[Paraplegia complicating umbilical artery catheterization].
Two cases of definitive paraplegia following umbilical artery catheterization are reported. In both patients, the paraplegia can be attributed to a myelomalacia secondary to the thrombosis or embolization of the feeding arteries of the cord. The treatment by fibrinolytic agents was unsuccessful and the only therapeutic approach appears to be a preventive one. This prophylaxis would best be accomplished by limiting the indications and duration of umbilical artery catheterization.
D002404:Catheterization / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010264:Paraplegia / Q000209:etiology*; D013927:Thrombosis / Q000150:complications* / Q000209:etiology; D014469:Umbilical Arteries
Paraplegie compliquant le catheterisme arteriel ombilical