2015, Number 3
<< Back Next >>
Gac Med Mex 2015; 151 (3)
Cardiac tamponade associated with umbilical venous catheter (UVC) placed in inappropriate position
Gálvez-Cancino F, Sánchez-Tirado ML
Language: Spanish
References: 18
Page: 396-398
PDF size: 242.86 Kb.
ABSTRACT
Umbilical venous catheter (UVC) is widely used in neonatal intensive care units. Pericardial effusion is an uncommon but
life-threatening complication; and tamponade have been reported in 3% of neonates having such catheters. We present a
case of cardiac tamponade as a complication of venous catheter in a neonate. The patient was diagnosed at the appropriate
time by echocardiography and the pericardiocentesis was performed, and after removal of the complete pericardial effusion,
an improvement of the critical condition was achieved. It is important to document the optimal positioning of UVC before the
start of infusions.
REFERENCES
Goutail-Flaud MF, Sfez M. Central venous catheter-related complications in newborns and infants: a 587 case survey. J Pediatr Sur. 1991;26:645-50.
Bennett F, Masao T. Pericardial Effusion and Tamponade. En: Nichols DG, Critical Heart Disease in Infants and Children. Cap. 9. 2.ª ed. 2006.
Leipala JA, Petaja J, Fellman V. Perforation complications of percutaneous central venous catheters in very low birth weight infants. J Paediatr Child Health. 2001;37:168-71.
Beardsall K, White DK, Pinto EM, Kelsall AWR. Pericardial effusion and cardiac tamponade as complications of neonatal long lines: are they really a problem? Arch Dis Child Fetal Neonatal. 2003;88 F292-5.
Sehgal A, Cook V, Dunn M. Pericardial effusion associated with an appropriately placed umbilical venous catheter. J Perinatol. 2007;27(5):317-9.
Mehta S, Connors AF Jr, Danish EH, Grisoni E. Incidence of thrombosis during central venous catheterization of newborns: a prospective study. J Pediatr Surg. 1992;27(1):18-22.
Ohki Y, Maruyama K. Complications of peripherally inserted central venous catheter in Japanese neonatal intensive care units. Pediatr Int. 2013;55(2):185-9.
Haass C, Sorrentino E, Tempera A, et al. Cardiac tamponade and bilateral pleural effusion in a very low birth weight infant. J Matern Fetal Neonatal Med. 2009;22(2):137-9.
Korver AM, Walther FJ, van der Molen AJ, de Beaufort AJ. Serious complications of umbilical venous catheterisation. Ned Tijdschr Geneeskd. 2007;151(40):2219-23.
Paster S, Middleton P. Roentgenographic evaluation of umbilical artery and vein catethers. JAMA. 1975;231:742-6.
Abdellatif M, Ahmed A, Alsenaidi K. Cardiac tamponade due to umbilical venous catheter in the newborn. BMJ Case Rep. 2012;2012.
Nadroo AM, Lin J, Green RS, Magid MS, Holzman IR. Death as a complication of peripherally inserted central catheters in neonates. J Pediatr. 2001;138(4):599-601.
Van Niekerk M, Kalis NN, Van der Merwe PL. Cardiac tamponade following umbilical vein catheterisation in a neonate. S Afr Med J. 1998;88 Suppl 2:C87-90.
Traen M, Schepens E, Laroche S, van Overmeire B. Cardiac tamponade and pericardial effusion due to venous umbilical catheterization. Acta Paediatr. 2005;94(5):626-8.
Megha M, Jain N, Pillai R. Pericardial tamponade in a newborn following umbilical catheter insertion. Indian Pediatr. 2011;48(5):404-5.
Lemus-Varela M, Arríaga-Dávila J, Salinas-López MP, Gómez-Vargas JR. Cardiac tamponade in the neonate as a complication of a central venous catheter. Case report. Gac Med Mex. 2004;140(4):455-61.
Giacoia GP. Cardiac tamponde and hydrothorax as complications of central venous parenteral nutrition in infants. J Parenter Enteral Nutr. 1991;15:110-3.
Byard RW, Bourne AJ. Sudden death in early infancy due to delayed cardiac tamponade complicating central venous line insertion and cardiac catheterization. Arch Pathol Lab Med. 1992;116:654-6.