[Vascular injuries during percutaneous catheterization of the lower neck in children].
Four cases of vascular injuries of subclavian artery in children are reported after 414 percutaneous catheterization between 1980 and 1986. The first case reported is a 2 month old child with a right subclavian aneurysm after punction, witch be treated by a successful resection-anastomosis. Three others children, 12, 13, and 14 years old have been catheterized by a jugular approach for one and by a subclavian approach in the others. In this three cases the diagnosis was made by an important hemothorax requiring a drainage. In one case, the recovery was obtain only by drainage, in the two others a surgical approach was necessary with a suture of the subclavian artery in one and a ligation in the other case. The diagnosis of these vascular lesion is difficult = an hemothorax must be drained quickly and a persistent bleeding require a surgical treatment by a cervical route associated with a cleidotomy for the subclavian control. All catheterization in children must be realized by operator with a good practice and an adapted material. The jugular route must be preferred to the subclavian route in children.
Ricard
J
J
Service de Chirurgie Pédiatrique, CHU Amiens.
Canarelli
J P
JP
Postel
J P
JP
Quintard
J M
JM
Bernard
F
F
D000293:Adolescent; D000783:Aneurysm / Q000209:etiology*; D002404:Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D002405:Catheterization, Central Venous / Q000009:adverse effects; D002648:Child; D005260:Female; D006406:Hematoma / Q000209:etiology; D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D010288:Parenteral Nutrition / Q000009:adverse effects; D013348:Subclavian Artery / Q000293:injuries*
Plaies vasculaires au décours des cathétérismes per-cutanés par voie cervicale basse chez l'enfant.