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Peripherally inserted central catheters in children

P G Chait1, J Ingram, C Phillips-Gordon

  • 1Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, Ontario, Canada.

Radiology
|December 1, 1995
PubMed
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Fluoroscopically guided peripherally inserted central catheters (PICCs) are a feasible and safe option for pediatric patients. This method showed a success rate comparable to blind insertion, with similar complication rates.

Area of Science:

  • Pediatric Interventional Radiology
  • Vascular Access Devices
  • Medical Device Placement

Background:

  • Peripherally inserted central catheters (PICCs) are crucial for long-term intravenous therapy in children.
  • Assessing the safety and efficacy of image-guided PICC insertion is essential for pediatric care.

Purpose of the Study:

  • To evaluate the feasibility and complication rates of fluoroscopically guided PICC placement in pediatric patients.
  • To compare outcomes with established methods of PICC insertion.

Main Methods:

  • 122 pediatric patients (9 days to 19 years) underwent fluoroscopically guided PICC insertion.
  • Catheters were placed for antibiotic/chemotherapy, total parenteral nutrition, or prolonged IV access.
  • Placement involved basilic or cephalic vein insertion, guided to the superior vena cava-right atrium junction.

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Main Results:

  • Successful PICC placement was achieved in 137 out of 148 attempts (92.6% success rate).
  • Complications included mechanical defects, infection, occlusion, and venous stasis.
  • The complication rate was comparable to blind insertion techniques.

Conclusions:

  • Fluoroscopically guided PICC insertion is a feasible and safe procedure in the pediatric population.
  • This technique offers a reliable method for establishing long-term central venous access in children.