Retrieval of an umbilical artery catheter: a potential for misadventure.
We have described an infant in whom migration of a transected umbilical artery catheter resulted in sudden vascular ischemia of an extremity. Early operative retrieval was successful, but long-term effects of this complication were encountered. We have outlined an approach to the initial management of the complication. In addition, this case demonstrates the need for careful follow-up for identification and treatment of the long-term sequelae in the involved extremity.
Wagner
C W
CW
Department of Surgery, Temple University School of Medicine, Philadelphia, Pa.
Vinocur
C D
CD
Weintraub
W H
WH
D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery; D005547:Foreign Bodies / Q000150:complications*; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D007083:Iliac Artery; D007231:Infant, Newborn; D007511:Ischemia / Q000209:etiology*; D007866:Leg / Q000098:blood supply*; D014469:Umbilical Arteries