Implantable versus cuffed external central venous catheters for the management of children and adolescents with acute lymphoblastic leukaemia

Purpose The aim of this study was to determine if there is a difference between complications for totally implantable central venous catheters (ports) and tunnelled external central venous catheters (external CVCs) that result in early removal of the central venous catheter (CVC) in children and ado...

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Bibliographic Details
Published in:Pediatric surgery international 2012-12, Vol.28 (12), p.1195-1199
Main Authors: White, Alan D., Othman, Diaa, Dawrant, Michael J., Sohrabi, Soroush, Young, Alastair L., Squire, Roly
Format: Article
Language:English
Subjects:
Adolescent
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - instrumentation
Catheters, Indwelling - adverse effects
Child
Child, Preschool
Equipment Design
Female
Humans
Infant
Male
Medicine
Medicine & Public Health
Original Article
Pediatric Surgery
Pediatrics
Precursor Cell Lymphoblastic Leukemia-Lymphoma - drug therapy
Retrospective Studies
Surgery
Young Adult
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Summary:Purpose The aim of this study was to determine if there is a difference between complications for totally implantable central venous catheters (ports) and tunnelled external central venous catheters (external CVCs) that result in early removal of the central venous catheter (CVC) in children and adolescents with acute lymphoblastic leukaemia (ALL). Methods All children hospitalised between November 1996 and December 2007 with ALL who had a CVC were included retrospectively. We analysed data regarding the patient’s first CVC. Results We included 322 patients. 254 received a port and 68 received an external CVC. There were 102 CVC complications that required removal of the CVC prior to the completion of chemotherapy (65 in patients with ports, 37 in patients with external CVCs). Overall complications requiring CVC removal were significantly less likely to occur in the patient’s with ports ( p  
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-012-3213-4