Related Experiment Video
Updated: Jul 10, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
Malfunctioning central venous catheters in children: a diagnostic approach
Alex Barnacle1, Owen J Arthurs, Derek Roebuck
1Radiology Department, Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, UK.
Insights
This article reviews central venous catheter (CVC) types and complications in pediatric patients. It details the linogram technique for diagnosing CVC malfunctions and guiding management.
Area of Science:
- Radiology
- Pediatric Interventional Radiology
Background:
- Central venous catheter (CVC) insertion and management are increasingly performed by radiologists.
- Pediatric patients require specialized considerations for central venous access.
Purpose of the Study:
- To provide an overview of CVC types in pediatric patients.
- To explain complications leading to CVC malfunction.
- To describe the linogram technique for diagnosing CVC issues.
Main Methods:
- Review of available CVC types for pediatric use.
- Detailed explanation of CVC complications and malfunction.
- Description of the standard catheter contrast study (linogram) technique.
- Pictorial review of normal and abnormal linogram findings.
Main Results:
- The article outlines various CVC types suitable for pediatric patients.
- Common and uncommon complications leading to CVC malfunction are detailed.
- Normal and abnormal findings on linogram studies are presented with illustrative examples.
Conclusions:
- Radiologists play a key role in pediatric central venous access.
- Understanding CVC types and complications is crucial for effective management.
- The linogram technique is a valuable tool for diagnosing and managing CVC-related issues in children.
Abstract:
Central venous access is increasingly becoming the domain of the radiologist, both in terms of the insertion of central venous catheters (CVCs) and in the subsequent management of these lines. This article seeks to provide an overview of the CVC types available for paediatric patients and a more detailed explanation of the spectrum of complications that may lead to catheter malfunction. A standard catheter contrast study or 'linogram' technique is described. The normal appearances of such a study and a detailed pictorial review of abnormal catheter studies are provided, together with a brief overview of how information from catheter investigations can guide the management of catheter complications.
Related Concept Videos
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
Cardiac Catheterization I: Pre-Procedure Overview
Cardiac Catheterization III: Left Heart Catheterization
Cardiac Catheterization II: Right Heart Catheterization
