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Migration of Central Venous Catheters in Neonates: A Radiographic Assessment. Am J Perinatol 2016 05;33(6):600-4

Date

01/06/2016

Pubmed ID

26731179

DOI

10.1055/s-0035-1570341

Scopus ID

2-s2.0-84953431686   15 Citations

Abstract

Objective This study aims to determine the frequency that umbilical venous catheters (UVCs) and peripherally inserted central catheters (PICCs) migrate into the cardiothymic silhouette after initial verification of correct placement. Study Design This is a single-center, retrospective study in neonates in whom a PICC or UVC was placed. The frequency of catheter tip migration into the cardiothymic silhouette requiring catheter manipulation was determined radiographically at 1 and 24 hours, respectively, after insertion. Results At 1 and 24 hours, 36 and 23% of UVCs (n = 41) migrated into the cardiothymic silhouette, respectively. At 1 and 24 hours, 23 and 11% of PICCs (n = 63) migrated into the cardiothymic silhouette, respectively. Migration was not associated with birth weight, weight at insertion, or postnatal age at insertion. Conclusion UVCs and PICCs frequently migrate into the cardiothymic silhouette increase the risk for development of a pericardial effusion. Serial radiographic assessment of catheter tip location is needed to assess catheter migration within the first 24 hours of line placement.

Author List

Gupta R, Drendel AL, Hoffmann RG, Quijano CV, Uhing MR

Authors

Amy L. Drendel DO Professor in the Pediatrics department at Medical College of Wisconsin
Michael R. Uhing MD Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Catheterization, Central Venous
Catheterization, Peripheral
Central Venous Catheters
Female
Foreign-Body Migration
Humans
Infant, Newborn
Intensive Care Units, Neonatal
Male
Pericardial Effusion
Radiography, Thoracic
Retrospective Studies
Tertiary Care Centers
Time Factors
Umbilical Veins
Wisconsin