Central line retrieval in a neonate

Kohli, Vikas; Joshi, Raja

doi:10.1007/s12098-007-0123-x

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…6 Kohli et al used a percutaneous approach to remove a PICC line which had enmeshed within the pulmonary valve. 7 Our patient underwent a percutaneous removal by our team of pediatric interventional cardiologists. Other complications associated with feed intolerance and sepsis in our patient were managed conservatively.…”

Section: Discussionmentioning

confidence: 95%

“…4 Retrieval of broken catheters can be performed surgically or by percutaneous approach (snare/ forceps). [5][6][7] Ruiz et al used a pigtail catheter and a snare wire to remove a broken UVC lodged in the left pulmonary vein of a 30 weeks 1.1 kg neonate. 5 Dhua et al tried to remove a UVC, which had been spliced by a scalpel blade at the time of removal of sutures, by a supra umbilical surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

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Peripherally Inserted Central Catheter Fracture in a Preterm Neonate—Case Report

Mukherjee

Das

Bhattacharjya

et al. 2022

Journal of Neonatology

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Peripherally inserted central catheters (PICC) are commonly used in the neonatal intensive care unit. They help in administering fluids, nutrition, and antibiotics. They have a lower risk for injury, infection, and thrombosis compared to central venous catheters. PICC fracture in a neonate has been rarely documented. We present a pre term neonate who had a PICC fracture remnant in the right atrium which was diagnosed following a contrast x ray and echocardiography. The PICC was removed percutaneously by our intervention pediatric cardiologist. All central venous access lines should be carefully monitored in the neonatal intensive care unit for risk of complications.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Peripherally Inserted Central Catheter Fracture in a Preterm Neonate—Case Report

Mukherjee

Das

Bhattacharjya

et al. 2022

Journal of Neonatology

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“…In their opinion, the foreign body could otherwise lodge in the intraventricular structures [ 33 ]. This could be prevented by using long trans-septal sheaths of a sufficient gauge (8 or 11 Fr), positioned as close as possible to the embolized device, which is finally drawn completely into the sheath [ 34 ]. Also, this could help to negotiate the tortuous course of the RV cavity and its outflow tract when using rigid baskets or forceps.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous retrieval of centrally embolized fragments of central venous access devices or knotted Swan-Ganz catheters. Clinical report of 14 retrievals with detailed angiographic analysis and review of procedural aspects

Kalińczuk¹,

Chmielak²,

Dębski³

et al. 2016

pwki

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IntroductionTotally implantable venous access systems (TIVAS), Swan-Ganz (SG) and central venous catheters (CVC) allow easy and repetitive entry to the central cardiovascular system. Fragments of them may be released inadvertently into the cardiovascular system during their insertion or as a result of mechanical complications encountered during long-term utilization.AimTo present results of percutaneous retrieval of embolized fragments of central venous devices or knotted SG and review the procedural aspects with a series of detailed angiographies.Material and methodsBetween January 2003 and December 2012 there were 14 (~0.025%) successful retrievals in 13 patients (44 ±16 years, 15% females) of embolized fragments of TIVAS (n = 10) or CVC (n = 1) or of dislodged guide-wires (n = 2) or knotted SG (n = 1).ResultsForeign bodies with the forward end located in the right ventricle (RV), as well as those found in the pulmonary artery (PA), often required repositioning with a pigtail catheter as compared to those catheter fragments which were located in the right atrium (RA) and/or great vein and possessed an accessible free end allowing their direct ensnarement with the loop snare (57.0% (4/7) vs. 66.7% (2/3) vs. 0.0% (0/3); p = 0.074 respectively). Procedure duration was 2–3 times longer among catheters retrieved from the PA than among those with the forward edge located in the RV or RA (30 (18–68) vs. 13.5 (11–37) vs. 8 min (8–13); p = 0.054 respectively). The SG catheter knotted in the vena cava superior (VCS) was encircled with the loop snare introduced transfemorally, subsequently cut at its skin entrance and then pulled down inside the 14 Fr vascular sheath.ConclusionsBy using the pigtail catheter and the loop snare, it is feasible to retrieve centrally embolized fragments or knotted central venous access devices.

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“…One such case in point is a premature baby with a 20 cm displaced PICC line requiring snaring and retrieval. 15 Though an uncommon intervention, this can make a newborn critically ill. Retrieval can be challenging in a small baby with a large line which may have potential of knotting.…”

Section: Foreign Body Retreival In Newbornsmentioning

confidence: 99%

Neonatal cardiac interventions: An Indian perspective

Kohli

2009

Indian J Pediatr

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Palliative interventions in newborn have been performed ever since balloon atrial septostomy was started. The scope and potential of these interventions have been extended to therapeutic interventions and also to replace palliative surgeries. The advancements have happened over the last two decades mainly due to the advancements in cardiac anesthesia of the newborn and primarily due to available hardware improving. The outcomes of these interventions have also improved significantly. The advantage of neonatal interventions is especially relevant in developing countries where limited resources, cost of procedure (lower with reused consumables), lower morbidity due to shorter ICU stay work in favor of the patient. Not only have newborn interventions become well established in centers specializing in pediatric cardiac care, but also premature babies requiring interventions have become successful. This article focuses on the spectrum of neonatal interventions in a contemporary pediatric cardiac centre in India.

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Central line retrieval in a neonate

Cited by 3 publications

References 4 publications

Peripherally Inserted Central Catheter Fracture in a Preterm Neonate—Case Report

Peripherally Inserted Central Catheter Fracture in a Preterm Neonate—Case Report

Percutaneous retrieval of centrally embolized fragments of central venous access devices or knotted Swan-Ganz catheters. Clinical report of 14 retrievals with detailed angiographic analysis and review of procedural aspects

Neonatal cardiac interventions: An Indian perspective

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