Transcatheter retrieval of embolized catheter using venovenous loop in a neonate

Abstract

Varan B, Yakut K, Harman A. Transcatheter retrieval of embolized catheter using venovenous loop in a neonate. Turk J Pediatr 2018; 60: 113-115. Umbilical venous catheters are reliable in providing adequate medical care for premature babies however complications include infections, bleeding, thrombosis, catheter occlusion and migration of a piece of catheter to other parts in the body. Here, we present a case with migration of a piece of umbilical venous catheter which has been trapped between hepatic vein and right upper pulmonary vein causing apnea episodes, recurrent respiratory symptoms, need for mechanical ventilation and increase of acute phase reactants. The embolized catheter was retrieved successfully via percutaneous route.

A case report of embolized umbilical venous catheter retrieval from the heart via femoral access in 660 g premature neonate

“…An open surgical approach can be attempted to remove embolized catheter fragments, but this may be unsuccessful, as in our case [9]. Also, the location of the embolized fragment may make surgery an unfavorable option.…”

“…A venovenous loop is formed by catching a guide wire via snare around the foreign body (ie, dislodged PICC or UVC) to disimpact and move the foreign body to a favorable location. Subsequently, the foreign body is removed by catching it with snare [9].…”

Surgical retrieval of transected umbilical vein catheter in an extremely preterm neonate

“…Umbilical catheter rupture is a rare but feared complication. Catheter transection can occur due to removal with scissors or scalpels if the catheter has been sutured to the skin; hence, banding in bridge must be preferred 5. It can also rupture due to application of excessive force when withdrawing the catheter.…”

The Ductus Venosus

“…Umbilical vein catheter breakage is uncommon, but is described in the literature. The remaining intracorporal catheter fragment can usually be retrieved with radiographic support via a femoral venous access from the right atrium or via the umbilical vein, but surgical catheter retrieval is also described [19][20][21].…”

“…Abrisse eines Nabelvenenkatheters sind selten, werden aber in der Literatur beschrieben. Das intrakorporal verbliebene Katheterfragment kann hierbei in der Regel radiologisch-interventionell über einen femoralvenösen Zugang aus dem rechten Vorhof oder über die Umbilikalvene geborgen werden, aber auch chirurgische Katheterbergungen werden beschrieben [19][20][21].…”