Key result
Chest-to-arm tunneling for centrally inserted central catheters in 6 neonates was feasible and safe, with no insertion-related complications, thrombosis, or infections reported.
Why the study?
The chest-to-arm tunneling technique was recently described as an alternative catheter exit site to the infraclavicular area.
Is the chest-to-arm tunneling technique for central venous access devices safe and feasible in neonates?
Case Report (n=6)
Is the chest-to-arm tunneling technique for central venous access devices safe and feasible in neonates?
The chest-to-arm tunneling technique for central venous access devices appears to be a safe and feasible alternative to the usual exit site in neonates.
CTA tunneling may be feasible in neonates; hypothesis-generating and requires prospective validation before clinical adoption.
BACKGROUND: Chest-to-arm (CTA) tunneling technique has been described recently as an alternative option to exit site of the catheter in the infraclavicular area. METHOD: We report our experience with ultrasound-guided centrally inserted central catheters (CICCs) placed using CTA tunneling in six neonates. All central venous catheters were positioned with ultrasound guidance and real-time tip location. RESULTS: There were no insertion-related complications; all devices were correctly positioned at the first attempt. During the follow-up, we found no catheter-related thrombosis, infections, or catheter malfunction. No tip position-related complications. Only one case of secondary malposition was reported. CONCLUSION: In our experience, the CTA tunneling technique is reliable, safe, and feasible in the neonate even from the first hours of life, as well as for preterm newborns; it could be a valid alternative to the usual exit site.
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Perez et al. (2023) conducted a case report in Neonates requiring central venous access (n=6). Chest-to-arm (CTA) tunneling technique was evaluated on Insertion-related complications, correct positioning, and follow-up complications (thrombosis, infections, malfunction). Chest-to-arm tunneling for centrally inserted central catheters in 6 neonates was feasible and safe, with no insertion-related complications, thrombosis, or infections reported.
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