The pinch‐off syndrome in a pediatric patient

Abstract

Pathohistology showed ovarian infiltration with kaposiform hemangioendothelioma, with areas of tufted angioma-like elements and occasional fields of venous (cavernous) malformation. The operation sucessfully eliminated elevated testosterone and signs of virilization regressed. Three years after the operation, despite gradual reduction of hemangioma size, KMS persists.

Effectiveness and complications of ultrasound-guided subclavian vein cannulation in children and neonates

“…This study was in favour of the Sup-SCV approach with a decrease of the incidence of multiple attempts (> 3) (6.1% versus 24.5%) and guide-wire misplacements (0% versus 20.4%). In addition, with the US-guided Inf-SCV approach [20], needle visualization is interrupted during its path under the clavicle toward the subclavian vein and there is a risk of catheter damage or breakage by costoclavicular pinching if the catheter is left in place for a long time [21].…”

Ultrasound‐guided subclavian vein cannulation in infants: supraclavicular approach

“…Secondly, the in‐plane technique is more difficult when skin puncture is far from the probe. In addition, the subclavian approach is not recommended for a long‐term catheter placement (15,16).…”

“…Secondly, the in-plane technique is more difficult when skin puncture is far from the probe. In addition, the subclavian approach is not recommended for a long-term catheter placement (15,16). We used a supraclavicular probe placement to realize an in-plane puncture with a good visualization of the SCV in its longitudinal axis.…”

Supraclavicular ultrasound-guided catheterization of the brachiocephalic vein in infants and children: A retrospective analysis

“…as well as Pirotte and Veyckemans. [ 8 9 12 ] The operators in our series, however, are all well versed in the technique of US-guided CVC cannulation, and moreover the method described by Breschan et al . and Rhondali et al .…”

“…Moreover, the infraclavicular SCV approach is not recommended for long-term catheters in children. [ 12 ] A novel supraclavicular approach has been described by the groups of Breschan et al . as well as Rhondali et al .…”