[Renal artery thrombosis in newborn infants undergoing umbilical artery catheterization].
A prospective study to detect renal artery thrombosis by radionuclide renal scintigraphy in newborn infants who underwent umbilical arterial catheterization over a one year period was done: 62 babies were catheterized, 92% were preterm and 85% had severe respiratory distress syndrome that required mechanical ventilation, 25/62 (40.3%) survived and in all of them Tc-99m DMSA scans were taken at a median of 5 days after withdrawal of the umbilical artery catheters (range 9 h to 29 days). A baby with renovascular hypertension had a DMSA scan which showed segmental vascular defect in one kidney. Another patient had left iliac artery thrombosis and two others showed evidence of transient vasospasm. Death occurred in 37/62 (59.7%), 92% of whom underwent autopsy studies which showed aortoiliac thrombosis in 8.8%, all of them without clinical symptoms. Other 12 newborn infants who died without previous umbilical artery catheterization had no evidence of thrombosis at autopsy.
Norero
C
C
Oto
M A
MA
Morales
B
B
Benavides
A
A
Fuentealba
E U
EU
Lagos
E
E
Amaral
H
H
Martínez
V
V
D002404:Catheterization / Q000009:adverse effects*; D006801:Humans; D007231:Infant, Newborn; D015609:Organotechnetium Compounds / Q000627:therapeutic use; D011446:Prospective Studies; D011877:Radionuclide Imaging; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy; D004113:Succimer / Q000627:therapeutic use; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D014469:Umbilical Arteries
D015609:Organotechnetium Compounds; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D004113:Succimer
Trombosis de arteria renal en recién nacidos sometidos a cateterización de la arteria umbilical.