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"Performing peripherally inserted central catheters for children with bilateral bidirectional Glenn shunt, Fontan circulation, and persistent left superior vena cava differs from those with normal central venous anatomy" Tran et al (2022).
PICC placement in a child with abnormal central venous anatomy

Abstract:

Performing peripherally inserted central catheters for children with bilateral bidirectional Glenn shunt, Fontan circulation, and persistent left superior vena cava differs from those with normal central venous anatomy. This study presents two PICC procedures for a toddler with this condition to demonstrate an accurate PICC approach for such children.

Reference:

Tran HTM, Tran DM, Nguyen TLT, Nguyen NT, Nguyen MT, Ngo HT. Case report: PICC line for a toddler with bilateral bidirectional Glenn shunt, Fontan circulation, and persistent left superior vena cava. Clin Case Rep. 2022 May 16;10(5):e05868. doi: 10.1002/ccr3.5868. PMID: 35600009; PMCID: PMC9109647.