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Cómo abordamos el acceso venoso central en hematología-oncología pediátrica: una estrategia basada en el flujo de

Alessandro Crocoli¹

¹Surgical Oncology Unit, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy.

Pediatric blood & cancer

|January 10, 2026

Abstract:

Central venous access is essential for delivering chemotherapy and supportive care in children with cancer. Yet the practical decisions surrounding device selection, placement, maintenance, and salvage vary widely among institutions. In our center, we use a systematic, multidisciplinary workflow to anticipate the treatment trajectory, prioritize venous preservation, prevent complications, and support structured salvage strategies when device dysfunction or infection occurs. This "How I Approach" article outlines a pragmatic, experience-based model drawn from daily practice in a high-volume pediatric oncology setting. The focus is on applying established concepts to real-world clinical decision-making to maintain continuity of therapy and minimize morbidity.

Palabras clave:

acceso venoso central hematología atención multidisciplinaria oncología pediátrica dispositivos de acceso vascular optimización del flujo de trabajo

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