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Continuous venous access in children with urological diseases
J C Springer1, R G Azizkhan, H G Mesrobian
1Department of Surgery, University of North Carolina School of Medicine, Chapel Hill.
The Journal of Urology
|February 1, 1989
Summary
Multipurpose silicone right atrial catheters provide essential continuous venous access for children with complex urological conditions, enabling outpatient treatment and survival with a low complication rate.
Area of Science:
- Pediatric Urology
- Vascular Access
- Medical Devices
Background:
- Complex urological diseases in children often necessitate long-term venous access for critical treatments.
- The use of silicone right atrial catheters has become a vital option for managing these complex cases.
Purpose of the Study:
- To evaluate the safety and efficacy of multipurpose silicone right atrial catheters for continuous venous access in pediatric patients with urological diseases.
- To analyze the types and frequency of complications associated with these catheters.
Main Methods:
- Retrospective review of 26 pediatric patients (aged 1 day to 15 years) who received right atrial catheters between September 1985 and September 1987.
- Detailed analysis of catheter indications, placement techniques, duration of use (4,500 catheter days), and complications.
Main Results:
- A total of 11 complications occurred over 4,500 catheter days, with 10 mechanical and 1 infectious.
- Complications necessitated catheter replacement in only 3 patients; others were managed nonoperatively.
- Catheter use facilitated outpatient treatment and survival for many patients.
Conclusions:
- Multipurpose silicone right atrial catheters are a safe and effective option for long-term venous access in children with complex urological conditions.
- Low complication rates and the ability to manage patients as outpatients support the integration of these techniques into urological practice.