VENOUS ACCESS SYSTEMS IN THE TREATMENT OF CHILDREN WITH CANCER: ANALYSIS OF THE RESULTS OF INSTALLATION AND OPERATION AT SECONDARY AND TERTIARY B MEDICAL FACILITIES
Background: Appendices to the Order of the Ministry of Health of the Russian Federation № 203n «On the approval of criteria for assessing the quality of medical care» dated May 10, 2017 administer the application of peripherally inserted catheters (PICC) or implantable venous port systems (IVPS) in the treatment of children with cancer. Methods: The analysis included 290 patients aged 3 months - 17 years (mean age 11.2 years) with various oncological diseases who underwent PICC (177, 61%) and IVPS (113, 39%) insertion in 2016. The settings were performed using ultrasound navigation and intraoperative fluoroscopy. Results: Insertion complications occurred in 50 (17.2%) patients; maintenance complications were registered in 26 (9%) patients which resulted in removal of 6 (2%) venous access systems. Conclusion: The results confirm the possibility of hospital-based IVPS and PICC insertion in the treatment of children with cancer performed not only in federal medical facilities but also at pediatric oncology departments of pediatric clinics located in the subjects of the Russian Federation.