Lower Extremity Vascular Access in Neonates and Infants: A Single Institutional Experience.
J Vasc Interv Radiol
; 26(11): 1660-8, 2015 Nov.
Article
em En
| MEDLINE
| ID: mdl-26505937
ABSTRACT
PURPOSE:
To demonstrate feasibility and evaluate outcomes of direct-stick saphenous and single-incision tunneled femoral noncuffed central venous catheters (CVCs) placed in a large series of neonates and infants at a single institution. MATERIALS ANDMETHODS:
A retrospective review was performed for all neonates and infants receiving a lower extremity CVC by interventional radiology between 2007 and 2012. Technical success, mechanical and infectious complications, and catheter outcomes were recorded.RESULTS:
There were 271 primary insertions performed in 243 children by interventional radiologists in the interventional radiology suite or at the bedside. CVCs were placed via the femoral vein with single-incision technique (84.9%) or the saphenous vein via a direct-stick technique (15.1%), with a technical success rate of 100%. The total number of catheter-days was 7,917 days (median, 19 d; range, 0-220 d). The number of primary catheter-days was 5,333 days (median, 15 d; range, 0-123.0 d), and salvage procedures prolonged catheter life by 2,584 days (median, 15 d; range, 1.0-101.0 d). The mechanical and adjusted infectious complication rates were 1.67 and 0.44 per 100 catheter-days.CONCLUSIONS:
Image-guided placement of saphenous or tunneled femoral catheters using a single incision is a safe and feasible method for vascular access in neonates and infants.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Veia Safena
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Cateterismo Venoso Central
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Radiografia Intervencionista
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Infecções Relacionadas a Cateter
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Veia Femoral
Tipo de estudo:
Etiology_studies
/
Observational_studies
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Prevalence_studies
/
Risk_factors_studies
Limite:
Humans
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Infant
/
Newborn
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article