Evaluation of long-term central venous patency in children with chronic venous catheters using image-directed Doppler

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Published on: December 23, 2014

J Cassey1, G M Hendry, J Patel

  • 1Royal Hospital for Sick Children, Edinburgh, Scotland.

Journal of Clinical Ultrasound : JCU
|June 1, 1994
PubMed

Insights

Long-term central venous catheters in pediatric oncology patients remained functional after removal. Image-directed Doppler ultrasound confirmed vein patency, suggesting re-access is a viable option.

Area of Science:

  • Pediatric Oncology
  • Vascular Access
  • Diagnostic Imaging

Background:

  • Long-term central venous catheters are crucial for pediatric oncology treatment.
  • Assessing the patency of implant veins after catheter removal is important for future access.
  • Previous methods for assessing vein patency were limited.

Purpose of the Study:

  • To evaluate the patency of implant veins in pediatric oncology patients after long-term central venous catheter removal.
  • To determine if re-accessing the original implant vein is feasible and beneficial.

Main Methods:

  • A cohort of pediatric oncology patients who had central venous catheters removed between 1987 and 1991 were assessed.
  • Image-directed Doppler ultrasound scanning techniques were employed for central venous assessment.

Main Results:

  • The implant vein remained patent in all assessed children after catheter decannulation.
  • Doppler ultrasound confirmed the continued functionality of the central veins.

Conclusions:

  • The implant vein remains patent after long-term central venous catheter removal in pediatric oncology patients.
  • Re-accessing the original implant vein is a recommended and effective strategy over establishing new venous access sites.

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