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Michael B. Jacobs, MD; Mark Yeager, MD, PhD

Arch Intern Med. 1984;144(8):1597-1599.

Abstract
• Hickman-Broviac catheters are often used when long-term venous access is required. Although generally safe, catheter-related thrombosis and infection are two of the most frequent and clinically important complications associated with their use. A 47-year-old woman with breast cancer had a Hickman catheter placed for chemotherapy; subsequently, the superior vena caval syndrome developed due to a large thrombus surrounding the catheter tip. A very low dose of streptokinase successfully lysed this clot within 12 hours. A 60-year-old woman with acute myelogenous leukemia had a Hickman catheter placed to facilitate induction and maintenance chemotherapy. Two episodes of catheter-related Staphylococcus epidermidis sepsis later developed, the first of which cleared without removal of the cannula.

(Arch Intern Med 1984;144:1597-1599)

Author Affiliations
From Stanford (Calif) University Medical Center.

Footnotes
Accepted for publication Jan 3, 1984.

These case reports were first presented and discussed as clinical vignettes at the 64th annual session of the American College of Physicians, San Francisco, April 12, 1983.

Reprints not available.

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