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 |
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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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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.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2010.05.026</identifier><identifier>PMID: 20713228</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of pediatric surgery, 2010-08, Vol.45 (8), p.1720-1723</ispartof><rights>2010</rights><rights>Copyright 2010. 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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.</description><subject>Adolescent</subject><subject>Biocompatible Materials</subject><subject>Broviac line</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Catheterization, Central Venous - methods</subject><subject>Catheters, Indwelling - adverse effects</subject><subject>Central venous catheter</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Device Removal - methods</subject><subject>Female</subject><subject>Femoral Vein</subject><subject>Hickman line</subject><subject>Humans</subject><subject>Infant</subject><subject>Jugular Veins</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Port-a-Cath</subject><subject>Removal</subject><subject>Subclavian Vein</subject><subject>Surgery</subject><subject>Surgical complications</subject><subject>Time Factors</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1DAQxy0EokvhFarcOGUZ27HjXBCo5Uuq1APlbGXHk9Yhay92UtEbD8ET8iT1alsOvfQ00sx_vn5_xk44rDlw_W5cjztyeUlXawElCWoNQj9jK64krxXI9jlbAQhRy0abI_Yq5xGgpIG_ZEcCWi6FMCt2eeaHweMyzRX9nlOPs4-hikM1xXBVz5S2FVIoham6oRCXXGE_X1Mp5MqHCq_95BKFf3_-Yp-pSrSLaX7NXgz9lOnNfTxmPz5_ujz9Wp9ffPl2-vG8xsaYuaZGK9HyQblWgTFObVqUYFArAj10HYJUDg0nt1HKQANSatJGO9PxDjdKHrO3h7m7FH8tlGe79RlpmvpA5VTbNqYzmuu2KPVBiSnmnGiwu-S3fbq1HOweqB3tA1C7B2pB2QK0NJ7cr1g2W3L_2x4IFsGHg4DKozeeks3oKSA5nwhn66J_esf7RyNw8sFjP_2kW8pjXFIoGC23WViw3_e27l3lxdBGSi7vAJLxoGw</recordid><startdate>20100801</startdate><enddate>20100801</enddate><creator>Maizlin, Ilan</creator><creator>Carpentier, Heather</creator><creator>Bliss, David</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100801</creationdate><title>Difficult extraction of long-term central venous catheters in children—case report</title><author>Maizlin, Ilan ; Carpentier, Heather ; Bliss, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-e465271f5d75088d5b7c308c65e06f99c035dc81edb558040336e686d8919cb53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Biocompatible Materials</topic><topic>Broviac line</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Catheterization, Central Venous - methods</topic><topic>Catheters, Indwelling - adverse effects</topic><topic>Central venous catheter</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Device Removal - methods</topic><topic>Female</topic><topic>Femoral Vein</topic><topic>Hickman line</topic><topic>Humans</topic><topic>Infant</topic><topic>Jugular Veins</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Port-a-Cath</topic><topic>Removal</topic><topic>Subclavian Vein</topic><topic>Surgery</topic><topic>Surgical complications</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maizlin, Ilan</creatorcontrib><creatorcontrib>Carpentier, Heather</creatorcontrib><creatorcontrib>Bliss, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maizlin, Ilan</au><au>Carpentier, Heather</au><au>Bliss, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Difficult extraction of long-term central venous catheters in children—case report</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2010-08-01</date><risdate>2010</risdate><volume>45</volume><issue>8</issue><spage>1720</spage><epage>1723</epage><pages>1720-1723</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>20713228</pmid><doi>10.1016/j.jpedsurg.2010.05.026</doi><tpages>4</tpages></addata></record> |
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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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