Safety and efficacy of central line removal by guidewire extraction technique in children

Background This study reviews a university pediatric surgery practice for the incidence of stuck subcutaneous port catheter (SSPC) removal and the efficacy of a guidewire extraction technique. Methods We reviewed all central catheter removals between 2018 and 2020. A SSPC was defined as resistance t...

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Bibliographic Details
Published in:Annals of pediatric surgery 2023-12, Vol.19 (1), p.46, Article 46
Main Authors: Froehlich, Mary, Schulte, Spencer, Chang, Shirong, Ikeda, Alan, Scheidler, Michael G.
Format: Article
Language:English
Subjects:
Catheters
Chemotherapy
Dissection
Editing
Leukemia
Medicine
Medicine & Public Health
Original Research
Patients
Pediatrics
Review boards
Silicones
Veins & arteries
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Summary:Background This study reviews a university pediatric surgery practice for the incidence of stuck subcutaneous port catheter (SSPC) removal and the efficacy of a guidewire extraction technique. Methods We reviewed all central catheter removals between 2018 and 2020. A SSPC was defined as resistance to removal after dissection of the subcutaneous tissue with signs of impending device fracture. Details of the catheter duration, initial diagnosis, and medications administered through the device were all recorded. Results One hundred eight patients underwent catheter removal and six were defined as SSPCs. Catheter in situ time ranged from 35 to 96 months. All six patients underwent the guidewire extraction technique and were removed in their entirety without the need for endovascular intervention or venotomy. Conclusions Pediatric patients who have a SSPC should undergo the guidewire extraction technique.
ISSN:2090-5394
1687-4137
2090-5394
DOI:10.1186/s43159-023-00276-6