European journal of haematology · 2026
Retained Central Venous Catheters in Pediatric Patients: Challenges, Mechanisms, and Surgical Strategies-A Narrative Review.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gismondi Alice, D'Angelo Tommaso Domenico, Grimaldi Chiara, Persano Giorgio, Martucci Cristina, Rollo Giovanni, Romano Giorgia, Natali Gian Luigi, Cassanelli Giulia, Crocoli Alessandro
Аннотация
BACKGROUND: Long-term central venous catheters (CVCs) play a critical role in the management of pediatric patients with chronic illnesses, particularly in oncology. These devices provide reliable vascular access for the administration of chemotherapy, total parenteral nutrition, antibiotics, blood products, and frequent blood sampling.
OBJECTIVE: Review the etiology, complications, and management of retained long-term central venous catheters in children.
METHODS: This review analyzes existing literature and clinical experience to highlight mechanisms of catheter adherence and embolization, with a focus on pediatric-specific challenges.
RESULTS: Prolonged catheterization may lead to endothelial injury and fibrotic adherence of the catheter to the vessel wall. Catheter fracture with embolization is a rare but serious complication. Management includes surgical, endovascular, and conservative approaches. Pediatric-specific ethical considerations are vital when fragments are left in situ.
CONCLUSION: Awareness of risk factors and timely intervention strategies can mitigate complications from retained CVCs. Further research is needed to understand the long-term effects and improve clinical guidelines.
OBJECTIVE: Review the etiology, complications, and management of retained long-term central venous catheters in children.
METHODS: This review analyzes existing literature and clinical experience to highlight mechanisms of catheter adherence and embolization, with a focus on pediatric-specific challenges.
RESULTS: Prolonged catheterization may lead to endothelial injury and fibrotic adherence of the catheter to the vessel wall. Catheter fracture with embolization is a rare but serious complication. Management includes surgical, endovascular, and conservative approaches. Pediatric-specific ethical considerations are vital when fragments are left in situ.
CONCLUSION: Awareness of risk factors and timely intervention strategies can mitigate complications from retained CVCs. Further research is needed to understand the long-term effects and improve clinical guidelines.