Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
|
pubmed:dateCreated |
1990-2-12
|
pubmed:abstractText |
The complications associated with the use of Ommaya reservoirs in 106 patients with meningeal involvement due to malignant disease are reviewed. Twenty-seven patients had acute lymphoblastic leukemia, 12 acute myelogenous leukemia, 3 chronic lymphocytic leukemia, 34 lymphoma, 29 carcinoma, and 1 chronic myelocytic leukemia. There were 11 technical complications, including 1 death due to misplacement of the catheter, 2 mild intraventricular hemorrhages, and 5 malfunctioning reservoirs; 3 required craniotomies (1 for subdural hematoma and 2 for subdural hygroma); 13 cases of bacterial meningitis occurred in 10 patients. One patient died of Staphylococcus aureus meningitis. The organisms causing the other infections were mainly coagulase-negative staphylococci (8 cases) or Propionibacterium acnes (2 cases). The projected infection rate for all patients (by Kaplan-Meier analysis) during the first year following insertion of a reservoir was 15%. Successful use of Ommaya reservoirs requires expert surgical implantation and meticulous care during accessing to minimize complications.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jan
|
pubmed:issn |
0003-9926
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
150
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
173-6
|
pubmed:dateRevised |
2005-11-16
|
pubmed:meshHeading |
pubmed-meshheading:2404479-Adult,
pubmed-meshheading:2404479-Catheters, Indwelling,
pubmed-meshheading:2404479-Cerebral Hemorrhage,
pubmed-meshheading:2404479-Cerebral Ventricles,
pubmed-meshheading:2404479-Female,
pubmed-meshheading:2404479-Humans,
pubmed-meshheading:2404479-Leukemia,
pubmed-meshheading:2404479-Male,
pubmed-meshheading:2404479-Meningeal Neoplasms,
pubmed-meshheading:2404479-Meningitis,
pubmed-meshheading:2404479-Middle Aged
|
pubmed:year |
1990
|
pubmed:articleTitle |
Complications associated with Ommaya reservoirs in patients with cancer. The Princess Margaret Hospital experience and a review of the literature.
|
pubmed:affiliation |
Department of Medicine, Ontario Cancer Institute, Toronto, Canada.
|
pubmed:publicationType |
Journal Article,
Review
|