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Prospective evaluation of systematic use of peripherally inserted central catheters (PICC lines) for the home care after allogeneic hematopoietic stem cells transplantation

Supportive Care in Cancer volume 25, pages 2843–2847 (2017)Cite this article

Abstract

Purpose

Long-term catheters are often necessary for outpatient care after an allogeneic hematopoietic stem cell transplantation (HSCT), However, there is paucity of data on the use of peripherally inserted central catheter (PICC) in post-HSCT setting.

Methods

We prospectively evaluated the systematic use of PICC in 37 consecutive patients returning home after HSCT.

Results

In 6 out of 37 patients, the PICC was exclusively used for weekly blood controls. In 31 patients, the PICC line was used at home for hydration (18), antibiotics (3), intravenous human Ig (7), transfusions (10), extracorporeal photopheresis (3), chemotherapy (2), artificial nutrition (1), and/or palliative care (1). PICC complications were reported in ten patients (27%), causing eight PICC removals. At the end of the study, 35 patients had their PICC removed. PICCs were used with a median duration of 67 days. Reasons for removal were that PICC was not considered to be useful any longer (16), suspicion of infection (inflammation without documentation) (5) or infection (2), patient’s wish (4), death (4), accidental withdrawal (2), puncture site bleeding (1), and catheter change due to extracorporeal photopheresis (1). Three venous thromboses were reported (8%), requesting one PICC removal because of associated infection. In other cases, an antithrombotic treatment was initiated.

Conclusions

Although the number of patients included in the study was small, our results suggest that PICC is a safe long-term venous access for home care after HSCT.

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Fig. 1

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Acknowledgements

Authors thank Jeffrey Perkins for his English-language support.

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Affiliations

  1. Department of Clinical Hematology, Institut de Cancérologie Lucien Neuwirth, 42171 St, Priest en Jarez, France

    J. Cornillon, J.A Martignoles, E. Tavernier-Tardy, M. Gire, P. Martinez, C. Tranchan, K. Augeul-Meunier & D. Guyotat

  2. Department of Radiation Oncology, Institut de Cancérologie Lucien Neuwirth, 42 St, Etienne, France

    A. Vallard

  3. Department of Interventional Radiology, Institut de Cancérologie Lucien Neuwirth, 42-St, Etienne, France

    B. Hacquard

Authors
  1. J. Cornillon
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  2. J.A Martignoles
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  3. E. Tavernier-Tardy
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  4. M. Gire
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  5. P. Martinez
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  6. C. Tranchan
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  7. A. Vallard
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  8. K. Augeul-Meunier
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  9. B. Hacquard
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  10. D. Guyotat
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Correspondence to J. Cornillon.

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Cornillon, J., Martignoles, J., Tavernier-Tardy, E. et al. Prospective evaluation of systematic use of peripherally inserted central catheters (PICC lines) for the home care after allogeneic hematopoietic stem cells transplantation. Support Care Cancer 25, 2843–2847 (2017). https://doi.org/10.1007/s00520-017-3699-3

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  • DOI: https://doi.org/10.1007/s00520-017-3699-3

Keywords

  • PICC line
  • Allogeneic hematopoietic stem cell transplantation
  • Home care