Unexpected tunnelled central venous access demise: a single institutional study from the UK

Bough, Georgina; Lambert, Nicholas J.; Djendov, Florin; Jackson, Claire

doi:10.1007/s00383-020-04771-4

Cited by 5 publications

(2 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interestingly, we found that younger age and lower weight were independently associated with a higher incidence of mechanical complications. This is consistent with previously published studies, especially with a younger age [ 19 , 27 , 28 ]. However, data on the association between a child’s weight and CVAD complications are lacking.…”

Section: Discussionsupporting

confidence: 94%

See 1 more Smart Citation

Factors affecting mechanical complications of central venous access devices in children

et al. 2022

View full text Add to dashboard Cite

Purpose Factors leading to mechanical complications following insertion of central venous access devices (CVADs) in children are poorly understood. We aimed to quantify the rates and elucidate the mechanisms of these complications. Methods Retrospective (2016–2021) review of children (< 18 years old) receiving a CVAD. Data, reported as number of cases (%) and median (IQR), were analysed by Fisher’s exact test, chi-squared test and logistic regression analysis. Results In total, 317 CVADs (245 children) were inserted. Median age was 5.0 (8.9) years, with 116 (47%) females. There were 226 (71%) implantable port devices and 91 (29%) Hickman lines. Overall, 54 (17%) lines had a mechanical complication after 0.4 (0.83) years from insertion: fracture 19 (6%), CVAD migration 14 (4.4%), occlusion 14 (4.4%), port displacement 6 (1.9%), and skin tethering to port device 1 (0.3%). Younger age and lower weight were associated with higher risk of complications (p < 0.0001). Hickman lines had a higher incidence of complications compared to implantable port devices [24/91 (26.3%) vs 30/226 (13.3%); p = 0.008]. Conclusion Mechanical complications occur in 17% of CVADs at a median of < 6 months after insertion. Risk factors include younger age and lower weight. Implantable port devices have a lower complications rate. Level of evidence Level 4: case-series with no comparison group.

show abstract

Section: Discussionsupporting

confidence: 94%

“…Similarly, a previous study of 499 children showed that the type of CVAD is the most significant modifiable risk factor for failure, with implantable port devices having the lowest rate of mechanical complication. [ 19 ]…”

Section: Discussionmentioning

confidence: 99%