814 results match your criteria Catheterization Umbilical Artery

50 Years Ago in TheJournalofPediatrics: Umbilical Arterial Catheter and Umbilical Vessel Catheterization Use and Complications.

J Pediatr 2022 05;244:e9

Department of Pediatric Research, University of Oslo, Oslo, Norway; Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

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Wiad Lek 2022 ;75(3):727-731


Occlusion of the venous or arterial vessels in childhood is rather rare but dangerous complication. Occurrence of neonatal thrombosis is 0.5 per 10 000 of live newborns. Read More

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Neonatal Myocardial Infarction: A Proposed Algorithm for Coronary Arterial Thrombus Management.

Circ Cardiovasc Interv 2022 May 29;15(5):e011664. Epub 2022 Apr 29.

Division of Pediatric Cardiology (H. El-Sabrout, P.G., K.R., G.V., J.P., S.H., H. El-Said), Rady Children's Hospital/University of California, San Diego.

Background: Neonatal myocardial infarction is rare and is associated with a high mortality of 40% to 50%. We report our experience with neonatal myocardial infarction, including presentation, management, outcomes, and our current patient management algorithm.

Methods: We reviewed all infants admitted with a diagnosis of coronary artery thrombosis, coronary ischemia, or myocardial infarction between January 2015 and May 2021. Read More

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Surgical Retrieval of a Transected Dual-Lumen Umbilical Venous Catheter Remnant that Was Misplaced in the Aorto-Iliac Artery of a Pre-Term Neonate.

Vasc Endovascular Surg 2022 May 17;56(4):428-431. Epub 2022 Feb 17.

Department of Vascular Surgery, 4965The Royal Free London NHS Foundation Trust, London, UK.

Despite rare, retrieving detached umbilical venous catheter (UVC) remnants from central vessels in neonates is challenging due to their small body habitus and vessels with high risk of vascular injury and thrombosis and often associated comorbidities. We report a challenging surgical retrieval of a UVC remnant from the aorto-iliac artery of a pre-term neonate. An attempted UVC insertion into a pre-term neonate was complicated by misplacement and detachment of a 4 cm remnant into the infra-renal abdominal aorta and left iliac artery. Read More

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Early arterial pressure monitoring and term-equivalent age MRI findings in very preterm infants.

Pediatr Res 2021 Nov 19. Epub 2021 Nov 19.

Division of Neonatology and Pediatric Intensive Care, Children's University Hospital of Geneva and University of Geneva, 1205, Geneva, Switzerland.

Introduction: Variability of arterial blood pressure (ABP) has been associated with intraventricular hemorrhage in very preterm neonates (VPT) and may predict other brain lesions assessed at term-equivalent of age (TEA).

Methods: This was a prospective single-center study including VPT with early invasive continuous ABP monitoring and assessed at TEA using brain magnetic resonance imaging (TEA-MRI). The association between early mean ABP (MABP) and TEA-MRI findings was modeled by multivariate logistic regression analysis using covariates selected by the LASSO method. Read More

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November 2021

Umbilical artery to common femoral artery (CFA) transposition, a novel technique for limb salvage in a newborn: a case report.

Turk J Pediatr 2021;63(5):932-936

Department of Pediatric Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Cardiac catheterization is a course of action with a low rate of complication; however, the potential risk factors should be considered before the procedure. The risk of arterial complications increases in sick premature infants, especially in the first days of life.

Case: A four-day-old neonate with cyanotic heart disease (tricuspid atresia) was referred to our tertiary center for patent ductus arteriosus (PDA) stenting by cardiac catheterization. Read More

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January 2022

[Preliminary report on partial pressure changes of oxygen and carbon dioxide in umbilical artery and vein before and after the first breath in Chinese neonates I-The group difference of partial pressure of oxygen and carbon dioxide between umbilical artery and vein in newborns].

Zhongguo Ying Yong Sheng Li Xue Za Zhi 2021 Jan;37(1):1-8

1. Department of Cardiology,Fuwai Hospital,Chinese Academy of Medical Sciences/National Center for Cardiovascular Diseases/ State Key Laboratory of Cardiovascular Diseases/Chinese Academy of Medical Sciences/Peking Union Medical College,Beijing 100037.

The fetus has no actual respiration, and the newborn begins to breathe after birth. We assume that the first breath dominantly generated by hypoxia. In this study, the changes and lowest limit of blood oxygen partial pressureof umbilical artery (PuaO) after chemoreceptor were analyzed to explore the mechanism of neonatal spontaneous breathing. Read More

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January 2021

Angioplasty of Native Coarctation in a Very Low Birth Weight, Donor of Twin-Twin Transfusion Infant.

