert physicians dedicated to providing central venous access with extensive experience in the procedure.…”

“…However, CVC placement has been associated with severe adverse events such as bleeding due to the proximity of large arteries, local and systemic infections, thrombotic events, pneumothorax, etc. .…”

Peripheral blood stem‐cell harvest using percutaneous arterial lines in children

“…Insertion of short-term central venous lines for the duration of the stem cell harvesting procedure is standard in many centers [4]. Central line placement is, however, associated with dangerous complications such as bleeding due to the proximity of the central veins to the large arteries, thrombotic events, and pneumothorax [2,3].…”

Best practice for peripheral blood progenitor cell mobilization and collection in adults and children: results of a Società Italiana Di Emaferesi e Manipolazione Cellulare (SIDEM) and Gruppo Italiano Trapianto Midollo Osseo (GITMO) consensus process

“…However, in patients lacking suitable peripheral venous accesses, CVCs are usually inserted (7‐10 French in pediatric patients and 12‐14 French in adults), according to institutional protocols. Dual‐lumen CVCs are preferred by most institutions 64 . A two‐lumen CVC is of choice in pediatric patient candidates to peripheral stem cell harvesting.…”