Supportive care for children with cancer. Guidelines of the Childrens Cancer Study Group. Use of venous access lines.

The use of central access lines in children with cancer may significantly improve the quality of life of these patients. Indwelling atrial catheters (Broviac and Hickman catheters) seem at present to be the best technique. These catheters are associated with complications, of which infection is the most feared. However, their use allows patients to undergo complex prolonged therapy with less discomfort. These indwelling catheters also provide venous access at all times, which may be lifesaving.