Retained intravascular fragments after removal of indwelling central venous catheters: a single institution experience

Abstract There are few reports regarding the presence of retained fixed fragments after removal of indwelling central venous catheters in children. We conducted a retrospective study of 355 patients who underwent removal of central venous catheter from 1996 to 2008. Six patients (1.6%) had a failed...

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Published inJournal of pediatric surgery Vol. 45; no. 7; pp. 1491 - 1495
Main Authors Bautista, Francisco, Gómez-Chacón, Javier, Costa, Elisa, Moreno, Lucas, Cañete, Adela, Muro, Maria Dolores, Velazquez, Juan, Castel, Victoria
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2010
Subjects
Adolescent
Catheterization, Central Venous - adverse effects
Catheters, Indwelling - adverse effects
Child
Child, Preschool
Complications
Device removal
Device Removal - adverse effects
Equipment Failure
Female
Foreign Bodies - etiology
Foreign Bodies - therapy
Humans
Indwelling catheters
Male
Multivariate Analysis
Pediatrics
Retrospective Studies
Saphenous Vein
Spain
Surgery
Spain
Device removal
Indwelling catheters
Pediatrics
Complications
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Abstract Abstract There are few reports regarding the presence of retained fixed fragments after removal of indwelling central venous catheters in children. We conducted a retrospective study of 355 patients who underwent removal of central venous catheter from 1996 to 2008. Six patients (1.6%) had a failed attempt of removal, resulting in a remnant of catheter left in the central venous system. All of them had underlying malignant disorders and received chemotherapy for a prolonged period of time. In 2 patients, a second attempt of retrieval was performed that was partially successful. After an average follow-up of 3.5 ± 1.8 years, 1 patient has developed mild symptoms that could be related to the remaining fragment within the vascular system. Therefore, the incidence of complications caused by retained fixed fragments is low. Patients whose line has been in place for more than 48 months ( P = 0.009) and those located in the saphenous vein ( P = 0.01) are more prone to experience fragment retention. The decision of retrieval should be balanced according to the presence of symptoms and the length of the fragment retained.
AbstractList There are few reports regarding the presence of retained fixed fragments after removal of indwelling central venous catheters in children. We conducted a retrospective study of 355 patients who underwent removal of central venous catheter from 1996 to 2008. Six patients (1.6%) had a failed attempt of removal, resulting in a remnant of catheter left in the central venous system. All of them had underlying malignant disorders and received chemotherapy for a prolonged period of time. In 2 patients, a second attempt of retrieval was performed that was partially successful. After an average follow-up of 3.5 ± 1.8 years, 1 patient has developed mild symptoms that could be related to the remaining fragment within the vascular system. Therefore, the incidence of complications caused by retained fixed fragments is low. Patients whose line has been in place for more than 48 months ( P = 0.009) and those located in the saphenous vein ( P = 0.01) are more prone to experience fragment retention. The decision of retrieval should be balanced according to the presence of symptoms and the length of the fragment retained.
There are few reports regarding the presence of retained fixed fragments after removal of indwelling central venous catheters in children. We conducted a retrospective study of 355 patients who underwent removal of central venous catheter from 1996 to 2008. Six patients (1.6%) had a failed attempt of removal, resulting in a remnant of catheter left in the central venous system. All of them had underlying malignant disorders and received chemotherapy for a prolonged period of time. In 2 patients, a second attempt of retrieval was performed that was partially successful. After an average follow-up of 3.5 +/- 1.8 years, 1 patient has developed mild symptoms that could be related to the remaining fragment within the vascular system. Therefore, the incidence of complications caused by retained fixed fragments is low. Patients whose line has been in place for more than 48 months (P = 0.009) and those located in the saphenous vein (P = 0.01) are more prone to experience fragment retention. The decision of retrieval should be balanced according to the presence of symptoms and the length of the fragment retained.
Abstract There are few reports regarding the presence of retained fixed fragments after removal of indwelling central venous catheters in children. We conducted a retrospective study of 355 patients who underwent removal of central venous catheter from 1996 to 2008. Six patients (1.6%) had a failed attempt of removal, resulting in a remnant of catheter left in the central venous system. All of them had underlying malignant disorders and received chemotherapy for a prolonged period of time. In 2 patients, a second attempt of retrieval was performed that was partially successful. After an average follow-up of 3.5 ± 1.8 years, 1 patient has developed mild symptoms that could be related to the remaining fragment within the vascular system. Therefore, the incidence of complications caused by retained fixed fragments is low. Patients whose line has been in place for more than 48 months ( P = 0.009) and those located in the saphenous vein ( P = 0.01) are more prone to experience fragment retention. The decision of retrieval should be balanced according to the presence of symptoms and the length of the fragment retained.
Author Castel, Victoria
Muro, Maria Dolores
Cañete, Adela
Bautista, Francisco
Gómez-Chacón, Javier
Velazquez, Juan
Costa, Elisa
Moreno, Lucas
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Keywords Device removal
Indwelling catheters
Pediatrics
Complications
Language English
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Snippet Abstract There are few reports regarding the presence of retained fixed fragments after removal of indwelling central venous catheters in children. We...
There are few reports regarding the presence of retained fixed fragments after removal of indwelling central venous catheters in children. We conducted a...
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SubjectTerms Adolescent
Catheterization, Central Venous - adverse effects
Catheters, Indwelling - adverse effects
Child
Child, Preschool
Complications
Device removal
Device Removal - adverse effects
Equipment Failure
Female
Foreign Bodies - etiology
Foreign Bodies - therapy
Humans
Indwelling catheters
Male
Multivariate Analysis
Pediatrics
Retrospective Studies
Saphenous Vein
Spain
Surgery
Title Retained intravascular fragments after removal of indwelling central venous catheters: a single institution experience
URI https://www.clinicalkey.es/playcontent/1-s2.0-S0022346810000928
https://dx.doi.org/10.1016/j.jpedsurg.2010.02.001
https://www.ncbi.nlm.nih.gov/pubmed/20638530
https://search.proquest.com/docview/734003471
Volume 45
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