Prospective study of indwelling central venous catheter-related complications in children with Broviac or clampless valved catheters

Giuseppe Fratino, Angelo C. Molinari, Cinzia Mazzola, Mareva Giacchino, Paola Saracco, Evelina Bertocchi, Elio Castagnola

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Purpose: To compare two types of central venous catheters (Broviac and valved clampless) for the incidence and severity of catheter-related complications in children. Patients and Methods: The authors report data on the mechanical and infectious complications collected in a prospective analysis of 92 catheters inserted in 82 children from January 2000 to March 2001. Results: Two different devices were inserted: 51 Broviac and 41 clampless valved catheters. During the follow-up of 17,803 catheter-days 52 complications were observed: 40 mechanical episodes and 12 infectious events. In the Broviac group the median follow-up was 179 days and the total number of catheter-days was 10.911. A total of 29 complications were observed, occurring in 22 catheters (43%), with an overall incidence of 0.27/100 catheter-days. In the clampless group the median follow-up was 134 days and the total number of catheter days was 6893. A total of 23 complications were observed, occurring in 19 devices (46%), with an incidence of 0.32/100 catheter days. Conclusions: There were no major differences in the incidence of mechanical or infectious complications between the two devices. Malfunction was more frequent in Broviac catheters, whereas catheter displacement occurred more frequently in clampless valved catheters. These results show the importance of central venous catheter-related mechanical complications in the management of children with hematologic or oncologic malignancies.

Original languageEnglish
Pages (from-to)657-661
Number of pages5
JournalJournal of Pediatric Hematology/Oncology
Volume24
Issue number8
DOIs
Publication statusPublished - Nov 2002

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Indwelling Catheters
Central Venous Catheters
Catheters
Prospective Studies
Incidence
Equipment and Supplies

Keywords

  • Broviac central venous catheters
  • Catheter-related complications
  • Central venous catheters
  • Clampless central venous catheters
  • Pediatric patients

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Pediatrics, Perinatology, and Child Health

Cite this

Prospective study of indwelling central venous catheter-related complications in children with Broviac or clampless valved catheters. / Fratino, Giuseppe; Molinari, Angelo C.; Mazzola, Cinzia; Giacchino, Mareva; Saracco, Paola; Bertocchi, Evelina; Castagnola, Elio.

In: Journal of Pediatric Hematology/Oncology, Vol. 24, No. 8, 11.2002, p. 657-661.

Research output: Contribution to journalArticle

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abstract = "Purpose: To compare two types of central venous catheters (Broviac and valved clampless) for the incidence and severity of catheter-related complications in children. Patients and Methods: The authors report data on the mechanical and infectious complications collected in a prospective analysis of 92 catheters inserted in 82 children from January 2000 to March 2001. Results: Two different devices were inserted: 51 Broviac and 41 clampless valved catheters. During the follow-up of 17,803 catheter-days 52 complications were observed: 40 mechanical episodes and 12 infectious events. In the Broviac group the median follow-up was 179 days and the total number of catheter-days was 10.911. A total of 29 complications were observed, occurring in 22 catheters (43{\%}), with an overall incidence of 0.27/100 catheter-days. In the clampless group the median follow-up was 134 days and the total number of catheter days was 6893. A total of 23 complications were observed, occurring in 19 devices (46{\%}), with an incidence of 0.32/100 catheter days. Conclusions: There were no major differences in the incidence of mechanical or infectious complications between the two devices. Malfunction was more frequent in Broviac catheters, whereas catheter displacement occurred more frequently in clampless valved catheters. These results show the importance of central venous catheter-related mechanical complications in the management of children with hematologic or oncologic malignancies.",
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AU - Mazzola, Cinzia

AU - Giacchino, Mareva

AU - Saracco, Paola

AU - Bertocchi, Evelina

AU - Castagnola, Elio

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AB - Purpose: To compare two types of central venous catheters (Broviac and valved clampless) for the incidence and severity of catheter-related complications in children. Patients and Methods: The authors report data on the mechanical and infectious complications collected in a prospective analysis of 92 catheters inserted in 82 children from January 2000 to March 2001. Results: Two different devices were inserted: 51 Broviac and 41 clampless valved catheters. During the follow-up of 17,803 catheter-days 52 complications were observed: 40 mechanical episodes and 12 infectious events. In the Broviac group the median follow-up was 179 days and the total number of catheter-days was 10.911. A total of 29 complications were observed, occurring in 22 catheters (43%), with an overall incidence of 0.27/100 catheter-days. In the clampless group the median follow-up was 134 days and the total number of catheter days was 6893. A total of 23 complications were observed, occurring in 19 devices (46%), with an incidence of 0.32/100 catheter days. Conclusions: There were no major differences in the incidence of mechanical or infectious complications between the two devices. Malfunction was more frequent in Broviac catheters, whereas catheter displacement occurred more frequently in clampless valved catheters. These results show the importance of central venous catheter-related mechanical complications in the management of children with hematologic or oncologic malignancies.

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