Dislodgment of Port-A-Cath Catheters in Children
Port-a-cath catheters are frequently used in children with malignancies. Their dislodgment is rare, but carries potentially serious risks. This study analyzed our 11-year experience of this important issue. Methods: Between June 1997 and January 2008, 290 ports of different brands were implanted in...
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| Format: | Article |
| Language: | English |
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Elsevier
2008-10-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S187595720960005X |
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| _version_ | 1849324498863521792 |
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| author | Chi-Lin Ho Chia-Man Chou Te-Kau Chang Sheng-Ling Jan Ming-Chih Lin Yun-Ching Fu |
| author_facet | Chi-Lin Ho Chia-Man Chou Te-Kau Chang Sheng-Ling Jan Ming-Chih Lin Yun-Ching Fu |
| author_sort | Chi-Lin Ho |
| collection | DOAJ |
| description | Port-a-cath catheters are frequently used in children with malignancies. Their dislodgment is rare, but carries potentially serious risks. This study analyzed our 11-year experience of this important issue.
Methods: Between June 1997 and January 2008, 290 ports of different brands were implanted in children by pediatric surgeons. Among the patients, 12 children with catheter dislodgement were retrospectively studied. Their ages ranged from 2-16 years, with a median of 6.4 years. Their body weights ranged from 12-39 kg, with a medi an of 20 kg. Ten patients presented with a port-a-cath dysfunction, while the other two patients were identified incidentally during surgery for removal of their ports.
Results: The downstream ends of dislodged catheters were located in the right ventricle (five patients), right atrium (four), main pulmonary artery (one), left pulmonary artery (one) and right pulmonary artery (one). Eleven catheters were broken, and one catheter was disconnected from the port. Most (10/11) catheters were broken at the site of anastomosis to the port. All dislodged catheters were successfully retrieved without complications by transcatheter retrieval using a gooseneck snare.
Conclusion: The dislodgment rate of port-a-cath catheters in children in our series was 4.1%. Most (83%) catheters were broken at the site of anastomosis to the port. All dislodged catheters could be successfully retrieved by transcatheter retrieval using a gooseneck snare. |
| format | Article |
| id | doaj-art-8771f17f94c14ea1be09592a4610aeb9 |
| institution | Kabale University |
| issn | 1875-9572 |
| language | English |
| publishDate | 2008-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-8771f17f94c14ea1be09592a4610aeb92025-08-20T03:48:42ZengElsevierPediatrics and Neonatology1875-95722008-10-0149517918210.1016/S1875-9572(09)60005-XDislodgment of Port-A-Cath Catheters in ChildrenChi-Lin Ho0Chia-Man Chou1Te-Kau Chang2Sheng-Ling Jan3Ming-Chih Lin4Yun-Ching Fu5Department of Pediatrics, Taichung Veterans General Hospital, Taichung, TaiwanDivision of Pediatric Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Pediatrics, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Pediatrics, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Pediatrics, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Pediatrics, Taichung Veterans General Hospital, Taichung, TaiwanPort-a-cath catheters are frequently used in children with malignancies. Their dislodgment is rare, but carries potentially serious risks. This study analyzed our 11-year experience of this important issue. Methods: Between June 1997 and January 2008, 290 ports of different brands were implanted in children by pediatric surgeons. Among the patients, 12 children with catheter dislodgement were retrospectively studied. Their ages ranged from 2-16 years, with a median of 6.4 years. Their body weights ranged from 12-39 kg, with a medi an of 20 kg. Ten patients presented with a port-a-cath dysfunction, while the other two patients were identified incidentally during surgery for removal of their ports. Results: The downstream ends of dislodged catheters were located in the right ventricle (five patients), right atrium (four), main pulmonary artery (one), left pulmonary artery (one) and right pulmonary artery (one). Eleven catheters were broken, and one catheter was disconnected from the port. Most (10/11) catheters were broken at the site of anastomosis to the port. All dislodged catheters were successfully retrieved without complications by transcatheter retrieval using a gooseneck snare. Conclusion: The dislodgment rate of port-a-cath catheters in children in our series was 4.1%. Most (83%) catheters were broken at the site of anastomosis to the port. All dislodged catheters could be successfully retrieved by transcatheter retrieval using a gooseneck snare.http://www.sciencedirect.com/science/article/pii/S187595720960005Xchildrendislodgmentport-a-cathtranscatheter retrieval |
| spellingShingle | Chi-Lin Ho Chia-Man Chou Te-Kau Chang Sheng-Ling Jan Ming-Chih Lin Yun-Ching Fu Dislodgment of Port-A-Cath Catheters in Children Pediatrics and Neonatology children dislodgment port-a-cath transcatheter retrieval |
| title | Dislodgment of Port-A-Cath Catheters in Children |
| title_full | Dislodgment of Port-A-Cath Catheters in Children |
| title_fullStr | Dislodgment of Port-A-Cath Catheters in Children |
| title_full_unstemmed | Dislodgment of Port-A-Cath Catheters in Children |
| title_short | Dislodgment of Port-A-Cath Catheters in Children |
| title_sort | dislodgment of port a cath catheters in children |
| topic | children dislodgment port-a-cath transcatheter retrieval |
| url | http://www.sciencedirect.com/science/article/pii/S187595720960005X |
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