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Catheter Retention
Compiled from across the library · built automatically
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
For long-term chemotherapy access, a silastic line should be considered instead of a polyurethane line. — Ian Glenn, Retained Central Venous Catheters · 1:31
Retained Central Venous Catheters
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Video literature review regarding management of retained central venous catheter fragments in pediatric patients. Complication Rates Jones SA, Giacomantonio. “A complication associated with central line removal in the pediatric population:
video3:41 · Oct 2018
Retained Central Venous Catheters
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Video literature review regarding management of retained central venous catheter fragments in pediatric patients. Complication Rates Jones SA, Giacomantonio. “A complication associated with central line removal in the pediatric population:
video3:41 · Oct 2018
Management of Retained Central Venous Catheters
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Ian Glenn and Todd Ponsky discuss the management of retained central venous canulas.
video3:41 · Apr 2019
Expert statements from the recordings in this collection.
Management of Retained Central Venous Catheters
5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter.
Ian Glenn0:32
The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%.
Ian Glenn0:57
Risk factors for catheter retention include chemotherapy infusion through the line.
Ian Glenn1:12
Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half.
Ian Glenn1:12
There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters.
Ian Glenn1:25
Power ports are polyurethane catheters.
The recommendation would be to go with silastic catheters for long-term chemotherapy cases.
Surgical venotomy to retrieve a retained catheter carries a risk of bleeding.
Ian Glenn2:10
In interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally.
Ian Glenn2:16
In interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure.
Ian Glenn2:16
Multiple studies of patients with retained catheter fragments, with follow-up periods from months to the order of 5 years, found no complications.
Ian Glenn2:31
No thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years.
Ian Glenn2:42
No infections were associated with retained catheter fragments in studies with follow-up from months to 5 years.
Ian Glenn2:42
Silastic lines generally have a larger size diameter for a given lumen compared to polyurethane lines.
There has never been a report of a problem by leaving a retained catheter tip in, although long-term data are lacking.
Retained Central Venous Catheters
5–15% of patients who have catheters removed require some additional intervention (enlarging incision, venotomy, or interventional radiology).
Ian Glenn0:32
0.2–2% of catheter removals result in at least part of the catheter being left behind.
Ian Glenn0:32
Risk factors for catheter retention include chemotherapy infusion through the line, indwelling duration longer than about 1.5 years, and polyurethane catheter material compared with silicone.
Ian Glenn1:12
Power ports are polyurethane catheters.
For long-term chemotherapy access, a silastic line should be considered instead of a polyurethane line.
Surgical venotomy to retrieve a retained catheter carries a risk of bleeding.
Ian Glenn2:04
Endovascular retrieval by interventional radiology carries risks of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure.
Ian Glenn2:04
Multiple studies of patients with retained catheter fragments followed for months to 5 years found no complications (no thrombosis or infections).
There has never been a report of a problem from leaving a catheter tip in, although long-term data are lacking.
Silastic catheters generally have a larger outer diameter for a given lumen compared with polyurethane catheters.
5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter.
Ian Glenn0:32
The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%.
Ian Glenn0:32
Risk factors for catheter retention include chemotherapy infused through the lines.
Ian Glenn1:12
Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half.
Ian Glenn1:12
There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters.
Ian Glenn1:12