J Korean Soc Radiol.  2010 Apr;62(4):351-355. 10.3348/jksr.2010.62.4.351.

Radiologic Placement of Tunneled Central Venous Catheters in Pediatric Patients

• Kim EJ
• Song SY
• Cho OK
• Koh BH
• Kim Y
• Jeong WK
• Lee YH

• KMID: 1460067
• DOI: http://doi.org/10.3348/jksr.2010.62.4.351

Abstract

PURPOSE
We evaluated the technical success and complication rates associated with the radiological placement of tunneled central venous catheters in pediatric patients.
MATERIALS AND METHODS
Between May 1, 2005 and March 31, 2008, a total of 46 tunneled central venous catheters were placed in 34 children (M:F = 22:12; mean age, 9.9 years [9 months to 16.8 years]). All procedures were performed under ultrasonographic and fluoroscopic guidance. Follow-up data were obtained through the retrospective review of the medical records. We used the Kaplan-Meier survival method for the evaluation of survival rate of the catheters.
RESULTS
All procedures were technically successful. The observed periprocedural complications included hematoma formation in three patients. The mean catheter life was 189.3 days (total, 8710 days; range, 7-810). Catheters were removed due to death (n=9), the end of treatment (n=8), catheter sepsis (n=4), malfunction (n=8), and accidental removal (n=4). The rate of catheter sepsis and malfunction was 0.459 and 0.919 for every 1000 catheter days, respectively. The expected mean catheter life was 479.6 days as per the Kaplan-Meier analysis.
CONCLUSION
The results suggest that the radiologic placement of a tunneled central venous catheter is an effective technique with a high technical success rate and low complication rate.

MeSH Terms

Catheterization, Central Venous
Catheters
Catheters, Indwelling
Central Venous Catheters
Child
Follow-Up Studies
Hematoma
Humans
Medical Records
Pediatrics
Radiology, Interventional
Retrospective Studies
Sepsis
Survival Rate

Figure

• 

  Fig. 1 Kaplan-Meier survival curve in 46 subcutaneous tunneled catheters. The estimated mean survival time is 479.6 days. Expected 50% survival rate(days) is 456 days

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