Minerva Pediatrica 2020 Apr 09

DOI: 10.23736/S0026-4946.20.05806-5

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Technique for replacement of Groshong® Peripherally Inserted Central Venous Catheters (PICCs) in children

Stefano BENVENUTI ¹ ✉, Filippo PAROLINI ¹, Rosanna CERESOLI ², Paolo ORIZIO ¹, Daniele ALBERTI ^{1, 3}

¹ Department of Pediatric Surgery, Children’s Hospital, ASST-Spedali Civili of Brescia, Brescia, Italy; ² Department of Pediatric Onco-Hematology and BMT, Children’s Hospital, ASST-Spedali Civili of Brescia, Brescia, Italy; ³ Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy

INTRODUCTION: The use of peripherally inserted central catheters (PICCs) in children is increasingly common due to their certain advantages and low rate of adverse events. Valved PICCs, when displaced, must be removed and new a PICC must be placed in another vein. We present our PICC replacement technique over a Seldinger guidewire using the same entrance vein.
METHODS: This prospective study involved all consecutive patients with a previously inserted Groshong PICC requiring replacement due to displacement managed at our institution between January 2018 and January 2019. All procedures were performed at the patient’s bed-side, under local anesthesia. All the steps of the procedure were described.
RESULTS: The procedure was performed in 19 patients (mean 10.4 years, range 5-18 years) in a mean time of 12 minutes (range 10-35). In all cases, the maneuver was quick and painless. No complications were encountered during the procedure and at follow-up.
CONCLUSIONS: Our preliminary experience suggests that the PICC replacement technique using the same entrance vein is simple, safe and feasible, and provides clear benefits in order to preserve children’s venous patrimony.

KEY WORDS: Peripherally Inserted Central Catheters (PICCs); Children; Groshong; Catheter displacement; PICC replacement