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Related Experiment Videos

Peripherally inserted central catheters: experience in 523 children

J J Crowley1, J K Pereira, L S Harris

  • 1Department of Pediatric Imaging, Children's Hospital of Michigan, Detroit 48201-2196, USA.

Radiology
|September 1, 1997
PubMed
Summary
This summary is machine-generated.

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Fluoroscopically guided peripherally inserted central catheters (PICCs) are safe and effective for pediatric central venous access. This study shows a high success rate and low complication incidence in a large pediatric cohort.

Area of Science:

  • Pediatric Interventional Radiology
  • Vascular Access
  • Medical Devices

Background:

  • Establishing reliable central venous access is crucial for pediatric patients requiring prolonged medical treatment.
  • Peripherally inserted central catheters (PICCs) offer a less invasive alternative to surgically placed central lines.
  • Radiological guidance enhances the success and safety of PICC placement, particularly in challenging pediatric cases.

Purpose of the Study:

  • To prospectively evaluate the efficacy and safety of peripherally inserted central catheters (PICCs) in a large pediatric population.
  • To assess the success rates and complication incidence associated with fluoroscopically guided PICC placement.

Main Methods:

  • Prospective data collection on 523 consecutive peripherally inserted central catheter (PICC) placement attempts in children over 3 years.

Related Experiment Videos

  • Radiologically guided placement using fluoroscopy with contrast material and venography for unsuccessful inpatient attempts or patient requests.
  • Documentation of catheter tip position and collection of follow-up data until treatment cessation or removal.

    • Main Results:

    • Successful placement was achieved in 92.9% (486/523) of attempts.
    • The primary reasons for unsuccessful placement were younger age (<24 months) or low weight (<5 kg).
    • Low complication rates were observed: 1.9% infection frequency and 0.4% central venous thrombosis.

    Conclusions:

    • Fluoroscopically guided peripherally inserted central catheter (PICC) placement is a safe and effective method for pediatric central venous access.
    • This technique provides reliable intermediate- and long-term venous access for children.
    • The study supports the routine use of image-guided PICCs in pediatric care.