Ali Harman, Kahraman Yakut, Birgül Varan

Transcatheter retrieval of embolized catheter using venovenous loop in a neonate

ISSN: 0041-4301
Yayın Aralığı: Yılda 6 Sayı
Başlangıç: 1958
Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü

Umbilical venous catheters are reliable in providing adequate medical carefor premature babies however complications include infections, bleeding,thrombosis, catheter occlusion and migration of a piece of catheter to otherparts in the body. Here, we present a case with migration of a piece ofumbilical venous catheter which has been trapped between hepatic vein andright upper pulmonary vein causing apnea episodes, recurrent respiratorysymptoms, need for mechanical ventilation and increase of acute phase reactants.The embolized catheter was retrieved successfully via percutaneous route.

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1. Cortwright DW. Central venous lines in neonates; a study of 2186 catheters. Arch Dis Child Fetal Neonatal Ed 2004; 89: 504-508.
2. Fusco FP, De Carolis MP, Costa S, De Rosa G, Zambraro A, Romagnoli C. Cardiac complications in preterm infants with percutaneous long lines: the importance of early diagnosis. Resuscitation 2008; 79: 506-508.
3. Jouvencel P, Tourneux P, Pérez T, et al. Central catheters and pericardial effusion: results of a multicentric retrospective study. Arch Pediatr 2005; 12: 1456-1461.
4. Sehgal A, Cook V, Dunn M. Pericardial effusion associated with an appropriately placed umbilical venous catheter. J Perinatol 2007; 27: 317-319.
5. De Carolis MP, Costa S, Polimeni V, Di Stasi C, Papacci P, Romagnoli C. Successful removal of catheter fragment from right atrium in a premature infant. Eur J Pediatr 2007; 166: 617-618.
6. Pérez-Martínez A, Bento-Bravo L, Martínez-Bermejo MA, Conde-Cortés J, Lezáun R, Egüés J. Fracture and intracardiac migration of a neonatal venous catheterextraction via the umbilical pathway. Pediatr Radiol 2002; 32: 211.
7. Murphy KD, Le VA, Encarnacion CE, Palmaz JC. Transumbilical intravascular retrieval of an umbilical artery catheter. Pediatr Radiol 1995; 25: 178-179.