Abstract
A retrospective analysis of 13 children with hematological malignancy who underwent percutaneous silastic catheter insertion is presented. Twenty catheters were placed by the subclavian approach, percutaneously. Nine of 20 insertions were performed in the children with platelet count of less than 30,000/μl, most of them were in neutropenia of less than 500/μl either. Before the insertion, platelet transfusions for the children with thrombocytopenia were done. There were no prolonged bleeding after insertion, no infection and no morality related the catheter insertions. Six complications were occured, one spontaneous dislocation, two occulusions related to the thrombosis, 3 fever episods related to the catheters, without no serious sequelae. The percutaneous siliastic catheter insertion is a safe and reliable tecnique for the thrombocytepnic children with hematological malignancy.
