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KMID : 1103720100620040351
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Journal of the Korean Society of Radiology
2010 Volume.62 No. 4 p.351 ~ p.355
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Radiologic Placement of Tunneled Central Venous Catheters in Pediatric Patients
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Kim Eun-Ji
Song Soon-Young
Cho On-Koo
Koh Byung-Hee
Kim Yong-Soo
Jeong Woo-Kyoung
Lee Young-Ho
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Abstract
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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.
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KEYWORD
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Catheters, Indwelling, Radiology, Interventional, Catheterization, Central Venous, Pediatrics, Child
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