RETAINED INTRAVASCULAR CATHETER FRAGMENT AT REMOVAL OF IMPLANTABLE VASCULAR ACCESS DEVICE: INCIDENCE, RISK FACTORS, AND OUTCOMES
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In brief
In brief
Retrospective study of 654 IVAD removals in pediatric patients found retained catheter fragments occurred in 0.92% of cases, with line duration identified as the primary risk factor (OR 3.5 per year). All cases occurred in patients aged 6-17 years, highlighting the need for careful monitoring of long-term central venous access devices in children.
Written by the GCMD Library team from the article.
Background
Retained intravascular catheter fragments (RICF) are a rare complication of implantable vascular access device (IVAD) removal for which there is limited understanding of aetiology. There is a varied approach to management among the currently published literature.
Aims
The aim of this study was to establish incidence, risk factors, and outcomes for RICF after attempted removal of IVADs.
Methods
A single institution retrospective review was undertaken of individuals ≤25 years undergoing removal of IVADs from October 2014 - June 2019. Risk factors for RICF were explored using univariable logistic and Cox regression analysis.
Results
Six cases of RICF were identified among 654 line removal episodes (0.92% (95% CI 0.37-2%)) in patients aged 6-17 years (median 11, IQR 6-15 years). The main risk factor for RICF at removal was found to be line duration (OR 3.5/ year, 95% CI 2.1-5.84, p