title: Unusual misplacement sites of percutaneous central venous lines in the very low birth weight neonate.
abstract: Percutaneously placed central venous lines have become an intricate part of the medical management of the very low birth weight infant. It is critically important that health care providers involved with the placement of these catheters be familiar with the possible subtle sites for catheter misplacement. We present two case reports of inadvertent ascending lumbar vein catheterization with a percutaneously placed Silastic catheter where the saphenous vein was used for venous access. The literature is reviewed with regard to the history of use, indications, placement, and associated complications of these catheters.
authors.affiliation: Department of Pediatrics, Hennepen County Medical Center, Minneapolis, Minnesota 55415, USA.
authors.forename: R C
authors.initials: RC
authors.lastname: Lussky
authors.forename: N
authors.initials: N
authors.lastname: Trower
authors.forename: D
authors.initials: D
authors.lastname: Fisher
authors.forename: R
authors.initials: R
authors.lastname: Engel
authors.forename: R
authors.initials: R
authors.lastname: Cifuentes
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation*; D002406:Catheterization, Peripheral / Q000295:instrumentation; D003287:Contrast Media / Q000008:administration & dosage; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D008159:Lumbar Vertebrae / Q000098:blood supply; D010288:Parenteral Nutrition / Q000009:adverse effects / Q000295:instrumentation; D012501:Saphenous Vein; D012826:Silicone Elastomers; D014471:Umbilical Veins; D014680:Veins
chemical_list: D003287:Contrast Media; D012826:Silicone Elastomers