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Implantable subcutaneous venous catheters.

H P McDowell, C A Hart, J Martin

    Archives of Disease in Childhood
    |October 1, 1986
    PubMed
    Summary
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    Totally implantable central venous catheters in pediatric oncology patients showed few complications. The low infection rate suggests these devices are a safe and effective option for long-term venous access.

    Area of Science:

    • Oncology
    • Medical Devices
    • Pediatrics

    Background:

    • Central venous catheters are essential for administering treatments in pediatric oncology.
    • Complications associated with central venous access can significantly impact patient outcomes.
    • Totally implantable devices offer a potential solution for long-term venous access with reduced external exposure.

    Purpose of the Study:

    • To evaluate the safety and efficacy of totally implantable subcutaneous central venous catheter systems.
    • To assess the complication rates, particularly infections, associated with these devices in pediatric oncology patients.

    Main Methods:

    • A retrospective review of twelve pediatric oncology patients utilizing totally implantable subcutaneous central venous catheter systems.
    • Data collection focused on device-related complications, including blockages and infections.

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    Main Results:

    • A low overall complication rate was observed.
    • Four infective episodes occurred, all successfully treated.
    • The infection rate was calculated at 0.189 episodes per 100 days of use.
    • This infection rate is substantially lower than previously reported for other central venous catheters.

    Conclusions:

    • Totally implantable subcutaneous central venous catheter systems are associated with a low incidence of complications in pediatric oncology.
    • The observed low infective rate suggests these devices provide a safe and effective alternative for long-term central venous access in this patient population.