Do simultaneous bilateral tunneled infusion catheters in XXXX undergoing bone marrow transplantation increase catheter-related complications?

@entity1 @entity981 @entity2150 @entity2590 @entity49 @entity1072 @entity3052 @entity281 @entity4018 @entity1893 @entity978 @entity1860
PURPOSE: Secure venous access with multiple lumens is necessary for the care of allogeneic hematopoietic stem cell transplant (HSCT) recipients. The outcomes associated with simultaneous bilateral tunneled internal jugular infusion catheter placement in the HSCT recipient population were investigated in an attempt to determine whether simultaneous introduction of these catheters compounds or magnifies the risks ( @entity281 , @entity49 ) associated with tunneled catheters. MATERIALS AND METHODS: @entity1 undergoing HSCT and receiving bilateral tunneled infusion catheters in a single procedure were identified using a quality assurance data base. Medical records for the duration of catheterization were reviewed; 43 @entity1 were included in the study (mean age, 42 years; range, 22-56). Diagnoses included @entity981 (n = 4), @entity3052 (n = 8), @entity2150 (n = 2), @entity1860 (n = 17), @entity1072 (n = 1), @entity978 (n = 1), @entity2590 (n = 4), @entity4018 (n = 2), and @entity1893 (n = 4). Cox proportional hazards regression analysis was performed to determine differences in @entity281 rates between dual- and triple-lumen catheters. RESULTS: Forty-three pairs of catheters were placed. All met venous access needs for HSCT recipient care. Complete follow-up was achieved for 77 of 87 (89%) catheters. The overall @entity281 rate was 0.25 per 100 catheter-days. The rate was 0.19 and 0.33 for dual- and triple-lumen catheters, respectively (P =.15). Mechanical failure did not differ between catheter types (dual: 0.14 episodes per 100 days, triple: 0.05 per 100 days, P =.2). CONCLUSIONS: Bilateral multilumen tunneled infusion catheter placement in a single procedure using imaging guidance is safe with acceptable outcomes and meets venous access needs for HSCT. There is a trend toward higher @entity281 rates, with more lumens and more mechanical failure with dual-lumen catheters.
