Santral venöz kateter komplikasyonlari

Abstract

Objective: Long-term central venous catheters (CVC) are essential to modern pediatric oncology practice. However, CVC - related complications are frequent and clinically important. We aimed to evaluate CVC-related complications in our pediatric oncology clinic. Material and Methods: Medical records of children who had been admitted to Dr. Sami Ulus Children's Research Hospital, Department of Pediatric Hematology and Oncology, between January 2012 and January 2014 were evaluated retrospectively for CVC-related complications. Results: Over 2 years, 42 port catheters and 5 hickman catheters were inserted in patients. Totally, 39 CVC-related complications developed. Infectious complications were detected in 7 patients. Types of infections were as follows: One port catheter-related infection, 1 hickman catheterrelated infection and CVC-related infections due to bacterial contamination in 5 patients. Occlusions due to thrombosis were seen in 23 patients. We used tissue plasminogen activator for thrombolytic treatment. Two of occluded catheters were removed because thrombolysis didn't occur. We couldn't use port catheter in an obese patient, so it was revised. One port catheter caused atrial arrhythmia, it was withdrawn. Additionally CVC were revised in 6 patients for location problems. Conclusion: CVC are important in treatment of children with cancer, so they should be used carefully and managed conservatively in case of complications.