title: Retrograde tunnel: a method for the fixation of long-term pediatric central venous catheters.
abstract: The fashioning of a subcutaneous tunnel has become an integral part of the placement of central venous catheters (CVC). Several methods have been described, but the long-term CVCs in pediatric practice pose special problems, particularly that of the patients continually testing the CVC's fixation. A polyurethane CVC is used that has not been previously described in pediatric usage and a retrograde tunneling technique has been developed which affords immediate and secure fixation.
authors.affiliation: Wessex Regional Centre for Pediatric Surgery, Southampton General Hospital, England.
authors.forename: R A
authors.initials: RA
authors.lastname: Wheeler
authors.forename: D M
authors.initials: DM
authors.lastname: Griffiths
authors.forename: D M
authors.initials: DM
authors.lastname: Burge
mesh_terms: D002405:Catheterization, Central Venous / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant