Comparison of implantable central venous ports with catheter insertion via external jugular cut down and subclavian puncture in children: single center experience.
OBJECTIVE
The purpose of this study is to demonstrate the efficacy, safety and long-term advantages of catheter insertion via external jugular vein (EJV) cut down for implantable central venous port in children.


METHODS
Thirty-nine central venous ports were implanted with catheter insertion via subclavian puncture in the children (group 1) with average age of 4.2 years. Forty-three were done by inserting the catheter via EJV cut down in the children (group 2) with average age of 4.8 years. Ports remained functional for a total of 11,890 patient days in group 1 and 15,743 patient days in group 2.


RESULTS
The ports were unplanned removed in 28.2% of patients (11/39) in group 1 with comparison of 7.0% of patients (3/43; p < 0.01) in group 2. Five patients (12.8% of ports implanted) suffered an infectious complication in group 1 and just one patient (2.3% of ports implanted; p < 0.01) occurred in group 2. Permanent aspiration occlusion occurred in every two patients for each group with incidence of 5.1% in group 1 and 4.7% in group 2. Catheter fracture occurred in three patients in group 1 (7.7%). One case with catheter disconnected to the port was found in group 1 (2.6%). The disconnected catheter was removed from right ventricle by interventional therapy.


CONCLUSIONS
Insertion of the catheter via the EJV cut down for implantable central venous port is significant better than insertion of the catheter via subclavian puncture in children.
Zhang
Qinming
Q
Department of Pediatric Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, 56 Xi Chengqu Fuwai Nanlishilu, 100045, Beijing, People's Republic of China. qzhang9611@yahoo.com
Jiao
Lili
L
Zhou
Hong
H
D000293:Adolescent; D002405:Catheterization, Central Venous / Q000379:methods*; D002408:Catheters, Indwelling; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D018962:Phlebotomy; D012189:Retrospective Studies; D013350:Subclavian Vein