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Retrograde tunnel: a method for the fixation of long-term pediatric central venous catheters
R A Wheeler1, D M Griffiths, D M Burge
1Wessex Regional Centre for Pediatric Surgery, Southampton General Hospital, England.
Abstract:
The fashioning of a subcutaneous tunnel has become an integral part of the placement of central venous catheters (CVC). Several methods have been described, but the long-term CVCs in pediatric practice pose special problems, particularly that of the patients continually testing the CVC's fixation. A polyurethane CVC is used that has not been previously described in pediatric usage and a retrograde tunneling technique has been developed which affords immediate and secure fixation.
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