Peripherally inserted central catheters can be an alternative to tunneled central venous catheters in chemotherapy for hematological and oncological pediatric patients

Purpose Tunneled central venous catheters (TCVs) are commonly used for pediatric chemotherapy. Recently, peripherally inserted central catheters (PICCs) have been used instead. Although PICC has the advantages of simpler insertion and fewer severe complications, there is little information on the ef...

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Bibliographic Details
Published in:	Pediatric surgery international Vol. 39; no. 1; p. 264
Main Authors:	Kamata, Yuko, Mizuno, Yuki, Okamoto, Kentaro, Okamoto, Shota, Ito, Yoshifumi, Nishigata, Aya
Format:	Journal Article
Language:	English
Published:	Berlin/Heidelberg Springer Berlin Heidelberg 06-09-2023 Springer Nature B.V
Subjects:	Aged Anesthesia, General Catheters Central Venous Catheters Chemotherapy Child Humans Medical Records Medicine Medicine & Public Health Original Original Article Patients Pediatric Surgery Pediatrics Retrospective Studies Surgery Chemotherapy Tunneled central venous catheter Pediatric Peripherally inserted central catheter
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Summary:	Purpose Tunneled central venous catheters (TCVs) are commonly used for pediatric chemotherapy. Recently, peripherally inserted central catheters (PICCs) have been used instead. Although PICC has the advantages of simpler insertion and fewer severe complications, there is little information on the efficacy of PICC compared to TCV in pediatric chemotherapy. Methods Patients, aged younger than 18 years, with primary malignancy who received chemotherapy with PICC or TCV at our institution from December 2007 to August 2022 were included in the study. We retrospectively compared PICC and TCV using medical records. Results Within the observation period, 133 catheters (73 PICCs and 60 TCVs) were inserted. The median indwelling time was 99 days for PICCs and 182 days for TCVs, with TCVs being significantly longer ( p < 0.001). There were no significant differences in the incidence of complications, such as infections, thrombosis, obstruction, or mechanical accidents. Comparing patients treated with PICC (PICC group) versus those with TCV (TCV group), the time from diagnosis to insertion was significantly shorter in the PICC group ( p < 0.001). In the PICC group, none of the patients required general anesthesia, and chemotherapy was completed with PICC only. Conclusion PICC can be an alternative to TCV in pediatric chemotherapy.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1437-9813 0179-0358 1437-9813
DOI:	10.1007/s00383-023-05545-4