Pediatr Cardiol 2022 Feb 16;43(2):467-469. Epub 2021 Oct 16.

Section of Neonatology, Department of Pediatrics, Jordan University of Science and Technology, Irbid, Jordan.

We present a case of successful balloon angioplasty of native aortic coarctation in a preterm infant, a donor of twin-twin transfusion syndrome with low birth weight. Angioplasty was done at the age of 15 days and weight of 480 g, using umbilical artery approach. Follow-up at 4 months of age showed no recurrence of coarctation. Read More

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February 2022

Saline contrast echocardiography complements cardiac interventions in neonates with transposition of great arteries and abnormal ductus venosus anatomy.

BMJ Case Rep 2021 Sep 3;14(9). Epub 2021 Sep 3.

KK Women's and Children's Hospital, Singapore

We present a rare case of premature low birthweight neonate with right diaphragmatic hernia and transposition of great vessels requiring balloon atrial septostomy. Congenital diaphragmatic hernia poses a unique challenge to umbilical venous catheterisation. Based on the radiographic position of umbilical vein catheter, umbilical venous cannulation was attempted; however, the catheter could not be navigated to the right atrium. Read More

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September 2021

Placenta Accreta Spectrum Treatment With Intraoperative Multivessel Embolization: the PASTIME protocol.

Am J Obstet Gynecol 2021 10 7;225(4):442.e1-442.e10. Epub 2021 Jul 7.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, San Diego, CA.

Background: Multidisciplinary care of placenta accreta spectrum cases improves pregnancy outcomes, but the specific components of such a multidisciplinary collaboration varies between institutions. As experience with placenta accreta spectrum increases, it is crucial to assess new surgical techniques and protocols to help improve maternal outcomes and to advocate for hospital resources.

Objective: This study aimed to assess a novel multidisciplinary protocol for the treatment of placenta accreta spectrum that comprises cesarean delivery, multivessel uterine embolization, and hysterectomy in a single procedure within a hybrid operative suite. Read More

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October 2021

A novel and accurate method for estimating umbilical arterial and venous catheter insertion length.

J Perinatol 2021 07 8;41(7):1633-1637. Epub 2021 Jun 8.

Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA.

Objective: To develop a novel, rapid, and more accurate model for estimating umbilical arterial (UAC) and venous catheter (UVC) insertion length.

Study Design: We evaluated UACs and UVCs from a retrospective cohort to determine the rate of correct initial positioning based on conventional birth weight-based equations utilized in our neonatal intensive care unit. We then derived new equations, developed the mobile application, UmbiCalc, to simplify implementation of the new equations, and validated their accuracy with prospective utilization. Read More

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Risk factors for umbilical vascular catheter-related adverse events: A scoping review.

Aust Crit Care 2022 Jan 2;35(1):89-101. Epub 2021 Jun 2.

Clinical and Health Sciences, University of South Australia, PO Box 2471, South Australia, 5000, Australia. Electronic address:

Introduction: Adverse events associated with umbilical catheters include malposition, bloodstream infections, thrombosis, tip migration, and extravasation, resulting in loss of vascular access and increased risk of morbidity and mortality. There is a need for greater understanding of risk factors associated with adverse events to inform safe practice.

Objectives: The aim of the study was to summarise the existing evidence regarding risk factors for umbilical catheter-related adverse events to inform the undertaking of future research. Read More

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January 2022

Off label use of PICC as umbilical arterial catheter: Clinical case series.

J Vasc Access 2021 Apr 7:11297298211008089. Epub 2021 Apr 7.

Neonatal Intensive Care Unit, Ospedale Infermi, AUSL Romagna, Rimini, Italy.

Umbilical arterial catheters are often placed at birth in critical ill neonates. Advantages of umbilical arterial catheterization include continuous blood pressure monitoring, accurate blood gas and frequent blood samplings. We described the off-label use of a third generation polyurethane power injectable 3 Fr single lumen peripheral inserted central catheter as umbilical arterial catheter. Read More

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Neonatal Umbilical Arterial Catheter Removal Is Accompanied by a Marked Decline in Phlebotomy Blood Loss.

Neonatology 2020 19;117(3):294-299. Epub 2020 Jun 19.

Stead Family Department of Pediatrics, Roy J. and Lucille A. Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA,

Background: Umbilical arterial catheters (UACs) are frequently used in critically ill neonates. UAC are convenient, reliable, and allow for caregiver convenience in performing painless arterial blood sampling. We hypothesized that UAC removal in extremely low birth weight (ELBW) neonates will result in significantly less phlebotomy blood loss (PBL) after correcting for severity of illness. Read More

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Incidence and risk factors of subclinical umbilical catheter-related thrombosis in neonates.

