Document 1058
 DOCN  M94A1058
 TI    A prospective comparative study between externally sited (Hickman line),
       chest implanted (Port-O-Cath) and arm implanted (PASport) for long term
       venous access in AIDS patients.
 DT    9412
 AU    Tanner AG; Skinner CJ; McBride MO; Harris JR; Monson JR; Glazer G;
       Department of Surgery, St. Mary's Hospital, London.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):219 (abstract no. PB0888). Unique
       Identifier : AIDSLINE ICA10/94371517
 AB    OBJECTIVE: Complications following venous access surgery in AIDS
       patients are high. The aim of our study was to prospectively assess all
       long term lines inserted. METHODS: All lines inserted over an eighteen
       month period were assessed from time of insertion until time of removal
       or patients death. Patients were given the choice of line the wished;
       Hickman line (Baird) chest Port-O-Cath (Pharmacia) or arm
       PASport(Pharmacia). All lines were inserted under local anaesthesia by a
       single surgeon (AGT). Following discharge from hospital the majority of
       lines were cannnulated and maintained by the patient with assistance
       from the Home Support Team. RESULTS: 72 Consecutive AIDS patients had
       operations for venous access. 21 patients had Hickman lines inserted,
       implantable ports were inserted in the chest in 31 patients and
       peripherally (arm) in 20 patients. The mean times for insertion were 49
       minutes versus 55 mins versus 18 min. The arm ports have an integral
       electromagnetic device making on table imaging unnecessary, thus
       explaining the shorter insertion time. In the Hickman group 10/21 (50%)
       developed complications 6(29%) due to sepsis; in the chest port group
       6/21 (19%) had complications, 4 (13%) due to sepsis; in the arm port
       group 4/20 (20%) had complications only one was due to sepsis (5%).
       CONCLUSIONS: The PASport is easy and quick to insert. It is a safe, cost
       effective alternative to existing venous access systems and represents a
       significant advance in patients with AIDS.
 DE    Acquired Immunodeficiency Syndrome/*THERAPY  Arm  Catheterization,
       Peripheral/*METHODS  Comparative Study  Human  Prospective Studies
       Thorax  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).