title: [Thrombosis: an underestimated complication of central catheters? Subclavian vein, vena cava and renal vein thrombosis after silastic catheters].
abstract: Besides systemic infections venous thromboses constitute major complications of central lines used in neonatal intensive care. Male triplet born at 25 weeks of gestation, birthweight 460 g during his first developed a catheter-associated thrombosis of the left vena subclavia without clinical symptoms. In addition, a second catheter-induced thrombosis of the vena cava inferior and right vena renalis manifested with typical clinical symptoms at an age of 4 weeks. Coagulation tests were normal. 7 months later the size and the renal function of the right kidney were markedly reduced. The incidence of catheter-associated thrombotic complications has not been defined yet; thromboses may develop without clinical signs. There is evidence that the rate of this complication is higher than generally assumed.
authors.affiliation: Universitäts-Kinderklinik Göttingen.
authors.forename: K
authors.initials: K
authors.lastname: Harms
authors.forename: C P
authors.initials: CP
authors.lastname: Speer
mesh_terms: D001780:Blood Coagulation Tests; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D002408:Catheters, Indwelling; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D010690:Phlebography; D012082:Renal Veins; D012826:Silicone Elastomers; D013350:Subclavian Vein; D013927:Thrombosis / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D014463:Ultrasonography; D014682:Vena Cava, Inferior
chemical_list: D012826:Silicone Elastomers