title: Silicone-rubber catheter fracture and embolization in a very low birth weight infant.
abstract: A 28-week preterm infant had a percutaneous silicone-rubber central venous catheter placed for parenteral nutritional support. The catheter was later found to have fractured, and a 5.5 cm piece of catheter was lodged in the patient's right atrium. It was retrieved percutaneously by fluoroscopically guided cardiac catheterization without complications. Fracture and embolization of a catheter is a rare but serious complication of central venous catheters, and we report our experience as the only known case of a silicone-rubber catheter fracture and embolization in a premature infant, in which the catheter fragment was retrieved via a percutaneous endovascular approach.
authors.affiliation: Department of Pediatrics, University of California, Irvine Medical Center, Orange 92668, USA.
authors.forename: C G
authors.initials: CG
authors.lastname: Ochikubo
authors.forename: L A
authors.initials: LA
authors.lastname: O'Brien
authors.forename: M
authors.initials: M
authors.lastname: Kanakriyeh
authors.forename: F
authors.initials: F
authors.lastname: Waffarn
mesh_terms: D002404:Catheterization / Q000009:adverse effects*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004617:Embolism / Q000209:etiology*; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery; D006321:Heart; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D018529:Nutritional Support; D011860:Radiography, Abdominal; D013902:Radiography, Thoracic; D012826:Silicone Elastomers
chemical_list: D012826:Silicone Elastomers