Document Detail

Successful removal of a ruptured silastic percutaneous central venous catheter in a tiny premature infant.
MedLine Citation:
PMID:  17302225     Owner:  NLM     Status:  MEDLINE    
The spontaneous rupture of a Silastic catheter is a rare occurrence. We describe our experience of managing a tiny premature infant with embolization of a Silastic percutaneous central venous catheter (PCVC) and discuss the possible mechanisms of the embolization. A 28-week, 980 g, preterm male infant received a Silastic PCVC (Epicutaneo Cava Catheter, Vygon, Germany) for parenteral nutritional support at 4 days of age. The catheter was introduced percutaneously and advanced without difficulty through the right antecubital vein, and was subsequently withdrawn 2 cm following confirmation of tip position using radiography. A following chest radiograph, taken 15 hours later, showed rupture of the catheter, and an echocardiogram revealed a piece of the catheter had lodged between the right atrium and the right ventricle. The dislodged fragment of the catheter was retrieved successfully using a snare catheter (Microvena, White Bear Lake, Minn) by a pediatric cardiologist without complications. We want to stress that clinicians should be aware that rupture of the catheter is rare and can also occur asymptomatically and that an embolized fragment can be safely removed without extensive surgical manipulation, even in a tiny premature infant.
Ming-Chou Chiang; Yi-Hung Chou; Chiao-Ching Chiang; Hung-Tao Chung; Wen-Jen Su
Related Documents :
1501035 - Treatment for necrotizing enterocolitis perforation in the extremely premature infant (...
7053195 - Neonatal necrotizing enterocolitis: the relation of age at the time of onset to prognosis.
6761415 - Use of high jejunostomy in extensive nec.
10796375 - Umbilical artery catheters in the newborn: effects of position of the catheter tip.
11034685 - Inositol for respiratory distress syndrome in preterm infants.
1396255 - Advances in mechanical ventilation: high frequency ventilation.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chang Gung medical journal     Volume:  29     ISSN:  2072-0939     ISO Abbreviation:  Chang Gung Med J     Publication Date:    2006 Nov-Dec
Date Detail:
Created Date:  2007-02-16     Completed Date:  2007-03-12     Revised Date:  2008-12-16    
Medline Journal Info:
Nlm Unique ID:  101088034     Medline TA:  Chang Gung Med J     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  603-6     Citation Subset:  IM    
Division of Neonatology,, Department of Pediatrics, Chang Gung Memorial Hospital, Taipei.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Catheterization, Central Venous / adverse effects*,  instrumentation*
Infant, Newborn
Infant, Premature
Reg. No./Substance:
0/Dimethylpolysiloxanes; 0/Silicones; 63148-62-9/baysilon

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The prevalence of urinary incontinence and associated risk factors in Taiwanese women with lower uri...
Next Document:  Extensive sensory block caused by accidental subdural catheterization during epidural labor analgesi...