Article Text

Download PDFPDF
Plastic migration from implanted central venous access devices
  1. P A Dewan,
  2. S K Condron,
  3. P N Morreau,
  4. R W Byard,
  5. J Terlet
  1. Department of General Surgery, Royal Children’s Hospital, Melbourne, Australia
  1. Dr P A Dewan, Department of General Surgery, Royal Children’s Hospital, Flemington Road, Parkville, Victoria 3052, Australia. email: dewan{at}cryptic.rch.unimelb.edu.au

Abstract

BACKGROUND This is the first reported study of histologically confirmed migration from intravenous access devices in children.

METHODS The capsules from around intravenous access devices were examined by light microscopy to determine the extent of the foreign body response; energy dispersive x ray analysis was performed to document the elemental content of the foreign material.

RESULTS A fibroconnective tissue capsule was found around all the samples. Elemental silicon was found in six of 13 tissue samples, and a foreign body giant cell reaction was seen in three of these.

CONCLUSIONS The pseudocapsule that surrounds an implanted vascular access device often has residual foreign material, including silicone.

  • silicon
  • intravenous access device
  • plastic
  • migration

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Footnotes