Radiologically-Placed Venous Ports in Children Under Venous Anesthesia

대한영상의학회지

卷:72

关键词: venous port;    children;    intravenous sedation;   

DOI  :  https://doi.org/10.3348/jksr.2015.72.2.101

来源: DOAJ

【 摘 要 】

PurposeTo evaluate the efficacy and safety of radiologic venous port placement in children under venous anesthesia.Materials and MethodsBetween April 2009 and July 2011, 44 ports were implanted in 41 children (24 boys, 17 girls). The age of patients ranged from 9 months to 19 years (mean, 6.5 years) and their body weights ranged from 6.8 kg to 56.3 kg (mean, 23.2 kg). Right internal jugular vein access was used in 42 ports, right subclavian vein in 1, and left subclavian in 1. Durability and complications of port implantation were reviewed.ResultsThe technical success rate was 100%. The catheter life was 10-661 days (mean 246 days). Two patients died during the follow-up period, 21 and 6 ports were removed at the end of treatment or as a result of complications, respectively. One port was removed and replaced by a Hickmann catheter. Three ports were explanted due to port-related sepsis, one due to a catheter kink, and two for unexplained fever or insertion site pain. The overall port-related infection was 3 cases (6.8%, 0.28/1000 catheter days).ConclusionVenous port placement by interventional radiologists in children under intravenous sedation is relatively safe, with a high rate of technical success and low rate of complications.

【 授权许可】

Unknown