Experience with totally implantable devices for long-term central venous access in children

ABSTRACT

Intensive chemotherapy and supportive care for paediatric oncology/haematology patients often requires a reliable venous access. The externally exiting central venous catheters are prone to infection and require special care of external tubings. In an attempt to circumvent these problems, a totally implantable device was inserted in 31 paediatric oncology/haematology patients. In 16 patients the device was electively removed at the completion of therapy. In 9 patients the device is still in use while 4 patients died of their underlying disease, with the device in place and functioning. Only 2 devices required premature removal; one for catheter-related sepsis and the other for refractory occlusion. Ease of nursing care, absence of external tubings, low infection rates and improved patient acceptance because of compatibility with normal activities make them suitable for long-term intermittent venous access in children