Thromb Res 2020 10 25;194:21-25. Epub 2020 May 25.

Department of Radiology, Haeundae Paik Hospital, Inje University College of Medicine, Pusan, Republic of Korea.

Introduction: This study aimed to determine the risk factors for subclinical umbilical catheter-related thrombosis (UCRT) and its association with clinical morbidities.

Materials And Methods: In infants without any symptoms associated with umbilical catheterization, the presence of thrombosis was monitored using abdominal ultrasonography within 1 week after umbilical catheter removal. The association between UCRT and the clinical variables was analyzed by comparing the groups with and without UCRT. Read More

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October 2020

Transcervical Foley Balloon Plus Vaginal Misoprostol versus Vaginal Misoprostol Alone for Cervical Ripening in Nulliparous Obese Women: A Multicenter, Randomized, Comparative-Effectiveness Trial.

Am J Perinatol 2021 08 16;38(S 01):e123-e128. Epub 2020 Apr 16.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School at The University of Texas Health Science Center at Houston (UT Health), Houston, Texas.

Objective: Nulliparous obese women are at increased risk of labor induction and cesarean delivery (CD). We sought to determine whether the combination of a transvaginal Foley balloon plus misoprostol prostaglandin E1 (PGE1) is superior to misoprostol alone in reducing the risk for CD.

Study Design: We undertook a multicenter, open-label, comparative-effectiveness randomized clinical trial of nulliparous obese women with unfavorable cervix (Bishop's score ≤ 6) undergoing labor induction from January 2016 to June 2018 at three tertiary centers. Read More

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Neonatal aortic thrombosis: A life threatening complication of umbilical artery catheterisation.

Med J Malaysia 2020 03;75(2):173-174

Universiti Putra Malaysia, Faculty of Medicine and Health Sciences, Department of Paediatric, Serdang, Malaysia.

Umbilical artery catheterisation is considered the standard of care for arterial access in neonatal intensive care unit. It is routinely used for blood sampling and blood pressure monitoring. Unfortunately, an indwelling umbilical catheter have been associated with thrombotic complication which may result in either partial or complete occlusion of the aorta. Read More

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In-vivo vascular application via ultra-fast bioprinting for future 5D personalised nanomedicine.

Sci Rep 2020 02 21;10(1):3205. Epub 2020 Feb 21.

Department of Medicine and Surgery, University of Parma, via Gramsci 14, 43126, Parma, IT, Italy.

The design of 3D complex structures enables new correlation studies between the engineering parameters and the biological activity. Moreover, additive manufacturing technology could revolutionise the personalised medical pre-operative management due to its possibility to interplay with computer tomography. Here we present a method based on rapid freeze prototyping (RFP) 3D printer, reconstruction cutting, nano dry formulation, fast freeze gelation, disinfection and partial processes for the 5D digital models functionalisation. Read More

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February 2020

Umbilical artery catheter, aortic dissection, carotid cannulation, and pseudoaneurysm in a neonate: A tale of propagating pathology.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):87-90. Epub 2019 Jul 19.

Department of Pediatric Intensive Care, Royal Brompton Hospital, London, United Kingdom.

Arterial dissections are uncommon in neonates. Complications include thrombosis, bleeding, dissection, aneurysm and pseudoaneurysm. We report an unusual case of multisite pathology (dissection and pseudoaneurysm) following common vascular interventions. Read More

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A Novel Epigenetic Drug-Eluting Balloon Angioplasty Device: Evaluation in a Large Animal Model of Neointimal Hyperplasia.

Cardiovasc Drugs Ther 2019 12;33(6):687-692

Eastern Health Clinical School, Monash University, Clayton, Australia.

Purpose: Drug-eluting balloon catheters (DEBc) coated with paclitaxel (PTX) have been associated with potential safety concerns. An efficacious but less toxic balloon coating may reduce these outcomes. We evaluated a novel DEBc, Epi-Solve, coated with metacept-3 (MCT-3), a member of the histone deacetylase inhibitor (HDACi) class of epigenetic agents, in a large animal model of neointimal hyperplasia (NIH). Read More

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December 2019

Hepatocyte Transplantation to the Liver via the Splenic Artery in a Juvenile Large Animal Model.

Cell Transplant 2019 Dec 17;28(1_suppl):14S-24S. Epub 2019 Dec 17.

Department of Surgery, Campus Charité Mitte | Campus Virchow-Klinikum, Experimental Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

Hepatocyte transplantation (HcTx) is a promising approach for the treatment of metabolic diseases in newborns and children. The most common application route is the portal vein, which is difficult to access in the newborn. Transfemoral access to the splenic artery for HcTx has been evaluated in adults, with trials suggesting hepatocyte translocation from the spleen to the liver with a reduced risk for thromboembolic complications. Read More

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December 2019

Intra- and Inter-Rater Agreement between X-Ray Views for Umbilical Catheter Position.

