title: Diagnosis and management of spinal epidural space extravasation complicating percutaneous central venous line placement in a premature infant: case report and review of literature.
abstract: Percutaneous central venous lines are commonly used to establish long-term venous access in the care of premature infants. Misplacement of these catheters can occur and may lead to significant morbidity and mortality. Here we report a very-low-birth-weight premature infant whose percutaneous central venous line was inadvertently placed into the spinal epidural space. The anatomical basis of this complication as well as a comprehensive review of literature are provided.
authors.affiliation: Department of Pediatrics, University of Connecticut School of Medicine, Farmington, USA.
authors.forename: A
authors.initials: A
authors.lastname: Vidwans
authors.forename: D P
authors.initials: DP
authors.lastname: Neumann
authors.forename: N
authors.initials: N
authors.lastname: Hussain
authors.forename: T
authors.initials: T
authors.lastname: Rosenkrantz
authors.forename: M R
authors.initials: MR
authors.lastname: Sanders
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D004824:Epidural Space; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000175:diagnosis* / Q000628:therapy; D019102:Infant, Very Low Birth Weight; D010288:Parenteral Nutrition / Q000009:adverse effects / Q000295:instrumentation; D012501:Saphenous Vein