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Percutaneous translumbar central venous catheter in infants and small children
N Malmgren1, W Cwikiel, P Hochbergs
1Department of Diagnostic Radiology, University Hospital, Lund, Sweden.
Insights
Translumbar inferior vena cava catheterization offers a safe and reliable alternative for prolonged vascular access in children. This method avoids complications and ensures long-term catheter patency, benefiting pediatric patients requiring extended treatment.
Area of Science:
- Pediatric vascular surgery
- Interventional radiology
- Pediatric critical care
Background:
- Vascular occlusion is a significant challenge for children needing prolonged vascular access.
- Conventional central venous catheter placement carries risks and limitations in pediatric patients.
Purpose of the Study:
- To evaluate the safety and efficacy of translumbar inferior vena cava (IVC) catheterization as an alternative to conventional methods.
- To assess the feasibility and outcomes of translumbar IVC catheter placement in pediatric patients.
Main Methods:
- Retrospective analysis of four pediatric patients undergoing translumbar IVC catheterization on 12 occasions.
- Successful catheter placement was confirmed, and procedural complications were monitored.
Main Results:
- All 12 translumbar IVC catheter placements were technically successful.
- No procedure-related complications were observed during or after the interventions.
- The median catheter patency was 4.8 months, with a range of 1 to 10 months.
Conclusions:
- Translumbar IVC catheterization is a safe and reliable technique for achieving prolonged central venous access in infants and small children.
- This approach should be considered a viable option when long-term vascular access is anticipated in pediatric populations.
Abstract:
Vascular occlusion is a common clinical problem in children dependent on prolonged vascular access. As an alternative to conventional central venous catheter placement we report our experience of four children receiving translumbar inferior vena cava catheter on 12 different occasions. All catheter placements were successful. No procedure-related complications occurred. The median catheter patency was 4.8 months (range 1-10 months). The translumbar route for central venous access is safe and reliable and should be considered when prolonged use is anticipated in infants and small children.