Procedural Complications of Central Venous Catheter Placement in Pediatric Oncology Practice (a Clinical Case Series)
The availability of central venous access is the cornerstone of contemporary pediatric oncology and hematology. As a result, the percentage of pediatric patients receiving infusion chemotherapy who require a central line remains high. Central venous catheter insertion can be associated with procedur...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2024-10-01
|
| Series: | Общая реаниматология |
| Subjects: | |
| Online Access: | https://www.reanimatology.com/rmt/article/view/2478 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839578387197198336 |
|---|---|
| author | Vladislav V. Shchukin Nikolay P. Leonov Elena A. Spiridonova Vladimir V. Selivanov Ekaterina V. Dergunova Galina A. Novichkova Natalia V. Myakova Nikolay S. Grachev Mikhail V. Bykov Anastasia A. Bystrova Rina S. Grigoryan Nune V. Matinyan Anton V. Petrushin Hugo Loaisa |
| author_facet | Vladislav V. Shchukin Nikolay P. Leonov Elena A. Spiridonova Vladimir V. Selivanov Ekaterina V. Dergunova Galina A. Novichkova Natalia V. Myakova Nikolay S. Grachev Mikhail V. Bykov Anastasia A. Bystrova Rina S. Grigoryan Nune V. Matinyan Anton V. Petrushin Hugo Loaisa |
| author_sort | Vladislav V. Shchukin |
| collection | DOAJ |
| description | The availability of central venous access is the cornerstone of contemporary pediatric oncology and hematology. As a result, the percentage of pediatric patients receiving infusion chemotherapy who require a central line remains high. Central venous catheter insertion can be associated with procedural complications, including life-threatening ones.Aim — to investigate the potential factors leading to complications during central venous catheterization in order to develop preventive strategies.Materials and methods. The study included 1,512 original cases of patients aged 1 month to 20 years treated at the D. Rogachev National Research Medical Center between 2019 and 2022. The following 10 complications were examined: failed first venipuncture attempt, guidewire/catheter malpositioning, guidewire knotting, lifethreatening arrhythmias, guidewire entrapment in the trabecular network of the right ventricle, arterial puncture, pneumothorax, hemothorax, puncture of lung parenchyma, Horner's syndrome. In addition, four rare complications were noted, including phrenic nerve injury, cardiac tamponade, alveolar hemorrhage, and arterial pseudoaneurysm.Results. The primary cause of all complications was direct mechanical injury to anatomical structures by a needle or guidewire/catheter. When inadvertent vascular injury and bleeding occur, the resulting hematoma may lead to further damage by compressing soft tissues. Excessively deep insertion of the guidewire may cause its knotting or cardiac arrhythmias. Adequate physician training and strict adherence to procedural protocols are essential to avoid these complications.Conclusion. Central venous catheterization remains a procedure with potential complications. Although ultrasound guidance does not eliminate all risks, it increases the likelihood of successful venipuncture at the first attempt, thereby reducing complication rates. Recognizing the potential causes of procedural complications during central venous access placement, including uncommon ones, facilitates early diagnosis and appropriate medical intervention. |
| format | Article |
| id | doaj-art-c6b7d1ca9a384d358348b51e53d2f66c |
| institution | Matheson Library |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-c6b7d1ca9a384d358348b51e53d2f66c2025-08-04T10:40:46ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102024-10-01205556910.15360/1813-9779-2024-5-55-691972Procedural Complications of Central Venous Catheter Placement in Pediatric Oncology Practice (a Clinical Case Series)Vladislav V. Shchukin0Nikolay P. Leonov1Elena A. Spiridonova2Vladimir V. Selivanov3Ekaterina V. Dergunova4Galina A. Novichkova5Natalia V. Myakova6Nikolay S. Grachev7Mikhail V. Bykov8Anastasia A. Bystrova9Rina S. Grigoryan10Nune V. Matinyan11Anton V. Petrushin12Hugo Loaisa13D. Rogachev National Medical Research Center for Pediatric HematologyD. Rogachev National Medical Research Center for Pediatric HematologyD. Rogachev National Medical Research Center for Pediatric Hematology; Russian University of Medicine, Russian Ministry of HealthD. Rogachev National Medical Research Center for Pediatric HematologyD. Rogachev National Medical Research Center for Pediatric HematologyD. Rogachev National Medical Research Center for Pediatric HematologyD. Rogachev National Medical Research Center for Pediatric HematologyD. Rogachev National Medical Research Center for Pediatric HematologyN. I. Pirogov Russian National Medical Research University; Central Research Institute of Epidemiology, Russian RospotrebnadzorMorozov Children's City Clinical Hospital, Moscow Health DepartmentN. I. Pirogov Russian National Medical Research UniversityN. I. Pirogov Russian National Medical Research University; Research Institute of Children's Oncology and Hematology, N. N. Blokhin National Medical Research Center for Oncology, Russian Ministry of HealthD. Rogachev National Medical Research Center for Pediatric HematologyD. Rogachev National Medical Research Center for Pediatric Hematology; N. I. Pirogov