Russo Anna, Patanè Vittorio, Faggioni Lorenzo, Pinto Alessandro, Fusco Luigia, Urraro Fabrizio, Neri Emanuele, Reginelli Alfonso
Department of Precision Medicine, University of Campania "L. Vanvitelli", 80138 Naples, Italy.
Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, 56126 Pisa, Italy.
Diagnostics (Basel). 2024 Jan 10;14(2):157. doi: 10.3390/diagnostics14020157.
Our radiology department conducted an assessment of 300 neonatal radiographs in the neonatal intensive care unit over almost two years. The purpose was to evaluate the correct positioning of intravascular venous catheters. Our case series revealed that out of a total of 95 cases with misplaced devices, 59 were umbilical venous catheters and 36 were peripherally inserted central catheters. However, all of the central venous catheters were found to be properly positioned. Misplacements of neonatal intravascular devices were found to occur more frequently than expected. The scientific literature contains several articles highlighting the potential complications associated with misplaced devices. Our goal is to highlight the potential misplacements and associated complications that radiologists may encounter while reviewing conventional radiology imaging. Based on our experience, which primarily involved placing UVCs and PICCs, we discovered that conventional radiology is the most effective method for assessing proper device placement with the lowest possible radiation exposure. Given the high number of neonatal vascular device placement procedures, it is essential for radiologists to maintain a high level of vigilance and stay updated on the latest developments in this field.
我们放射科在近两年时间里对新生儿重症监护病房的300份新生儿X光片进行了评估。目的是评估血管内静脉导管的正确位置。我们的病例系列显示，在总共95例导管位置不当的病例中，59例是脐静脉导管，36例是外周静脉穿刺中心静脉导管。然而，所有中心静脉导管均位置正确。发现新生儿血管内装置位置不当的情况比预期更为频繁。科学文献中有几篇文章强调了与装置位置不当相关的潜在并发症。我们的目标是突出放射科医生在审查传统放射影像时可能遇到的潜在位置不当及相关并发症。基于我们主要涉及放置脐静脉导管和外周静脉穿刺中心静脉导管的经验，我们发现传统放射学是评估装置正确放置且辐射暴露尽可能低的最有效方法。鉴于新生儿血管装置放置程序数量众多，放射科医生必须保持高度警惕，并随时了解该领域的最新进展。
