Percutaneous retrieval of a broken umbilical catheter from left atrium in a premature newborn

Ruiz, Carlos E.; Nystrom, Gerald A.; Butt, Amjad I.; Zhang, He Ping

doi:10.1002/ccd.1810360317

Cited by 24 publications

(17 citation statements)

References 10 publications

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“…Breakage and embolization of catheter fragments complicate removal of these lines. Previous reports have shown that these fragments can be removed with minimal risk [3][4][5]. One of our patients (case 2) had a fragment from the umbilical venous line, the distal tip of which was lodged in the left atrial appendage.…”

Section: Discussionmentioning

confidence: 93%

Retrieval of “old” foreign bodies from the cardiovascular system in children

Farrell

Parikh

Darragh

et al. 1998

Cathet. Cardiovasc. Diagn.

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Several techniques have been developed to retrieve catheter and guide wire fragments that have embolized to the heart and pulmonary vasculature. In most instances, retrieval of the embolized fragments is performed soon after the event has occurred. In this report, we summarize our experience with the removal of these fragments in 3 children after a significant amount of time had elapsed since the time of embolization. The embolized catheter and guide wire fragments were removed without any complications. We also describe the techniques used for their removal, and the problems encountered during the removal of these “old” foreign bodies. Cathet. Cardiovasc. Diagn. 44:212–216, 1998. © 1998 Wiley‐Liss, Inc.

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Section: Discussionmentioning

confidence: 93%

Retrieval of “old” foreign bodies from the cardiovascular system in children

Farrell

Parikh

Darragh

et al. 1998

Cathet. Cardiovasc. Diagn.

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“…Though there are few case reports available in the literature of surgical[3] and percutaneous retrieval[456789] of retained UVC from an infant, yet to the best of our knowledge, there are only anecdotes in the literature of percutaneous retrieval of umbilical venous catheter in less than one kg neonate. [1]…”

Section: Discussionmentioning

confidence: 99%

Umbilical venous catheter retrieval in a 970 gm neonate by a novel technique

2014

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Umbilical venous catheterization is a necessity for the advanced care of very low birth weight neonates. Even with utmost care, few complications cannot be avoided. Fractured and retained catheter fragments are one of them. Endoluminal retrieval of such a catheter is an uncommon and challenging procedure for the interventionist. The only alternative is an open exploration of these patients. Various techniques have been described for retrieval of such foreign bodies. We describe a novel technique for percutaneous retrieval of an embolized umbilical venous catheter from a very low birth weight neonate.

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“…Retrieval of migrated central line is not an uncommon procedure. The procedure has been well described in preterm babies also [1][2][3][4] Snaring the line and pulling it into a sheath which is then pulled out of the body accomplishes this rather gratifying procedure. In addition, the migration usually does not lead to hemodynamic instability.…”

Section: Discussionmentioning

confidence: 99%