Russian National Medical Research UniversityThe availability of central venous access is the cornerstone of contemporary pediatric oncology and hematology. As a result, the percentage of pediatric patients receiving infusion chemotherapy who require a central line remains high. Central venous catheter insertion can be associated with procedural complications, including life-threatening ones.Aim — to investigate the potential factors leading to complications during central venous catheterization in order to develop preventive strategies.Materials and methods. The study included 1,512 original cases of patients aged 1 month to 20 years treated at the D. Rogachev National Research Medical Center between 2019 and 2022. The following 10 complications were examined: failed first venipuncture attempt, guidewire/catheter malpositioning, guidewire knotting, lifethreatening arrhythmias, guidewire entrapment in the trabecular network of the right ventricle, arterial puncture, pneumothorax, hemothorax, puncture of lung parenchyma, Horner's syndrome. In addition, four rare complications were noted, including phrenic nerve injury, cardiac tamponade, alveolar hemorrhage, and arterial pseudoaneurysm.Results. The primary cause of all complications was direct mechanical injury to anatomical structures by a needle or guidewire/catheter. When inadvertent vascular injury and bleeding occur, the resulting hematoma may lead to further damage by compressing soft tissues. Excessively deep insertion of the guidewire may cause its knotting or cardiac arrhythmias. Adequate physician training and strict adherence to procedural protocols are essential to avoid these complications.Conclusion. Central venous catheterization remains a procedure with potential complications. Although ultrasound guidance does not eliminate all risks, it increases the likelihood of successful venipuncture at the first attempt, thereby reducing complication rates. Recognizing the potential causes of procedural complications during central venous access placement, including uncommon ones, facilitates early diagnosis and appropriate medical intervention.https://www.reanimatology.com/rmt/article/view/2478central venous cathetercentral venous catheterization in childrencomplication of central venous catheter placement in childrenpneumothoraxhemothoraxneurological disorders in childrencardiac tamponadepseudoaneurysmpediatric oncology practice |
| spellingShingle | Vladislav V. Shchukin Nikolay P. Leonov Elena A. Spiridonova Vladimir V. Selivanov Ekaterina V. Dergunova Galina A. Novichkova Natalia V. Myakova Nikolay S. Grachev Mikhail V. Bykov Anastasia A. Bystrova Rina S. Grigoryan Nune V. Matinyan Anton V. Petrushin Hugo Loaisa Procedural Complications of Central Venous Catheter Placement in Pediatric Oncology Practice (a Clinical Case Series) Общая реаниматология central venous catheter central venous catheterization in children complication of central venous catheter placement in children pneumothorax hemothorax neurological disorders in children cardiac tamponade pseudoaneurysm pediatric oncology practice |
| title | Procedural Complications of Central Venous Catheter Placement in Pediatric Oncology Practice (a Clinical Case Series) |
| title_full | Procedural Complications of Central Venous Catheter Placement in Pediatric Oncology Practice (a Clinical Case Series) |
| title_fullStr | Procedural Complications of Central Venous Catheter Placement in Pediatric Oncology Practice (a Clinical Case Series) |
| title_full_unstemmed | Procedural Complications of Central Venous Catheter Placement in Pediatric Oncology Practice (a Clinical Case Series) |
| title_short | Procedural Complications of Central Venous Catheter Placement in Pediatric Oncology Practice (a Clinical Case Series) |
| title_sort | procedural complications of central venous catheter placement in pediatric oncology practice a clinical case series |
| topic | central venous catheter central venous catheterization in children complication of central venous catheter placement in children pneumothorax hemothorax neurological disorders in children cardiac tamponade pseudoaneurysm pediatric oncology practice |
| url | https://www.reanimatology.com/rmt/article/view/2478 |
| work_keys_str_mv | AT vladislavvshchukin proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT nikolaypleonov proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT elenaaspiridonova proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT vladimirvselivanov proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT ekaterinavdergunova proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT galinaanovichkova proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT nataliavmyakova proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT nikolaysgrachev proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT mikhailvbykov proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT anastasiaabystrova proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT rinasgrigoryan proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT nunevmatinyan proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT antonvpetrushin proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries AT hugoloaisa proceduralcomplicationsofcentralvenouscatheterplacementinpediatriconcologypracticeaclinicalcaseseries |