Abstract
Purpose: Hickman catheters HCs are commonly used in children who need bone marrow transplantation. Although several methods of implantation have been described, the aim of the present study was to evaluate the results of ultrasonography-and fluoroscopy-guided percutaneous insertion of HCs into a central vein in children.Materials and Methods: Data from patients who were hospitalized for ultrasonography-and fluoroscopy-guided percutaneous placement of HCs from August 2014 to January 2017 were retrospectively evaluated. The data were evaluated with respect to patient characteristics, complications, HC features, and outcomes.Results: Three hundred and six times HC positioned in 206 patients were evaluated. One hundred and twenty-six patients were male, and the remaining 80 were female. The age of the patients ranged from 2 months to 19 range, 7.31±4.85 years. HC implantation was technically successful in all patients. The right jugular vein was the preferred access vein in 87.4% of HCs. The length of time between HC
References
- Hickman RO, Tapper D. Introduction to vascular access. J Assoc Vasc Access 2009;14:74–5. [CrossRef]
- Tsotsolis N, Tsirgogianni K, Kioumis I, Pitsiou G, Baka S, Papaiwannou A, et al. Pneumothorax as a complication of central venous catheter insertion. Ann Transl Med 2015;3:40. [CrossRef]
- Arul GS, Lewis N, Bromley P, Bennett J. Ultrasound-guided percutaneous insertion of Hickman lines in children. Prospective study of 500 consecutive procedures. J Pediatr Surg 2009;44:1371–6. [CrossRef]
- Wragg RC, Blundell S, Bader M, Sharif B, Bennett J, Jester I, et al. Patency of neck veins following ultrasound-guided percutaneous Hickman line insertion. Pediatr Surg Int 2014;30:301–4. [CrossRef]
- Aventine S, Guida E, Conte M, Faranda F, Buffa P, Granata C, et al. Shifting from open surgical cut down to ultrasound-guided percutaneous central venous catheterization in children: learning curve and related complications. Pediatr Surg Int 2010;26:819–24. [CrossRef]
- Flynn JM, Keogh SJ, Gavin NC. Sterile v aseptic non-touch technique for needle-less connector care on central venous access devices in a bone marrow transplant population: A comparative study. Eur J Oncol Nurs 2015;19:694–700. [CrossRef]
- Gebauer B, Teichgräber UM, Werk M, Beck A, Wagner HJ. Sonographically guided venous puncture and fluoroscopically guided placement of tunneled, large-bore central venous catheters for bone marrow transplantation-high success rates and low complication rates. Support Care Cancer 2008;16:897–904. [CrossRef]
- Pittiruti M, Hamilton H, Biffi R, MacFie J, Pertkiewicz M. ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications). Clin Nutr 2009;28:365–77. [CrossRef]
- Dede D, Akmangit I, Yildirim ZN, Sanverdi E, Sayin B. Ultrasonography and fluoroscopy-guided insertion of chest ports. Eur J Surg Oncol 2008;34:1340–3.
- Christensen LD, Holst M, Bech LF, Drustrup L, Nygaard L, Skallerup A, et al. Comparison of complications associated with peripherally inserted central catheters and Hickman™ catheters in patients with intestinal failure receiving home parenteral nutrition. Six-year follow up study. Clin Nutr 2016;35:912–7. [CrossRef]
- Adwan H, Gordon H, Nicholls E. Are routine chest radiographs needed after fluoroscopically guided percutaneous insertion of central venous catheters in children? J Pediatr Surg 2008;43:341–3. [CrossRef]
- Thomopoulos T, Meyer J, Staszewicz W, Bagetakos I, Scheffler M, Lomessy A, et al. Routine chest X-ray is not mandatory after fluoroscopy-guided totally implantable venous access device insertion. Ann Vasc Surg 2014;28:345–50. [CrossRef]
- Fratino G, Avanzini S, Molinari AC, Buffa P, Castagnola E, Haupt R. Incidence of indwelling central venous catheter-related complications using the Sri Paran technique for device fixation in children with cancer. Pediatr Surg Int 2009;25:591–4. [CrossRef]
- Orci LA, Meier RP, Morel P, Staszewicz W, Toso C. Systematic review and meta-analysis of percutaneous subclavian vein puncture versus surgical venous cutdown for the insertion of a totally implantable venous access device. Br J Surg 2014;101:8–16. [CrossRef]
- Arul GS, Livingstone H, Bromley P, Bennett J. Ultrasound-guided percutaneous insertion of 2.7 Fr tunnelled Broviac lines in neonates and small infants. Pediatr Surg Int 2010;26:815–8. [CrossRef]
- Granziera E, Scarpa M, Ciccarese A, Filip B, Cagol M, Manfredi V, et al. Totally implantable venous access devices: retrospective analysis of different insertion techniques and predictors of complications in 796 devices implanted in a single institution. BMC Surg 2014;14:27. [CrossRef]
ÇOCUKLARDA HICKMAN KATETERLERININ ULTRASONOGRAFI VE FLOROSKOPI KILAVUZLUĞUNDA PERKÜTAN YERLEŞTIRILMESI
Abstract
