Hostname: page-component-848d4c4894-pjpqr Total loading time: 0 Render date: 2024-06-16T10:52:50.818Z Has data issue: false hasContentIssue false
  • English
  • Français

Transcatheter retrieval of embolised fractured peripherally inserted central catheter: a nightmare in very low birth weight preterm neonate

Published online by Cambridge University Press:  01 September 2022

Suresh Bishnoi ,
Nayan Banerji ,
Bhavik Champaneri  and
Shilpa Deodhar Open the ORCID record for Shilpa Deodhar [Opens in a new window]
Suresh Bishnoi
Affiliation:
Department of cardiology, U.N.Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India
Nayan Banerji
Affiliation:
Department of cardiology, U.N.Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India
Bhavik Champaneri*
Affiliation:
Department of Paediatric cardiology, U.N.Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India
Shilpa Deodhar
Affiliation:
Department of Paediatric cardiology, U.N.Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India
*
Author for correspondence: Dr. Bhavik Champaneri, Associate Professor, Department of Cardiology, UNMICRC, Civil Hospital Campus, Asarwa, Ahmedabad-380016, Gujarat, India. Tel: 91-9020278866; Fax: 079-22682092. E-mail: champaneribhavik7@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Peripherally inserted central catheters are commonly used for intravascular access in low birth weight neonates. Here, we describe a case of transcatheter retrieval of an embolised peripherally inserted central catheter line in the right ventricle extending to the left pulmonary artery in a preterm very low birth weight baby. To the best of our knowledge, this is the first case where transcatheter retrieval of embolised peripherally inserted central catheter line has been done from the left pulmonary artery in such a very low birth weight preterm neonate. Although retrieval of foreign body is common in adults and older children, very few case reports have documented successful retrieval of embolised peripherally inserted central catheter line in very low birth weight neonates using interventional techniques. Most of the cases in literature reported retrieval of an indwelling umbilical venous catheter rather than a peripherally inserted central catheter line as in our case. Also, none of these cases had the embolised fragment retrieved from the left pulmonary artery. This approach was technically very challenging as we were taking care of a 5-day old preterm neonate born at 32 weeks of gestation having very low birth weight (1100 g) with features of clinical sepsis, coagulopathy, and embolised catheter fragment extending from right ventricle to left pulmonary artery. The procedure was uneventful without any complication and the catheter was retrieved successfully.

Keywords

PICC lineVery low birth weight neonateEmbolisation
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 5 , May 2023 , pp. 806 - 809
Check for updates
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chopra, V, Flanders, SA, Saint, S, et al. The Mmichigan Aappropriateness Gguide for Iintravenous Ccatheters (MAGIC): Rresults Ffrom a Mmultispecialty Ppanel Uusing the RAND/UCLA Aappropriateness Mmethod. Ann Intern Med 2015; 163: S1–S40.CrossRefGoogle Scholar
“Guidelines for the Prevention of Intravascular Catheter-Related Infections”. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. Retrieved July 23, 2019.Google Scholar
Westergaard, B, Classen, V, Walther-Larsen, S. Peripherally inserted central catheters in infants and children - indications, techniques, complications and clinical recommendations: PICCs in children. Acta Anaesth Scand 2013; 57: 278–287.CrossRefGoogle Scholar
Hsu, YY, Wang, CR, Yeoh, HA, Lin, JL. Endovascular retrieval of an embolized central venous catheter in a neonate of very low birth weight. AJR Am J Roentgenol 1998; 171: 276–277.CrossRefGoogle Scholar
Brion, LP, Kerr, A, Weinberg, G, Goldman, H. Umbilical venous catheter retrieval under fluoroscopy in a very low-birth-weight infant. Am J Perinatol 1998; 15: 93–95.CrossRefGoogle Scholar
Young, T, Shaddy, RE. Successful percutaneous retrieval of an intracardiac catheter fragment in an 800-g premature infant. J Perinatol 2003; 23: 67–68.CrossRefGoogle Scholar
Nigam, A, Trehan, V, Mehta, V. Umbilical venous catheter retrieval in a 970 gm neonate by a novel technique. Ann Pediatr Cardiol 2014; 7: 52–54.CrossRefGoogle Scholar
Patel, J, Ramarao, S, Desai, J, Savich, R, Patel, A. A case report of embolized umbilical venous catheter retrieval from the heart via femoral access in 660 g premature neonate. Radiol Case Rep 2019; 14: 1415–1419. DOI 10.1016/j.radcr.2019.09.006.CrossRefGoogle ScholarPubMed
Porstmann, W, Wierny, L, Warulce, H. Closure of persistent ductus arteriosus without thoracotomy. German Med Monthly 1967; 12: 1.Google ScholarPubMed
Grabenwoeger, F, Bardoch, G, Pock, W, Pinterihis, F. Percutaneous extraction of centrally embolized foreign bodies: a report of 16 cases. Br J Radiol 1988; 61: 1014–1018.CrossRefGoogle Scholar
Paulus, BM, Fischell, TA. Retrieval devices and techniques for the extraction of intravascular foreign bodies in the coronary arteries. J Interv Cardiol 2010; 23: 271–276.CrossRefGoogle ScholarPubMed