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.

Pediatric Radiology
|October 13, 2007
PubMed

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.

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