title: Implantable central venous access device in infants: Long-term results.
abstract: BACKGROUND
  The management of central venous access device (CVAD) is extremely difficult in babies and small infants (BSI). We therefore compared the long-term results and complications of CVAD in BSI with those in children.
  
  
  METHODS
  One hundred and twenty patients were divided into two groups as follows: age <1 year or weight <10 kg (group A; 25 patients); and age ≧1 year and weight ≧10 kg (group B; 95 patients). The clinical results were retrospectively compared between the groups.
  
  
  RESULTS
  Mean age and weight were 12.5 ± 5.9 months and 8.2 ± 1.2 kg in group A, and 78.8 ± 58.9 months and 20.9 ± 13.6 kg in group B. Operation time was 57 ± 29 min in group A and 52 ± 21 min in group B (P = 0.38). The catheter was advanced with difficulty into the central vein in five and in 16 patients (P = 0.77), and surgical complications occurred in one and in seven patients in groups A and B, respectively (P > 0.99). The CVAD remained in place for 627 ± 494 and 550 ± 414 days (P = 0.47) and was removed before treatment completion in five and in 14 patients in groups A and B, respectively (P = 0.54).
  
  
  CONCLUSIONS
  The clinical results for CVAD in BSI did not differ from those in children. CVAD are useful and safe for the treatment of BSI with serious diseases.
authors: Department of Pediatric Surgery, Osaka City General Hospital, Osaka, Japan. k-ohno@r2.dion.ne.jp.|Department of Pediatric Surgery, Osaka Red Cross Hospital, Osaka, Japan. k-ohno@r2.dion.ne.jp.
authors: Koichi
authors: K
authors: Ohno
authors: Department of Pediatric Surgery, Osaka City General Hospital, Osaka, Japan.
authors: Tatsuo
authors: T
authors: Nakaoka
authors: Department of Pediatric Surgery, Osaka City General Hospital, Osaka, Japan.
authors: Yuichi
authors: Y
authors: Takama
authors: Department of Pediatric Surgery, Osaka City General Hospital, Osaka, Japan.
authors: Atsushi
authors: A
authors: Higashio
authors: Department of Pediatric Surgery, Osaka City General Hospital, Osaka, Japan.
authors: Kenji
authors: K
authors: Santo
authors: Department of Pediatric Surgery, Osaka City General Hospital, Osaka, Japan.
authors: Akihiro
authors: A
authors: Yoneda
mesh_terms: D055499:Catheter-Related Infections / Q000453:epidemiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005544:Forecasting; D006801:Humans; D015994:Incidence; D007223:Infant; D007564:Japan / Q000453:epidemiology; D008297:Male; D012189:Retrospective Studies
keywords: baby; central venous access device; central venous catheter; complication; infant