Document Detail


A complication associated with central line removal in the pediatric population: retained fixed catheter fragments.
MedLine Citation:
PMID:  12677573     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There are many reports on the complications that occur at the time of insertion and during the life of central venous indwelling catheters. However, there is no literature that describes the complications that occur at the time of removal of these lines. METHODS: A retrospective review of 136 central line (Broviacs [B], Port-A- Caths [PC] and Hickmans [HC]) removals during the last 5 years was undertaken. RESULTS: A total of 97% were removed after completion of chemotherapy, and 3% because of sepsis or malfunction. Three PC lines broke at the time of removal resulting in a length of line remaining in the central venous system (the superior vena cava, innominate vein, and bracheo-cephalic subclavian junction). Two lines were inserted by a cut-down technique into the external jugular and one line by the percutaneous technique into the subclavian vein. At follow-up, none of the residual lines were associated with thrombus formation, and none showed any evidence of migration. CONCLUSIONS: This review identifies a specific problem that can occur with central line removal. Both the long-term affects of residual catheter within the central venous system and the need to remove the foreign body have yet to be addressed.
Authors:
Sarah A Jones; Michael Giacomantonio
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  38     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-04     Completed Date:  2003-11-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  594-6     Citation Subset:  IM    
Copyright Information:
Copyright 2003, Elsevier Science (USA). All rights reserved.
Affiliation:
Division of Pediatric Surgery, Dalhousie University, IWK Health Center, Halifax, Nova Scotia, Canada.
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MeSH Terms
Descriptor/Qualifier:
Brachiocephalic Veins
Catheterization, Central Venous / adverse effects*
Catheters, Indwelling / adverse effects*
Child, Preschool
Device Removal / adverse effects*
Equipment Failure
Foreign Bodies / etiology*
Humans
Jugular Veins
Lymphoma, Non-Hodgkin / drug therapy
Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy
Pseudomonas Infections / etiology
Retrospective Studies
Sepsis / etiology
Staphylococcal Infections / etiology
Subclavian Vein
Veins*
Vena Cava, Superior
Venous Thrombosis / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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