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Updated: May 8, 2026
08:51
Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model
Published on: March 31, 2023
[Evaluation of peripherally inserted central catheters in a pediatric population]
1Service d'imagerie médicale et interventionnelle, hôpital l'Archet 2, CHU de Nice, 151, route Saint-Antoine Ginestière, BP 79, 06202 Nice cedex 3, France.
Summary
Peripherally inserted central catheters (PICCs) are safe and effective for pediatric patients when inserted under radiological guidance. This study shows high technical success and manageable complications, making PICCs a viable alternative for central venous access in children.
Area of Science:
- Pediatric Radiology
- Vascular Access Devices
Background:
- Peripherally inserted central catheters (PICCs) are underutilized in pediatric populations compared to adults.
- Central venous access is crucial for various pediatric treatments.
Purpose of the Study:
- To evaluate the feasibility, safety, and efficacy of radiologically guided PICC insertions in pediatric patients.
- To analyze complication rates and factors influencing them in pediatric PICC use.
Main Methods:
- A single-center study involving 57 pediatric patients (7 months to 18 years).
- 67 PICC placement attempts were performed under radiological guidance.
- Pain management included local anesthesia, EMLA, and equimolar mixture of oxygen and nitrous oxide (EMONO).
Main Results:
- 95.5% technical success rate with a median procedure time of 17 minutes.
- Low requirement for sedation (6%); median pain score of 2.1.
- Median catheter dwell time was 38.3 days; 75% of treatments were completed.
- Overall complication rate was 18.7%, predominantly mechanical (9.4%) and infectious (7.8%).
Conclusions:
- Radiologically guided PICC insertion is feasible, safe, and effective in pediatric patients.
- PICCs offer a valuable alternative to traditional central venous access devices in children.
- Minimizing mechanical complications requires strict nursing management protocols for PICC lines.
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