Silicone-rubber Catheter Fracture and Embolization in a Very Low Birth Weight Infant

J Perinatol. Jan-Feb 1996;16(1):50-2.

Abstract

A 28-week preterm infant had a percutaneous silicone-rubber central venous catheter placed for parenteral nutritional support. The catheter was later found to have fractured, and a 5.5 cm piece of catheter was lodged in the patient's right atrium. It was retrieved percutaneously by fluoroscopically guided cardiac catheterization without complications. Fracture and embolization of a catheter is a rare but serious complication of central venous catheters, and we report our experience as the only known case of a silicone-rubber catheter fracture and embolization in a premature infant, in which the catheter fragment was retrieved via a percutaneous endovascular approach.

MeSH terms

  • Catheterization / adverse effects*
  • Catheterization, Central Venous / adverse effects*
  • Embolism / etiology*
  • Equipment Failure
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / surgery
  • Heart
  • Humans
  • Infant, Low Birth Weight*
  • Infant, Newborn
  • Nutritional Support
  • Radiography, Abdominal
  • Radiography, Thoracic
  • Silicone Elastomers*

Substances

  • Silicone Elastomers