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Title of Journal: Pediatr Surg Int

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Abbravation: Pediatric Surgery International

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Springer-Verlag

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DOI

10.1002/cber.19640970707

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1437-9813

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Implantable versus cuffed external central venous

Authors: Alan D White Diaa Othman Michael J Dawrant Soroush Sohrabi Alastair L Young Roly Squire
Publish Date: 2012/11/23
Volume: 28, Issue: 12, Pages: 1195-1199
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Abstract

The aim of this study was to determine if there is a difference between complications for totally implantable central venous catheters ports and tunnelled external central venous catheters external CVCs that result in early removal of the central venous catheter CVC in children and adolescents with acute lymphoblastic leukaemia ALLWe included 322 patients 254 received a port and 68 received an external CVC There were 102 CVC complications that required removal of the CVC prior to the completion of chemotherapy 65 in patients with ports 37 in patients with external CVCs Overall complications requiring CVC removal were significantly less likely to occur in the patient’s with ports p  0001 Ports were significantly less likely to require removal prior to the end of treatment overall p  0001 and for specific complications such as infection p  0001 and dislodgement p = 0001 However when adjusted for disease severity there is no difference in premature CVC removal rates

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