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    
Abstract/OtherAbstract:
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was introduced percutaneously and advanced without difficulty through the right antecubital vein, and was subsequently withdrawn 2 cm following confirmation of tip position using radiography.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.
Authors:
Ming-Chou Chiang; Yi-Hung Chou; Chiao-Ching Chiang; Hung-Tao Chung; Wen-Jen Su
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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    
Affiliation:
Division of Neonatology,, Department of Pediatrics, Chang Gung Memorial Hospital, Taipei.
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MeSH Terms
Descriptor/Qualifier:
Catheterization, Central Venous / adverse effects*,  instrumentation*
Dimethylpolysiloxanes*
Humans
Infant, Newborn
Infant, Premature
Male
Silicones*
Chemical
Reg. No./Substance:
0/Dimethylpolysiloxanes; 0/Silicones; 63148-62-9/baysilon

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


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