Nigam Arima, Trehan Vijay, Mehta Vimal
Department of Cardiology, GB Pant Hospital, New Delhi, India.
Ann Pediatr Cardiol. 2014 Jan;7(1):52-4. doi: 10.4103/0974-2069.126559.
Umbilical venous catheterization is a necessity for the advanced care of very low birth weight neonates. Even with utmost care, few complications cannot be avoided. Fractured and retained catheter fragments are one of them. Endoluminal retrieval of such a catheter is an uncommon and challenging procedure for the interventionist. The only alternative is an open exploration of these patients. Various techniques have been described for retrieval of such foreign bodies. We describe a novel technique for percutaneous retrieval of an embolized umbilical venous catheter from a very low birth weight neonate.
脐静脉置管对于极低出生体重新生儿的高级护理是必要的。即便极其小心,仍难以避免一些并发症。导管断裂并残留碎片就是其中之一。对于介入医生而言,腔内取出此类导管是一种罕见且具有挑战性的操作。唯一的替代方法是对这些患儿进行开放性探查。已经描述了多种取出此类异物的技术。我们描述了一种从极低出生体重新生儿经皮取出栓塞性脐静脉导管的新技术。