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Radiologically placed venous ports in children
Bora Peynircioglu1, Murat Canyigit, Onur Ergun
1Department of Radiology, Hacettepe University Hospitals, 06100, Sihhiye, Ankara, Turkey. borapeynir@gmail.com
Journal of Vascular and Interventional Radiology : JVIR
|November 16, 2007
Summary
Radiologic central venous port placement in pediatric patients demonstrates a 100% technical success rate. This safe procedure for children has a low complication rate, making it effective for long-term venous access.
Area of Science:
- Interventional Radiology
- Pediatric Surgery
- Vascular Access
Background:
- Central venous ports are crucial for long-term venous access in pediatric patients, particularly those with conditions like leukemia.
- Placement is often performed in specialized settings by interventional radiologists.
Purpose of the Study:
- To evaluate the procedural success and follow-up outcomes of radiologically placed central venous ports in pediatric patients.
- To assess the safety and complication rates associated with these devices.
Main Methods:
- A retrospective review of 127 central venous port placements in 122 pediatric patients (mean age 8.5 years) between 2002 and 2006.
- All procedures utilized internal jugular vein access and were performed in an angiography suite.
- Data were collected from electronic databases and hospital charts for follow-up analysis.
Main Results:
- Achieved a 100% technical success rate for port placement.
- The mean catheter dwell time was 459 days, with 82 ports remaining in use.
- Complications included infectious issues (7.1%), skin erosion (2.7%), and catheter fracture (0.9%), with an overall port-related infection rate of 14.3%.
Conclusions:
- Central venous port placement by interventional radiologists is a safe and highly successful procedure in pediatric patients.
- The study highlights a low rate of significant complications, supporting its use for reliable long-term venous access.
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