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A Medium-Term Venous Access Alternative for Infants Undergoing Congenital Heart Surgery



A Medium-Term Venous Access Alternative for Infants Undergoing Congenital Heart Surgery



World Journal for Pediatric and Congenital Heart Surgery 9(1): 91-94



We describe a strategy aimed at maximizing the safety and minimizing the thrombogenicity of central venous lines for neonates with congenital heart defects. Our method involves the use of a tunneled technique to place a 4.2 Fr single-lumen (Broviac) catheter in the subpericardial space, with minimal intravascular course and a tip placed in the lower right atrium. Using this technique, we potentially eliminated the requirement for percutaneous placement of central venous lines postoperatively as well as potentially decreased the risk of intrapericardial bleeding associated with transthoracic lines.

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Accession: 046211109

Download citation: RISBibTeXText

PMID: 29310557

DOI: 10.1177/2150135117738008


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