Stuck tunneled central venous catheters in children: Four cases removed by angiography assistance
Adherent tunneled catheters can usually be removed by a surgical cut down, but in some cases the line can become stuck to the wall of the central veins. In such cases, forceful traction can cause vascular injury, or fracture of the catheter. We present four cases of fixated cuffed tunneled catheter...
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| Format: | Article |
| Language: | English |
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Hacettepe University Institute of Child Health
2018-04-01
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| Series: | The Turkish Journal of Pediatrics |
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| Online Access: | https://turkjpediatr.org/article/view/845 |
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| author | Ufuk Ateş Aydın Yağmurlu Meltem Bingöl-Koloğlu Tayfun Uçar Özlem Selvi Can Gülnur Göllü Ergun Ergün Fuad Mammadov Nil Yaşam Taştekin Tanju Aktuğ |
| author_facet | Ufuk Ateş Aydın Yağmurlu Meltem Bingöl-Koloğlu Tayfun Uçar Özlem Selvi Can Gülnur Göllü Ergun Ergün Fuad Mammadov Nil Yaşam Taştekin Tanju Aktuğ |
| author_sort | Ufuk Ateş |
| collection | DOAJ |
| description |
Adherent tunneled catheters can usually be removed by a surgical cut down, but in some cases the line can become stuck to the wall of the central veins. In such cases, forceful traction can cause vascular injury, or fracture of the catheter. We present four cases of fixated cuffed tunneled catheters. Three children had acute lymphoblastic leukemia and one had an immunodeficiency syndrome. All catheters were made from polyurethane. Indwelling times were 12-24 months. All patients` catheters were removed with great difficulty by trans-femoral access. The angiography-assisted technique is safe and easily-applied for the removal of stuck catheters in pediatric patients. These cases raise important questions concerning the maximum indwelling time and the choice of catheter material when implanting permanent central venous catheters (CVCs) in children.
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| format | Article |
| id | doaj-art-e5f9eaab93b2410ab64e08ad1aac9cec |
| institution | DOAJ |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2018-04-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-e5f9eaab93b2410ab64e08ad1aac9cec2025-08-20T03:00:53ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212018-04-0160210.24953/turkjped.2018.02.019Stuck tunneled central venous catheters in children: Four cases removed by angiography assistanceUfuk Ateş0Aydın Yağmurlu1Meltem Bingöl-Koloğlu2Tayfun Uçar3Özlem Selvi Can4Gülnur Göllü5Ergun Ergün6Fuad Mammadov7Nil Yaşam Taştekin8Tanju Aktuğ9Departments of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.Departments of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.Departments of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.Pediatric Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey.Departments of Anesthesiology and Reanimation, Ankara University Faculty of Medicine, Ankara, Turkey.Departments of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.Departments of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.Departments of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.Departments of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.Departments of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey. Adherent tunneled catheters can usually be removed by a surgical cut down, but in some cases the line can become stuck to the wall of the central veins. In such cases, forceful traction can cause vascular injury, or fracture of the catheter. We present four cases of fixated cuffed tunneled catheters. Three children had acute lymphoblastic leukemia and one had an immunodeficiency syndrome. All catheters were made from polyurethane. Indwelling times were 12-24 months. All patients` catheters were removed with great difficulty by trans-femoral access. The angiography-assisted technique is safe and easily-applied for the removal of stuck catheters in pediatric patients. These cases raise important questions concerning the maximum indwelling time and the choice of catheter material when implanting permanent central venous catheters (CVCs) in children. https://turkjpediatr.org/article/view/845angiographycatheterchildrenstuck |
| spellingShingle | Ufuk Ateş Aydın Yağmurlu Meltem Bingöl-Koloğlu Tayfun Uçar Özlem Selvi Can Gülnur Göllü Ergun Ergün Fuad Mammadov Nil Yaşam Taştekin Tanju Aktuğ Stuck tunneled central venous catheters in children: Four cases removed by angiography assistance The Turkish Journal of Pediatrics angiography catheter children stuck |
| title | Stuck tunneled central venous catheters in children: Four cases removed by angiography assistance |
| title_full | Stuck tunneled central venous catheters in children: Four cases removed by angiography assistance |
| title_fullStr | Stuck tunneled central venous catheters in children: Four cases removed by angiography assistance |
| title_full_unstemmed | Stuck tunneled central venous catheters in children: Four cases removed by angiography assistance |
| title_short | Stuck tunneled central venous catheters in children: Four cases removed by angiography assistance |
| title_sort | stuck tunneled central venous catheters in children four cases removed by angiography assistance |
| topic | angiography catheter children stuck |
| url | https://turkjpediatr.org/article/view/845 |
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