Journal List > J Korean Soc Radiol > v.62(4) > 1086742

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Kim, Song, Cho, Koh, Kim, Jeong, and Lee: Radiologic Placement of Tunneled Central Venous Catheters in Pediatric Patients
Interventional Radiology
Original Article

Journal of the Korean Society of Radiology 2010; 62(4): 351-355.

Published online: 30 April 2010

DOI: https://doi.org/10.3348/jksr.2010.62.4.351

Radiologic Placement of Tunneled Central Venous Catheters in Pediatric Patients

Eun Ji Kim, M.D., Soon-Young Song, M.D., On Koo Cho, M.D., Byung Hee Koh, M.D., Yongsoo Kim, M.D., Woo Kyoung Jeong, M.D., Yong-Ho Lee, M.D.2

1Department of Radiology, Hanyang University College of Medicine, Korea.

2Department of Pediatrics, Hanyang University College of Medicine, Korea.

Address reprint requests to: Soon-Young Song, M.D., Department of Radiology, Hanyang University College of Medicine, Hanyang University Hospital, 17 Haengdang-dong, Sungdong-gu, Seoul 133-792, Korea. Tel. 82-2-2290-9164, Fax. 82-2-2293-2111, songsy01@gmail.com

Received 14 September 2009       Accepted 13 October 2009

Copyright © 2010 The Korean Society of Radiology

Abstract

Purpose

We evaluated the technical success and complication rates associated with the radiological placement of tunneled central venous catheters in pediatric patients.

Materials and Methods

Between May 1, 2005 and March 31, 2008, a total of 46 tunneled central venous catheters were placed in 34 children (M:F = 22:12; mean age, 9.9 years [9 months to 16.8 years]). All procedures were performed under ultrasonographic and fluoroscopic guidance. Follow-up data were obtained through the retrospective review of the medical records. We used the Kaplan-Meier survival method for the evaluation of survival rate of the catheters.

Results

All procedures were technically successful. The observed periprocedural complications included hematoma formation in three patients. The mean catheter life was 189.3 days (total, 8710 days; range, 7-810). Catheters were removed due to death (n=9), the end of treatment (n=8), catheter sepsis (n=4), malfunction (n=8), and accidental removal (n=4). The rate of catheter sepsis and malfunction was 0.459 and 0.919 for every 1000 catheter days, respectively. The expected mean catheter life was 479.6 days as per the Kaplan-Meier analysis.

Conclusion

The results suggest that the radiologic placement of a tunneled central venous catheter is an effective technique with a high technical success rate and low complication rate.

Keywords: Catheters, Indwelling, Radiology, Interventional, Catheterization, Central Venous, Pediatrics, Child

Figures and Tables

Fig. 1

Kaplan-Meier survival curve in 46 subcutaneous tunneled catheters. The estimated mean survival time is 479.6 days. Expected 50% survival rate(days) is 456 days

jksr-62-351-g001

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