Peripherally inserted central venous catheters for treatment of cystic fibrosis

Abstract

Patients who have cystic fibrosis (CF) are frequently hospitalized for long‐term intravenous(IV) treatment. We evaluated clinical effectiveness of the Drum‐Cartridge Catheter (Abbott Laboratories) for such patients. The catheter is placed peripherally under local anesthesia via an antecubital vein into the superiorvena cava or right atrium. Patients who were more than 10 years of age and who were hospitalized for IV antibiotic therapy and/or IV hyperalimentation were studied. All but 2 patients had CF. Using an aseptic technique the catheters were inserted into the basilic or cephalic vein. Chest radiographs were used to confirm the final location of the catheter. Catheters were used to administer IV antibiotics, hyperalimentation, and lipids. There were 38 catheterizations in 23 patients; several patients had repeated insertions at later admissions. The success rate of insertion was 86% with 31 of the 38 insertions initially located either in the superior vena cava or right atrium. Mean duration of catherization was 15.4 days (range 5–49 days). No major complications such as sepsis, catheter or clot embolism, pneumothorax, vascular perforation, or hemorrhage occurred in the patients who had CF. Complications that required catheter removal were thrombophlebitis (1 patient), clot occlusion (1 patient), displacement of catheter into the axillary vein (1 patient), and cracked catheter hub (1 patient). This study shows that the Drum‐Cartridge Catheter can be used easily for IV therapy of patients who have CF for a long duration, repeatedly, and with no major complications.