Durability of tunneled catheters in children is associated with catheter tip depth: A single-center report.
catheter tip
cavo-atrial junction
right atrium
superior vena cava
tunneled catheters
Journal
Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
ISSN: 1744-9987
Titre abrégé: Ther Apher Dial
Pays: Australia
ID NLM: 101181252
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
revised:
21
08
2020
received:
03
08
2020
accepted:
04
10
2020
pubmed:
8
10
2020
medline:
15
12
2021
entrez:
7
10
2020
Statut:
ppublish
Résumé
The aim of this study was to examine the impact of different catheter tip positions on catheter duration and dysfunction of tunneled catheters in children. Catheters were evaluated for place of insertion, time of insertion, catheter tip depth and position, duration of use, and reason for removal. The mean duration of implanted catheters with tips placed in cavo-atrial junction/right atrium was significantly longer with significantly lower percentage of complications than tips placed in superior vena cava. Only catheter tips placed in cavo-atrial junction/right atrium was a predictor of catheter functionality and survival. Shorter catheter survival in children with tunneled catheters is a consequence of a catheter tip depth proximal of CAJ and RA. Our results showed that the main factor responsible for better catheter functionality was not laterality but the depth of the catheter tip, which reduces need for future catheter insertions with increased catheter durability.
Identifiants
pubmed: 33026706
doi: 10.1111/1744-9987.13593
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
490-496Informations de copyright
© 2020 International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy.
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