Silicone-rubber catheter fracture and embolization in a very low birth weight infant.
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.
Ochikubo
C G
CG
Department of Pediatrics, University of California, Irvine Medical Center, Orange 92668, USA.
O'Brien
L A
LA
Kanakriyeh
M
M
Waffarn
F
F
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
D012826:Silicone Elastomers