Evaluation of pediatric oncology patients with previous multiple central catheters for vascular access: is Doppler ultrasound needed?

Pediatric Blood & Cancer
Himesh GuptaStephen J Shochat

Abstract

Pediatric oncology patients who have undergone placement of multiple central venous catheters may have thrombosis or stenosis in the upper venous system. The purpose of this study was to identify factors that predict venous thrombosis or stenosis and to evaluate the role of Doppler ultrasonography in assessing the upper venous system of pediatric patients requiring multiple central vascular catheters. The medical records of eligible patients were reviewed with regard to demographics, primary disease, type of catheter, duration of previous central venous access, association with infection, operative notes, and Doppler ultrasonographic findings. Our evaluation criteria were met in 50 cases (47 patients). In 10 cases, Doppler ultrasonography revealed abnormality in the upper venous system. Patient demographics, primary disease, type of catheter, duration of previous central venous access, or association with infection were not found to significantly predict the abnormality in the upper venous system. Placement of central venous access device was performed without difficulty when the site of placement was chosen on the basis of ultrasonographic findings. Doppler ultrasonography is useful in diagnosing thrombosis or stenosis in asym...Continue Reading

References

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Citations

Aug 24, 2011·Pediatric Radiology·Beverley Newman
Mar 22, 2014·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Michael StammMichelle Noga
Feb 19, 2008·Journal of Pediatric Surgery·Alan MortellMartin Corbally
Mar 6, 2008·British Journal of Haematology·Bernadette Garvey
Jan 28, 2020·Journal of Thrombosis and Haemostasis : JTH·Anjali A SharathkumarUNKNOWN SSC Subcommittee on Pediatrics and Neonatal T&H of the ISTH

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