Single-incision technique for placement of tunneled internal jugular vein vascular access in children.
Pediatr Radiol
; 44(8): 1004-10, 2014 Aug.
Article
en En
| MEDLINE
| ID: mdl-24615352
ABSTRACT
BACKGROUND:
Central venous access is indispensable in caring for children with infections, malignancies and chronic illnesses, and image-guided placement of central venous access devices (CVAD) is increasingly used. A single-incision technique for placement of tunneled central venous access devices at the internal jugular vein has been described; however the technique has not been described exclusively in children.OBJECTIVE:
To describe our initial experience using the single-incision technique for tunneled central venous access at the internal jugular vein in children. MATERIALS ANDMETHODS:
We conducted a retrospective review of the interventional radiology database and electronic medical records of 15 children who received a tunneled central venous access device (CVAD) using a single incision between 2010 and 2012. Patients included eight boys and seven girls with an average age of 11 years (median 13.3 years, range 1-18.7 years) and average weight of 44.2 kg (median 38.3 kg, range 9.6-99.0 kg).RESULTS:
A total of 17 primary insertions were performed. Technical success was 100%. Total catheter life consisted of 1,416 catheter-days (mean 83.3 days, range 8-502 days). There were no procedure-related or early complications. Seven late complications requiring intervention occurred in three catheters. Total mechanical and infectious complications occurred at rates of 0.28 and 0.21 per 100 catheter-days, respectively. The adjusted rate for infectious complications was 0.14 per 100 catheter-days. Medical salvage procedures (83%) and interventional radiology salvage procedures (17%) prolonged catheter life by an average of 94.5 days (range 10-329 days).CONCLUSION:
This study demonstrates safe use and technical feasibility of the image-guided single-incision technique for central venous access in children, particularly in children in whom the conventional technique is less desirable.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_sistemas_informacao_saude
Asunto principal:
Cateterismo Venoso Central
/
Radiología Intervencionista
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Procedimientos Quirúrgicos Mínimamente Invasivos
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Venas Yugulares
Tipo de estudio:
Observational_studies
Límite:
Adolescent
/
Child
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Child, preschool
/
Female
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Humans
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Infant
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Male
Idioma:
En
Revista:
Pediatr Radiol
Año:
2014
Tipo del documento:
Article