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Janis Strickland
Conversion of a hickman to an implanted port

I have been ask to investigate if anyone has heard of converting a Hickman catheter to a implanted port? Thank you for your response. Janis Strickland

 

lynncrni
Never heard of it and it

Never heard of it and it would not be possible to do it, I don't think. The catheter and port body are specifically made to fit together. The tunneled catheter is not designed to fit onto the stem of the port body, leaving it extremely vulnerable to separating. This would mean that the catheter would come off the stem and embolize. I suppose you could make a surgical incision near the original venotomy of the tunneled catheter and them somehow do an exchange over wire to withdraw the tunneled catheter and place the port catheter. But this may be more risk than just starting with a new catheter insertion. You would need to obtain the instructions from the manufacturer of both devices and follow them. If they do not support this procedure (and I don't think they would), then the facility and operator inserting the device would be at risk for a lawsuit if there was a catheter embolization, or extravasation injury. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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