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Implantable central venous access device in infants: Long‐term results
Author(s) -
Ohno Koichi,
Nakaoka Tatsuo,
Takama Yuichi,
Higashio Atsushi,
Santo Kenji,
Yoneda Akihiro
Publication year - 2016
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12945
Subject(s) - medicine , venous access , term (time) , intensive care medicine , surgery , catheter , physics , quantum mechanics
Background The management of central venous access device (CVAD) is extremely difficult in babies and small infants (BSI). We therefore compared the long‐term results and complications of CVAD in BSI with those in children. Methods One hundred and twenty patients were divided into two groups as follows: age <1 year or weight <10 kg (group A; 25 patients); and age ≧ 1 year and weight ≧ 10 kg (group B; 95 patients). The clinical results were retrospectively compared between the groups. Results Mean age and weight were 12.5 ± 5.9 months and 8.2 ± 1.2 kg in group A, and 78.8 ± 58.9 months and 20.9 ± 13.6 kg in group B. Operation time was 57 ± 29 min in group A and 52 ± 21 min in group B ( P = 0.38). The catheter was advanced with difficulty into the central vein in five and in 16 patients ( P = 0.77), and surgical complications occurred in one and in seven patients in groups A and B, respectively ( P > 0.99). The CVAD remained in place for 627 ± 494 and 550 ± 414 days ( P = 0.47) and was removed before treatment completion in five and in 14 patients in groups A and B, respectively ( P = 0.54). Conclusion The clinical results for CVAD in BSI did not differ from those in children. CVAD are useful and safe for the treatment of BSI with serious diseases.