Etiology and retrieval of retained central venous catheter fragments within the heart and great vessels of infants and children

Background: The use of centrally positioned venous catheters plays an indispensable role in the care of infants and children. Methods: Since 1992 the authors have seen nine patients who experienced fragmentation and migration of catheter fragments into the central circulation. The patients ranged in...

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Bibliographic Details
Published in:Journal of pediatric surgery 1998-03, Vol.33 (3), p.454-456
Main Authors: Fuenfer, Michael M, Georgeson, Keith E, Cain, Walter S, Colvin, Edward V, Johnson, Walter H, Pearce, F.Bennett, McMahon, William S
Format: Article
Language:English
Subjects:
Adolescent
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Vessels
Brachiocephalic Veins
Catheterization, Central Venous - instrumentation
Catheters, Indwelling - adverse effects
Child
Child, Preschool
Emergency and intensive care: techniques, logistics
Equipment Failure
Foreign-Body Migration - diagnosis
Foreign-Body Migration - therapy
Heart Ventricles
Hepatic Veins
Humans
Infant
Infant, Newborn
Intensive care medicine
Medical sciences
Perfusions. Catheterizations. Hyperbaric oxygenotherapy
Pulmonary Artery
Vena Cava, Superior
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Summary:Background: The use of centrally positioned venous catheters plays an indispensable role in the care of infants and children. Methods: Since 1992 the authors have seen nine patients who experienced fragmentation and migration of catheter fragments into the central circulation. The patients ranged in age from 6 days to 15 years. Results: Sites of migration included pulmonary artery (five patients), superior vena cava (two patients), hepatic vein and innominate vein (one patient). The elapsed time from recognition of retained catheter fragments until retrieval ranged from a few hours to 6 weeks. Conclusion: All retained fragments were successfully removed during cardiac catheterization without complications.
ISSN:0022-3468
1531-5037
DOI:10.1016/S0022-3468(98)90087-2