Fluoroscopy-guided subclavian vein catheterization in 203 children with hematologic disease

Area of Science:

• Pediatric Interventional Radiology
• Vascular Access Procedures
• Hematologic Oncology Support

Background:

• Subclavian vein catheterization is crucial for treating pediatric hematologic diseases.
• Catheter placement in children presents significant challenges and risks.
• Optimizing procedural safety and efficacy is paramount in pediatric care.

Purpose of the Study:

• To evaluate the safety and efficacy of fluoroscopy-guided subclavian vein catheterization in pediatric patients.
• To assess key procedural outcomes including success rate, venipuncture attempts, and complication incidence.
• To determine the optimal catheter tip placement in the superior vena cava-right atrium junction.

Main Methods:

• A prospective study involving 203 pediatric patients (age 1-16 years) with hematologic disease.
• Utilized fluoroscopy guidance for subclavian vein catheterization.
• Recorded data on venipuncture attempts, catheterization success, fluoroscopy duration, operation time, and complications.

Main Results:

• Achieved a 100% success rate for catheterization.
• 61.1% of cases succeeded on the first venipuncture attempt; 84.2% within three attempts.
• Reported minimal complications: 2 arterial punctures and 2 catheter-related infections, with optimal catheter tip placement in all cases.

Conclusions:

• Fluoroscopy-guided subclavian vein catheterization is a safe and highly successful procedure in children with hematologic disease.
• The technique leads to fewer venipunctures and reduced complication rates.
• This method ensures optimal catheter tip positioning, enhancing treatment delivery and patient safety.