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Upper body peripherally inserted central catheter in pediatric single ventricle patients

World Journal of Cardiology 2020年第10期12卷 484-491页

作者： Santosh Kaipa Christopher W Mastropietro Hamza Bhai Riad Lutfi Matthew L Friedman Mouhammad Yabrodi Department of Pediatrics Division of Pediatric Critical CareIndiana UniversityRiley Hospital for ChildrenIndianapolisIN 46303United States

BACKGROUND There is risk of stenosis and thrombosis of the superior vena cava after upper extremity central catheter *** complication is more serious among patients with single ventricle physiology,as it might preclude them from undergoing further life-sustaining palliative *** To describe complications associated with the use of upper extremity percutaneous intravenous central catheters(PICCs)in children with single ventricle *** A single institution retrospective review of univentricular patients who underwent superior cavopulmonary anastomoses as their stage 2 palliation procedure from January 2014 until December 2018 and had upper body PICCs placed at any point prior to this *** data including ultrasonography,cardiac catheterization,echocardiogram reports and patient notes were used to determine the presence of thrombus or stenosis of the upper extremity and cervical *** regarding the presence and duration of upper extremity PICCs and upper extremity central venous catheter(CVC),and use of anticoagulation were *** Seventy-six patients underwent superior cavopulmonary anastomoses,of which 56(73%)had an upper extremity PICC at some point prior to this *** duration of PICC usage was 24 d(25%,75%:12,39).Seventeen patients(30%)with PICCs also had internal jugular or subclavian central venous catheters(CVCs)in place at some point prior to their superior cavopulmonary anastomoses,median duration 10 d(25%,75%:8,14).Thrombus was detected in association with 2 of the 56 PICCs(4%)and 3 of the 17 CVCs(18%).All five patients were placed on therapeutic dose of low molecular weight heparin at the time of thrombus detection and subsequent cardiac catheterization demonstrated resolution in three of the five *** patients developed clinically significant venous *** Use of upper extremity PICCs in patients with single ventricle physiology prior to super cavopulmonary anasto

关键词： Thrombosis Central venous catheters catheterization peripheral Univentricular heart Children

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