Roentgen Aspects of Umbilical Vascular Catheterization in the Newborn

Peck, Dorothea R.; Lowman, Robert M.

doi:10.1148/89.5.874

Cited by 31 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The optimal position of the UVC tip is considered to be just above the diaphragm in the thoracic inferior vena cava or at the cavoatrial junction. The current standard technique used worldwide to localize the catheter tip is Anteroposterior (AP) chest radiography, since it was introduced by Peck and Lowman in 1967 [6]. However, cases have been reported suggesting that complications could occur even when AP chest radiographs revealed a proper position of catheter's tip [7,8].…”

Section: Discussionmentioning

confidence: 99%

Pleural Effusion as a Complication of Umbilical Venous Catheter

Rocha¹

2018

NCP

View full text Add to dashboard Cite

Umbilical Venous Catheterization (UVC) is a common practice in neonatal units, though not without risks. Complications may occur in over 20% of patients; however pleural effusion is extremely rare. We report a case of an extreme preterm male neonate weighing 810 g, who developed pleural effusion due to malpositioned UVC. Pleural fluid was biochemically similar to parenteral nutrition solution. This alongside with the absence of recurrence of pleural effusion after UVC removal, support the causality between the UVC and pleural effusion. This case emphasizes the need to confirm the correct positioning of UVC. When in doubtful position, it should be withdrawn as early as possible, ensuring an alternative central access. If the clinical situation does not allow it, it is important to consider the osmolarity of the perfused solution, due to the risk of endothelial damage.

show abstract

Section: Discussionmentioning

confidence: 99%

Pleural Effusion as a Complication of Umbilical Venous Catheter

Rocha¹

2018

NCP

View full text Add to dashboard Cite

show abstract

“…4 Difficulty with catheter insertion may occur at 2-3 cm below the anterior abdominal wall or at the confluence of the umbilical and hypogastric artery due to endothelial cushions causing maximal luminal narrowing at these sites. [7][8][9] The abrupt change in the course of the umbilical artery at these sites makes them susceptible to perforation. 9 In our patient, the perforation was at the confluence of the umbilical and hypogastric artery.…”

Section: Discussionmentioning

confidence: 99%

Vessel Perforation and False Tracking Resulting From Umbilical Artery Catheterization

et al. 2017

View full text Add to dashboard Cite

We report an extremely low-birth-weight neonate who developed umbilical artery perforation and false tracking. There was no life-threatening event relating to the complication. Diagnosis was made at postmortem examination. Little information exists regarding the anatomic and vascular effects of umbilical artery catheterization placement in newborns. We report a new complication of umbilical artery catheterization. We raise the awareness regarding the potential life threat due to this rare but very serious complication.

show abstract

“…The tip of the catheter can be far more accurately localized in the inferior cava vein than in the portal circulation using X-ray in 2 projections (19, 20, 31), pressure recordings ( 1 1) and internal electrocardiography (17). However, this position is only achieved in 40 % (17) to 63 5 % (19) of the cases, the reason for this being that the ductus venosus is narrower at its origin, and the umbilical vein outlet and the ductus venosus inlet are not always perfectly aligned on apposite sides of the left portal vein (12,20). Since the complication rate of umbilical artery catheterization only Umbilical tvein cutheterization 503 amounts to approximately half of that reported with umbilical vein catheters, infusion via the umbilical artery route should be chosen in the majority of cases ( 11,26).…”

Section: Discussionmentioning

confidence: 99%

Umbilical Vein Catheterization and Portal Hypertension

et al. 1976

View full text Add to dashboard Cite

Portal hypertension is a rarely encountered late complication of umbilical vein catheterization. A survey of the 38 cases previously published is presented together with an additional case report. It is concluded that catheterization for more than 2 days carries an increased risk of thrombosis, and that umbilical artery catheterization should be preferred in the majority of cases due to a reduced risk of complications. The correct position of the catheter tip must always be controlled by fluoroscopy or X-ray. Infusion of hypertonic solutions with unphysiological pH should be restricted and umbilical vessel catheterization should only be carried out in severe cases. Pretreatment of the catheters with heparin possibly reduces the hazards.

show abstract

Roentgen Aspects of Umbilical Vascular Catheterization in the Newborn

Cited by 31 publications

References 5 publications

Pleural Effusion as a Complication of Umbilical Venous Catheter

Pleural Effusion as a Complication of Umbilical Venous Catheter

Vessel Perforation and False Tracking Resulting From Umbilical Artery Catheterization

Umbilical Vein Catheterization and Portal Hypertension

Contact Info

Product

Resources

About