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Peripherally inserted central catheters in infants and children

J Dubois1, L Garel, B Tapiero

  • 1Department of Radiology, Hôpital Sainte-Justine, Montréal, Québec, Canada.

Radiology
|September 1, 1997
PubMed

Insights

Peripheral insertion of central catheters is a feasible and safe procedure in pediatric patients, offering mid- and long-term benefits with a low complication rate. This method is well-tolerated in infants and children.

Area of Science:

  • Pediatric Medicine
  • Vascular Access
  • Interventional Radiology

Background:

  • Central venous catheters are essential for various pediatric treatments.
  • Peripheral insertion offers a less invasive alternative to traditional central venous access.
  • Evaluating the safety and efficacy of peripherally inserted central catheters (PICCs) in pediatric populations is crucial.

Purpose of the Study:

  • To prospectively assess the feasibility of peripheral insertion of central catheters in infants and children.
  • To determine the complication rates associated with PICCs in pediatric patients.
  • To evaluate the mid- and long-term advantages of using PICCs in this demographic.

Main Methods:

  • A prospective study involving 183 pediatric patients (285 catheter placement attempts) over 15 months.
  • Phlebographic guidance was utilized, with 99% of catheters inserted below the elbow.
  • Indications included prolonged antibiotic therapy, hematologic/oncologic care, total parenteral nutrition, and fluid/blood access.

Main Results:

  • High success rates were observed: 96% in outpatients, 98% in hospitalized patients, and 96% in infants under 1 year.
  • The primary complications were infection (6%) and catheter occlusion (8%).
  • Pericatheter venous thrombosis was rare (0.3%).

Conclusions:

  • Peripheral insertion of central catheters is a highly feasible technique in pediatric patients.
  • PICCs are well-tolerated in infants and children, demonstrating a low frequency of complications.
  • This approach offers significant benefits for various pediatric medical needs.
Abstract

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