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.
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