Paravertebral and intraspinal malposition of transfemoral central venous catheters in newborns.
We report permanent tetraplegia in a newborn resulting from intraspinal malposition of a transfemoral catheter. In 2 other neonates paravertebral malposition of indwelling Silastic lines was detected. We suggest that left-sided transfemoral catheterization and conditions enhancing collateral flow through the vertebrolumbar pathway may predispose to inadvertent paravertebral catheter placement.
Zenker
M
M
Universitäts-Klinik für Kinder und Jugendliche, Erlangen, Germany.
Rupprecht
T
T
Hofbeck
M
M
Schmiedl
N
N
Vetter
V
V
Ries
M
M
D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D005268:Femoral Vein; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D011782:Quadriplegia / Q000209:etiology*; D013131:Spine