Core Tenets of Central Venous Access in Children

Madeline E. Leo; Anne E. Gill

doi:10.1055/s-0045-1811255

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2025; 42(03): 253-261
DOI: 10.1055/s-0045-1811255

Review Article

Core Tenets of Central Venous Access in Children

Authors

Madeline E. Leo

¹Department of Radiology, Medical University of South Carolina, MUSC Health Radiology, Charleston, South Carolina
Anne E. Gill

²Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image-Guided Medicine, Emory University School of Medicine, Atlanta, Georgia

³Department of Radiology and Imaging Sciences, Division of Pediatric Radiology, Children's Healthcare of Atlanta, Atlanta, Georgia

Abstract

Central venous access device (CVAD) placement is a common procedure for outpatient and inpatient pediatric interventional radiology practices. The principles of CVAD placement in pediatrics are similar to those in adults; however, certain clinical parameters must be considered when choosing the optimal type of line, size of catheter, and location for pediatric patients. The vessel lumen to catheter ratio is of utmost importance, and unique techniques may be necessary to facilitate bedside procedures. As in adults, all CVAD placements confer some level of risk. This review article discusses vascular anatomy, CVAD procedural techniques, and complications specifically concerning venous access in children.

Keywords

pediatric - interventional radiology - venous access - PICC - central catheter

Full Text

References

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