Peripherally inserted central catheters in the treatment of children with cancer: Results of a multicenter study
Ry'kov M. Yu., Zaborovskij S. V., Shvecov A. N., Shukin V. V.
Journal of Vascular Access
Vol.19, Issue4, P. 378-381
Опубликовано: 2018
Тип ресурса: Статья
DOI:10.1177/1129729818757970
Аннотация:
Purpose: To review our experience with peripherally inserted central catheters in pediatric cancer patients. Methods: The analysis included 353 patients (3 months up to 17 years, mean age 11.2 years) with a variety of cancers diseases, which in 2011–2016, 354 peripherally inserted central catheters were placed. All settings are carried out using ultrasound guidance. In 138 (39[%]) patients, external anatomical landmarks were used and in 216 (61[%]) intraoperative fluoroscopy. Results: Maximal duration of the line was 1.3 years, the lowest 1.5 months, and average 6.3 months. Among the technical difficulties during placement, most frequently have been the migration of the distal end of the catheter into the internal jugular vein against blood flow—32 (9[%]) patients. In one (0.3[%]) case, we were unable to catheterize the patient’s vein. Among the most common complications of operation were marked peripherally inserted central catheter clot occlusion of the lumen—26 (7.3[%]) cases. Symptomatic cat
Ключевые слова:
Pediatric oncology; peripherally inserted central catheter; venous access
methotrexate; urokinase; antineoplastic agent; adolescent; Article; blood flow; catheter occlusion; child; device migration; drug megadose; fluoroscopy; human; infant; major clinical study; malignant neoplasm; osteosarcoma; postoperative complication; sutureless technique; thrombosis; vein puncture; adverse device effect; age; anatomic landmark; catheter occlusion; catheterization; central venous catheter; central venous catheterization; clinical trial; device removal; devices; female; indwelling catheter; interventional radiology; interventional ultrasonography; intravenous drug administration; male; multicenter study; neoplasm; preschool child; procedures; risk factor; Russian Federation; time factor; treatment outcome; upper extremity deep vein thrombosis; Administration, Intravenous; Adolescent; Age Factors; Anatomic Landmarks; Antineoplastic Agents; Catheter Obstruction; Catheterization, Central Venous; Catheterization, Peripheral; Catheters, Indwelling; Central Venous Catheters
Язык текста: Английский
ISSN: 1724-6032
Ry'kov M. Yu. Maksim Yuryevich 1980-
Zaborovskij S. V.
Shvecov A. N.
Shukin V. V.
Рыков М. Ю. Максим Юрьевич 1980-
Заборовский С. В.
Швеcов А. Н.
Шукин В. В.
Peripherally inserted central catheters in the treatment of children with cancer: Results of a multicenter study
Текст визуальный непосредственный
Journal of Vascular Access
Wichtig Editore
Vol.19, Issue4 P. 378-381
2018
Статья
Pediatric oncology peripherally inserted central catheter venous access
methotrexate urokinase antineoplastic agent adolescent Article blood flow catheter occlusion child device migration drug megadose fluoroscopy human infant major clinical study malignant neoplasm osteosarcoma postoperative complication sutureless technique thrombosis vein puncture adverse device effect age anatomic landmark catheter occlusion catheterization central venous catheter central venous catheterization clinical trial device removal devices female indwelling catheter interventional radiology interventional ultrasonography intravenous drug administration male multicenter study neoplasm preschool child procedures risk factor Russian Federation time factor treatment outcome upper extremity deep vein thrombosis Administration, Intravenous Adolescent Age Factors Anatomic Landmarks Antineoplastic Agents Catheter Obstruction Catheterization, Central Venous Catheterization, Peripheral Catheters, Indwelling Central Venous Catheters
Purpose: To review our experience with peripherally inserted central catheters in pediatric cancer patients. Methods: The analysis included 353 patients (3 months up to 17 years, mean age 11.2 years) with a variety of cancers diseases, which in 2011–2016, 354 peripherally inserted central catheters were placed. All settings are carried out using ultrasound guidance. In 138 (39[%]) patients, external anatomical landmarks were used and in 216 (61[%]) intraoperative fluoroscopy. Results: Maximal duration of the line was 1.3 years, the lowest 1.5 months, and average 6.3 months. Among the technical difficulties during placement, most frequently have been the migration of the distal end of the catheter into the internal jugular vein against blood flow—32 (9[%]) patients. In one (0.3[%]) case, we were unable to catheterize the patient’s vein. Among the most common complications of operation were marked peripherally inserted central catheter clot occlusion of the lumen—26 (7.3[%]) cases. Symptomatic cat