256321

Removal of Broken Umbilical Venous Catheter from Inferior Vena Cava Via Cardiac (Femoral) Catheterization: A Case Report in Neonatal Intensive Care Unit (NICU) of Mataria Teachin

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Last updated: 03 Jan 2025

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Abstract

Background: Arterial and venous umbilical catheters are used for drugs, fluids, and blood products administration and for exchange transfusion, in delivery room for neonatal resuscitation, and also for admitted critically ill neonates. Neonatologist can insert both umbilical catheters easily in short time. In spite of this, many unavoidable complications can occur as pericardial effusion, sepsis, thrombosis, and arrhythmia. Umbilical catheter breakage is a rare complication but it can happen during insertion or removal of the catheter. Various procedures are used for retrieval of the broken catheter. Surgical, vascular, and pediatric cardiac expert in catheterization should be consulted to choose the safest method for removal of the fractured catheter and to be stand by in case of failure of the chosen technique during the intervention. Case Report: A 20 days old near term infant with a birth weight of 2400 g was born by cesarean section. He was admitted to NICU of Mataria Teaching Hospital because of respiratory distress due to congenital pneumonia. Results: A reported case of a near term male at neonatal intensive care unit (NICU), Mataria Teaching Hospital was diagnosed by X-ray, on the second day of the removal of umbilical venous catheter (UVC), to have a fractured UVC at junction of hepatic vein and right atrium. Patient was transferred to Ain Shams University Children Hospital Cath Lab for trial of percutaneous removal of the remaining catheter segment, where it was retrieved successfully. Conclusion: Fracture and embolization of a UVC is a rare but serious complication. Percutaneous retrieval of broken catheters using minibasket microsnare is amenable and safe procedure in neonates that can be done with minimal patient risk.  

DOI

10.21608/ejhm.2022.256321

Keywords

Broken umbilical venous catheter (UVC), Cardiac Catheterization, NICU

Authors

First Name

Neveen Mamdouh

Last Name

Habib

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Tamer Aly

Last Name

El Kassas

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Sohaila

Last Name

AbdEl-Halim

MiddleName

Ali

Affiliation

25 Elheikh Abdelaal El Marg- Cairo, Egypt

Email

sohailabenali@yahoo.com

City

Cairo

Orcid

-

Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-08-25

Publish Date

2022-10-01

Page Start

4,191

Page End

4,196

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_256321.html

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https://ejhm.journals.ekb.eg/service?article_code=256321

Order

8

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Removal of Broken Umbilical Venous Catheter from Inferior Vena Cava Via Cardiac (Femoral) Catheterization: A Case Report in Neonatal Intensive Care Unit (NICU) of Mataria Teachin

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Article

Created At

22 Jan 2023