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Pediatric Surgery International

Published in:

01-09-2017 | Original Article

Indications and outcomes for tunneled central venous line placement via the axillary vein in children

Authors: Allison F. Linden, Chase Corvin, Keva Garg, Richard R. Ricketts, A. Alfred Chahine

Published in: Pediatric Surgery International | Issue 9/2017

Abstract

Purpose

To assess the indications, safety and outcomes of tunneled central venous catheters (CVCs) placed via a cutdown approach into the axillary vein in children, an approach not well described in this population.

Methods

A retrospective cohort study was performed on pediatric patients who received CVCs via open cannulation of the axillary vein or one of its tributaries between January 2006 and October 2016 at two hospitals.

Results

A total of 24 axillary CVCs were placed in 20 patients [10 male (42%); mean weight 7.0 kg (SD 2.9); mean age 10 months (SD 6)]. The most common indications for axillary vein access included neck or chest wall challenges (tracheostomies or chest wall wounds) (n = 18). The median duration of line placement was 140 days (IQR 146). The most common indications for removal were completion of therapy (n = 7, 39%) and infection (n = 5, 28%). There were no early complications. Long-term complications included infection (n = 5) or catheter malfunction (n = 3).

Conclusions

Tunneled CVC placement via a cutdown approach into the axillary vein or its tributary can be an effective alternative approach to obtain long-term vascular access in children. Outcomes may be comparable to lines placed in traditional internal jugular and subclavian vein locations.

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Title: Indications and outcomes for tunneled central venous line placement via the axillary vein in children
Authors: Allison F. Linden
Chase Corvin
Keva Garg
Richard R. Ricketts
A. Alfred Chahine
Publication date: 01-09-2017
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 9/2017
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-017-4099-y

At a glance: The STEP trials

Springer Medicine

Indications and outcomes for tunneled central venous line placement via the axillary vein in children

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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