An under-recognised malposition of neonatal long lines.
We report two cases of malposition of percutaneous central venous catheters into the left ascending lumbar vein. The level of awareness amongst clinicians of this potentially fatal complication appears to be low.


CONCLUSIONS
The recognition of unusual patterns of contrast medium dispersal is important in the diagnosis of catheter malposition.
Filan
Peter M
PM
Children Nationwide Regional Neonatal Intensive Care Unit, King's College Hospital, London, UK. peter.filan@rch.org.au
Salek-Haddadi
Yekta
Y
Nolan
Imelda
I
Sharma
Bal
B
Rennie
Janet M
JM
D002405:Catheterization, Central Venous; D002408:Catheters, Indwelling; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008161:Lumbosacral Region / Q000098:blood supply* / Q000000981:diagnostic imaging; D019300:Medical Errors; D010288:Parenteral Nutrition; D011859:Radiography