Chest-to-arm (CTA) tunneling technique has been described recently as an alternative option to exit site of the catheter in the infraclavicular area.
The authors report their 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.
There were no insertion-related complications; all devices were correctly positioned at the first attempt. During the follow-up, they found no catheter-related thrombosis, infections, or catheter malfunction. No tip position-related complications. Only one case of secondary malposition was reported.
Their conclusion is, in their 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.

Authors :
Carmen Rodriguez Perez, Elena Pezzotti, and Francesco Maria Risso
Neonatal Intensive Care Unit, Children’s Hospital, ASST Spedali Civili, Brescia, Italy
Carmen Rodriguez Perez, Neonatal Intensive Care Unit, Children’s Hospital, ASST Spedali Civili, Piazzale Spedali Civili 1, 25123 Brescia, Italy. Email: carmen.rodriguez@asst-spedalicivili.it

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