A rare complication of central catheter in an infant with intestinal failure
Küçük Resim Yok
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Karger
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: To report the successful percutaneous transcatheter removal of a snapped intracardiac fragment of the central vein catheter in an infant. Clinical Presentation and Intervention: A 3-month-old infant with short bowel syndrome who required long-term parenteral nutrition via portacath central catheter was hospitalized. Two months after the insertion of the second catheter, the distal tip of the catheter snapped and became tangled in the heart. The catheter fragment was removed by a percutaneous femoral vein approach using a 10-mm diameter snare-loop catheter (Amplatz (R)). The procedure was performed under fluoroscopy; the fragment was removed after being released into the right ventricle by pulling the proximal tip with a pigtail catheter. No complications were observed and the patient was transported back to the intensive unit in stable condition. Conclusion: Central catheter-related complications may cause difficulties in patients with short bowel syndrome prior to intestinal transplantation. The percutaneous retrieval of the fragmented catheter using a snare-loop catheter is a safe and reliable technique and may be used instead of surgery especially in small infants. Copyright (C) 2008 S. Karger AG, Basel.
Açıklama
Anahtar Kelimeler
short bowel syndrome, parenteral nutrition, catheter, cardiac complications
Kaynak
Medical Principles and Practice
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
17
Sayı
4
