Surgical retrieval of an embolized central venous catheter in a premature baby.
Embolization of central venous catheter fragments is usually treated with percutaneous interventional techniques, which are difficult to apply in infants with very low birth weight. We surgically removed a catheter fragment in a preterm neonate, to avoid the impending thrombosis of the right pulmonary artery. The operation was performed with a nerve hook introduced through a tiny incision in the vessel's wall. The procedure was well tolerated, and no stricture remains at the site of incision.
Department of Neonatology and Anesthesiology and Reanimation Service, Infantile Regina Margherita Hospital and University of Torino, Italy.
P A
PA
Abbruzzese
E
E
Chiappa
P
P
Murru
L
L
Stefanini
S
S
Longo
R
R
Balagna
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004374:Ductus Arteriosus, Patent / Q000601:surgery; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000628:therapy*; D008297:Male; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy*