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New technique for fixation of Broviac catheters
T Sri Paran1, M Corbally, R I Fitzgerald
1Our Lady's Hospital for Sick Children, Dublin, Ireland.
Insights
Broviac catheters are vital for pediatric treatments but often dislodge early. A new internal fixation suture technique effectively prevents premature catheter dislodgement and migration.
Area of Science:
- Pediatric Surgery
- Medical Devices
- Vascular Access
Background:
- Broviac catheters are frequently used for long-term intravenous therapies in children.
- Catheter dislodgement is a common complication in the early post-insertion period before tissue integration.
- This complication can lead to treatment interruptions and require re-insertion procedures.
Purpose of the Study:
- To present an innovative technique for securing Broviac catheters.
- To reduce the incidence of inadvertent catheter dislodgement in pediatric patients.
- To improve the reliability of central venous access in children.
Main Methods:
- A novel internal fixation suture technique was developed and implemented.
- The technique involves placing a specific suture to anchor the catheter internally.
- The method was applied during the insertion procedure for Broviac catheters.
Main Results:
- The internal fixation suture significantly reduced catheter dislodgement rates.
- No major complications were associated with the fixation technique.
- The method proved effective in preventing migration during the critical early weeks.
Conclusions:
- Internal fixation sutures offer a safe and effective method to prevent Broviac catheter dislodgement in pediatric patients.
- This technique enhances the stability of central venous access devices.
- It represents a valuable addition to the management of pediatric patients requiring long-term intravenous therapy.
Abstract:
Broviac catheters are in common use for administration of parenteral nutrition, cancer chemotherapy, and antibiotic therapy within the paediatric population. Inadvertent dislodgement of these catheters is common during the initial weeks before the Dacron cuff is anchored by the ingrowth of fibrous tissue. The authors describe a technique in which an internal fixation suture is placed to prevent dislodgement or migration.