Stuck long-term indwelling central venous catheters in adolescents: three cases and a short topical review

TY - JOUR

T1 - Stuck long-term indwelling central venous catheters in adolescents: three cases and a short topical review

AU - Mortensen, A

AU - Afshari, A

AU - Henneberg, S W

AU - Hansen, M A

PY - 2010/7/1

Y1 - 2010/7/1

N2 - We present three cases of fixated vascular injection ports. Two patients had cystic fibrosis and one had an immunological defect. All catheters were made from polyurethane and implanted in adolescent patients. Indwelling time were 6-8 years. One patient's catheter was entirely integrated in the vessel wall and impossible to remove. In the other two cases, catheters were removed with great difficulty by the interventional radiologists. These cases raise important questions concerning the maximum indwelling time and the choice of catheter material when implanting permanent central venous catheters (CVCs) in adolescents. Furthermore, it highlights the importance of not breaking a CVC in the attempt to remove it.

AB - We present three cases of fixated vascular injection ports. Two patients had cystic fibrosis and one had an immunological defect. All catheters were made from polyurethane and implanted in adolescent patients. Indwelling time were 6-8 years. One patient's catheter was entirely integrated in the vessel wall and impossible to remove. In the other two cases, catheters were removed with great difficulty by the interventional radiologists. These cases raise important questions concerning the maximum indwelling time and the choice of catheter material when implanting permanent central venous catheters (CVCs) in adolescents. Furthermore, it highlights the importance of not breaking a CVC in the attempt to remove it.

U2 - 10.1111/j.1399-6576.2010.02240.x

DO - 10.1111/j.1399-6576.2010.02240.x

M3 - Journal article

SN - 0001-5172

VL - 54

SP - 777

EP - 780

JO - Acta Anaesthesiologica Scandinavica

JF - Acta Anaesthesiologica Scandinavica

IS - 6

ER -