Am J Perinatol 2021 05 18;38(6):609-613. Epub 2019 Nov 18.

Department of Pediatrics, McMaster University, Hamilton, Canada.

Objective: We determined intra- and inter-rater agreement for umbilical arterial/venous catheter (umbilical arterial catheter [UAC] and umbilical venous catheter [UVC], respectively) positions on supine anteroposterior (AP) and horizontal dorsal decubitus (HDD) X-ray views to determine whether two views are routinely required.

Study Design: This retrospective study was conducted in McMaster University, Canada. Pairs of AP and HDD radiographs were coded and rated in random sequence by two experienced raters. Read More

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Learning Curves for Training in Ultrasonography-Based Examination of Umbilical Catheter Placement: A Piglet Study.

Neonatology 2020 29;117(2):144-150. Epub 2019 Oct 29.

Division of Neonatology, Department of Child and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark.

Background: The training required for accurate assessment of umbilical catheter placement by ultrasonography (US) is unknown.

Objective: To describe the learning curve and provide an estimate of the accuracy of physicians' US examinations (US skills) and self-confidence when examining umbilical catheter tip placement.

Methods: Twenty-one physicians with minimal experience in US completed a 1. Read More

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Abdominal aortic perforation by an umbilical arterial catheter.

Arch Dis Child Fetal Neonatal Ed 2020 Jan 29;105(1):40. Epub 2019 Aug 29.

Neonatology, Rambam Health Care Campus, Haifa, Israel.

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January 2020

Umbilical catheters as vectors for generalized bacterial infection in premature infants regardless of antibiotic use.

J Med Microbiol 2019 Sep 5;68(9):1306-1313. Epub 2019 Jul 5.

Neonatal Intensive Care Unit, Department of Pediatrics, Jagiellonian University Medical College, Kraków, Poland.

Umbilical catheterization offers unique vascular access that is only possible in the neonatal setting due to unobstructed umbilical vessels from foetal circulation. With the cut of the umbilical cord, two arteries and a vein are dissected, allowing quick and painless catheterization of the neonate. Unfortunately, keeping the umbilical access sterile is challenging due to its mobility and necrosis of the umbilical stump, which makes it a perfect model for vessel catheter colonization analysis. Read More

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September 2019

Burden of hypoxia and intraventricular haemorrhage in extremely preterm infants.

Arch Dis Child Fetal Neonatal Ed 2020 May 29;105(3):242-247. Epub 2019 Jun 29.

Neonatal Unit, Rosie Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Objective: Thresholds of cerebral hypoxia through monitoring of near-infrared spectroscopy tissue oxygenation index (TOI) were used to investigate the relationship between intraventricular haemorrhage (IVH) and indices of hypoxia.

Design: Prospective observational study.

Setting: A single-centre neonatal intensive care unit. Read More

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Technical feasibility of umbilical cannulation in midgestation lambs supported by the EXTra-uterine Environment for Neonatal Development (EXTEND).

Artif Organs 2019 Dec 28;43(12):1154-1161. Epub 2019 Jul 28.

Center for Fetal Research, Department of Surgery, Children's Hospital of Philadelphia Research Institute, Philadelphia, Pennsylvania.

EXTEND (EXTra-uterine Environment for Neonatal Development) is a novel system for supporting extremely premature infants that replicates in utero conditions by maintaining a sterile fluid environment and providing gas exchange via a pumpless arteriovenous oxygenator circuit connected to the umbilical vessels. Target gestational age (GA) for EXTEND support in human infants is 23-27 weeks, when immature lungs are most susceptible to injury in the setting of air ventilation. We previously demonstrated physiologic support of premature lambs cannulated at 105-117 days GA (lungs developmentally analogous to the 23-27 week GA human infant) for up to 28 days on EXTEND. Read More

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December 2019

Relation of shunt index with the patent ductus arteriosus among preterm infants under 30 weeks or 1500 g.

J Matern Fetal Neonatal Med 2019 Mar 25:1-6. Epub 2019 Mar 25.

c Department of Pediatrics, Division of Pediatric Cardiology, Faculty of Medicine , Atatürk University , Erzurum , Turkey.

Objective: Patent ductus arteriosus is an important problem in preterms. We aimed to investigate the relation of patent ductus arteriosus with shunt index.

Methods: The preterm infants with a birth weight of ≤1500 g and/or gestational age of <30 weeks and an indication for umbilical artery and venous catheterization formed the study group. Read More

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