Amaç: Hickman kateterleri HC , kemik iliği transplantasyonuna ihtiyaç duyan çocuklarda yaygın olarak kullanılmaktadır. Her ne kadar çeşitli implantasyon yöntemleri tanımlanmış olsa da, bu çalışmanın amacı, HC’lerin ultrasonografi ve floroskopi kılavuzluğunda perkütan insersiyonunun sonuçlarını değerlendirmekti.Gereç ve Yöntemler: Ağustos 2014-Ocak 2017 tarihleri arasında ultrasonografi ve floroskopi eşliğinde perkütan yerleştirme nedeniyle hastaneye yatırılan hastaların verileri retrospektif olarak değerlendirildi. Veriler hasta özellikleri, komplikasyonlar, HC özellikleri ve sonuçları açısından değerlendirildi.Bulgular: İkiyüz alt hastada yer alan 360 kez HC yerleştirilen hastaların sonuçları değerlendirildi. Yüz yirmi altı hasta erkekti ve kalan 80 kadındı. Hastaların yaşı 2 aydan 19 yaş aralık, 7,31±4,85 yıl arasında değişmektedir. HC implantasyonu tüm hastalarda teknik olarak başarılıydı. Sağ juguler ven, HC’lerin %87,4’ünde tercih edilen giriş damarıydı. HC yerleştirme ve çıkarma arasında geçen süre 147±108,9 gün aralık, 7–795 gün idi. Kaydedilen komplikasyonların 3’ünde %0,01 komplikasyonlar erken postoperatif olarak sınıflandırıldı. Bu üç hastadan ikisi kanama gelişti ve birinde kardiyak tamponat vardı. Hiçbir hastada perioperatif ve postoperatif mortalite görülmediSonuç: HC yerleştirme, ultrasonografi ve floroskopi eşliğinde yapılan perkütanöz olarak; büyüklük, yaş veya tanıdan bağımsız olarak tüm çocuklarda güvenli ve uygulanabilir
References
- Hickman RO, Tapper D. Introduction to vascular access. J Assoc Vasc Access 2009;14:74–5. [CrossRef]
- Tsotsolis N, Tsirgogianni K, Kioumis I, Pitsiou G, Baka S, Papaiwannou A, et al. Pneumothorax as a complication of central venous catheter insertion. Ann Transl Med 2015;3:40. [CrossRef]
- Arul GS, Lewis N, Bromley P, Bennett J. Ultrasound-guided percutaneous insertion of Hickman lines in children. Prospective study of 500 consecutive procedures. J Pediatr Surg 2009;44:1371–6. [CrossRef]
- Wragg RC, Blundell S, Bader M, Sharif B, Bennett J, Jester I, et al. Patency of neck veins following ultrasound-guided percutaneous Hickman line insertion. Pediatr Surg Int 2014;30:301–4. [CrossRef]
- Aventine S, Guida E, Conte M, Faranda F, Buffa P, Granata C, et al. Shifting from open surgical cut down to ultrasound-guided percutaneous central venous catheterization in children: learning curve and related complications. Pediatr Surg Int 2010;26:819–24. [CrossRef]
- Flynn JM, Keogh SJ, Gavin NC. Sterile v aseptic non-touch technique for needle-less connector care on central venous access devices in a bone marrow transplant population: A comparative study. Eur J Oncol Nurs 2015;19:694–700. [CrossRef]
- Gebauer B, Teichgräber UM, Werk M, Beck A, Wagner HJ. Sonographically guided venous puncture and fluoroscopically guided placement of tunneled, large-bore central venous catheters for bone marrow transplantation-high success rates and low complication rates. Support Care Cancer 2008;16:897–904. [CrossRef]
- Pittiruti M, Hamilton H, Biffi R, MacFie J, Pertkiewicz M. ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications). Clin Nutr 2009;28:365–77. [CrossRef]
- Dede D, Akmangit I, Yildirim ZN, Sanverdi E, Sayin B. Ultrasonography and fluoroscopy-guided insertion of chest ports. Eur J Surg Oncol 2008;34:1340–3.
- Christensen LD, Holst M, Bech LF, Drustrup L, Nygaard L, Skallerup A, et al. Comparison of complications associated with peripherally inserted central catheters and Hickman™ catheters in patients with intestinal failure receiving home parenteral nutrition. Six-year follow up study. Clin Nutr 2016;35:912–7. [CrossRef]
- Adwan H, Gordon H, Nicholls E. Are routine chest radiographs needed after fluoroscopically guided percutaneous insertion of central venous catheters in children? J Pediatr Surg 2008;43:341–3. [CrossRef]
- Thomopoulos T, Meyer J, Staszewicz W, Bagetakos I, Scheffler M, Lomessy A, et al. Routine chest X-ray is not mandatory after fluoroscopy-guided totally implantable venous access device insertion. Ann Vasc Surg 2014;28:345–50. [CrossRef]
- Fratino G, Avanzini S, Molinari AC, Buffa P, Castagnola E, Haupt R. Incidence of indwelling central venous catheter-related complications using the Sri Paran technique for device fixation in children with cancer. Pediatr Surg Int 2009;25:591–4. [CrossRef]
- Orci LA, Meier RP, Morel P, Staszewicz W, Toso C. Systematic review and meta-analysis of percutaneous subclavian vein puncture versus surgical venous cutdown for the insertion of a totally implantable venous access device. Br J Surg 2014;101:8–16. [CrossRef]
- Arul GS, Livingstone H, Bromley P, Bennett J. Ultrasound-guided percutaneous insertion of 2.7 Fr tunnelled Broviac lines in neonates and small infants. Pediatr Surg Int 2010;26:815–8. [CrossRef]
- Granziera E, Scarpa M, Ciccarese A, Filip B, Cagol M, Manfredi V, et al. Totally implantable venous access devices: retrospective analysis of different insertion techniques and predictors of complications in 796 devices implanted in a single institution. BMC Surg 2014;14:27. [CrossRef]
Details
| Primary Language | English |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | March 1, 2020 |
| Published in Issue | Year 2020Issue: 1 |