PICC IN THE TREATMENT OF CHILDREN WITH CANCER: RESULTS OF A MULTICENTER STUDY

  • Rykov M
  • Petrash A
  • Zaborskikh S
  • et al.
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Abstract

Background/Objectives: To review our first in the Russian Federation experience with PICCs in Pediatric cancer patients. Design/Methods: The analysis included 353 patients (3 months up to 17 years, mean age 11.2 years) with a variety of cancers diseases, which in 2011-2017 354 PICCs were established. All settings are carried out using ultrasound navigation. In 138 (39%) patients used external anatomical landmarks, in 216 (61%)-intraoperative fluoroscopy. Result(s): Maximum duration of operation-1.3 years, the lowest-1.5 months, average-6.3 months. Among the technical difficulties during installation most frequently have been the migration of the distal end of the catheter into the internal jugular vein against blood flow-32 (9%) patients. In 1 (0.3%) case we were unable to catheterize the patient's vein. Among the most common complications of operation were marked PICCs thrombosis-26 (7.3%) cases. Venous thrombosis was observed in 16 (4.5%) cases. Catheter-related bloodstream infections were not reported. Removal of PICCs related to the complications were performed in 30 (8,5%) patients who were later implanted venous ports. Conclusion(s): PICCs are recommend to use in the treatment of children with cancer. It should be trained nursing staff to minimize the risk of complications.

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Rykov, M. Yu., Petrash, A. A., Zaborskikh, S. V., Shvetsov, A. N., Goncharova, E. V., & Schukin, V. V. (2017). PICC IN THE TREATMENT OF CHILDREN WITH CANCER: RESULTS OF A MULTICENTER STUDY. Oncopediatrics, 4(1), 43–48. https://doi.org/10.15690/onco.v4i1.1683

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