Percutaneous retrieval of a broken umbilical vein catheter from left atrium in a premature newborn case report and literature review

Habib, Mohammed; Hillis, Mohammed

doi:10.15761/ccrr.1000292

Cited by 7 publications

(11 citation statements)

References 3 publications

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“…The transluminal approach is considered less invasive and probably a safer approach if feasible [ [7] , [8] , [9] ]. We used this approach in our first reported case.…”

Section: Discussionmentioning

confidence: 99%

Umbilical catheter rupture

Khasawneh

Samara

Bataineh

2021

International Journal of Pediatrics and Adolescent Medicine

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Umbilical catheterization is commonly used as a route to provide medications and fluids to the neonates as well as for blood sampling and continuous monitoring. Although the rupture of umbilical catheters is considered as a rare, preventable complication, it has been reported several times in the literature. Healthcare providers need to be cautious with catheter placement, maintenance, and removal to prevent such a complication. Hereby, we review the literature about this complication after presenting two incidents of umbilical venous catheter rupture in two separate patients in our neonatal ICU. One was removed easily through the umbilical stump, whereas the other required surgical exploration.

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“…The transluminal approach is considered less invasive and probably a safer approach if feasible [ [7] , [8] , [9] ]. We used this approach in our first reported case.…”

Section: Discussionmentioning

confidence: 99%

Umbilical catheter rupture

Khasawneh

Samara

Bataineh

2021

International Journal of Pediatrics and Adolescent Medicine

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“…Nonsurgical retrieval of broken umbilical venous catheterization lines has been reported in premature infants [4][5][6][7]. The youngest patient was a GA24 +5 -week preterm infant with a BW of 637 g, who was found to have a distal segment of an umbilical venous catheter retained on chest radiograph after removal of the UVC.…”

Section: Discussionmentioning

confidence: 99%

Retrieval of an Intracardiac Cannula Fragment via Femoral Access in a Premature Infant

Zheng

Geng

et al. 2021

Neonatology

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A preterm infant with birth weight 1,550 g had an intravenous foreign body between the external iliac vein and the common iliac vein, which accidentally happened during peripheral intravascular central catheter insertion by the Seldinger technique. The infant initially received conservative management and close monitoring. Antibiotics were administered 4 weeks to treat culture positive sepsis and meningitis. The infant was clinically stable till the cannula fragment migrated to the heart 34 days later. At that time, his weight was 2,200 g, and he was full fed. The cannula fragment was retrieved by emergency interventional radiology via the right femoral access, with no complications. The infant was discharged at 45 days of age and closely followed up post-discharge. He is currently 6 months old, with normal development. This is the first case of successful percutaneous retrieval of an intracardiac intravenous cannula fragment via femoral access in a premature infant in China.

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“…2 Complications are often related to a long duration of catheterisation and misplacement during catheter insertion such as infection, arrhythmia, hepatic fluid collections, thromboembolic complications and so on. 2,3 Although removal of the catheter is a much easier procedure than insertion, some very rarely reported complications such as rupture and embolism could be seen. 4 Possible causes of catheter rupture are as follows: accidental damage of catheter with scissors or needles during catheter insertion and fixation, excessive compression of a purse-string type suture used to secure the catheter, damage to the catheter wall while removing the fixation suture with a surgical blade or manufacturing defect of the catheter.…”

Section: Discussionmentioning

confidence: 99%