Difficult extraction of long-term central venous catheters in children—case report

Abstract Although many publications address the complications associated with insertion of long-term, indwelling central venous catheters, there are only scattered reports of problems related to their removal. We report 4 cases of pediatric patients in whom the lines could not be pulled from the vei...

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Veröffentlicht in:Journal of pediatric surgery 2010-08, Vol.45 (8), p.1720-1723
Hauptverfasser: Maizlin, Ilan, Carpentier, Heather, Bliss, David
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container_issue 8
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container_title Journal of pediatric surgery
container_volume 45
creator Maizlin, Ilan
Carpentier, Heather
Bliss, David
description Abstract Although many publications address the complications associated with insertion of long-term, indwelling central venous catheters, there are only scattered reports of problems related to their removal. We report 4 cases of pediatric patients in whom the lines could not be pulled from the vein by standard methods, requiring 2 intraperiosteal clavicle resections with venorrhaphy, 1 femoral vein exploration and reconstruction, and 1 jugular venorrhaphy. Despite their relative biocompatibility, long-term silicone lines may become fixed in the vein. The rare and unpredictable occurrence of this problem may present the surgeon with unexpected intraoperative dilemmas. Before attempting localized extraction, surgeons should consider what venue, equipment, and anesthesia support may be required to successfully remove these catheters.
doi_str_mv 10.1016/j.jpedsurg.2010.05.026
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subjects Adolescent
Biocompatible Materials
Broviac line
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - methods
Catheters, Indwelling - adverse effects
Central venous catheter
Child
Child, Preschool
Device Removal - methods
Female
Femoral Vein
Hickman line
Humans
Infant
Jugular Veins
Male
Pediatrics
Port-a-Cath
Removal
Subclavian Vein
Surgery
Surgical complications
Time Factors
title Difficult extraction of long-term central venous catheters in children—case report
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