890 results match your criteria Catheterization Umbilical Vein


Bleeding oesophageal varices in a 9 -year old girl as a late complication of neonatal umbilical catheterization.

Niger J Clin Pract 2020 Mar;23(3):429-433

Department of Paediatrics, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.

Bleeding oesophageal varices is a rare condition in children and most of them are usually of extrahepatic causes. Neonatal umbilical catheterization even though safe has been identified as a cause of portal vein thrombosis and oesophaeal varices. We report a 9-year old Nigerian girl who had massive upper gastrointestinal bleeding from oesophageal varices secondary to pulmonary vein stenosis. Read More

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http://dx.doi.org/10.4103/njcp.njcp_163_19DOI Listing

Complications of umbilical venous catheters in neonates: A safety reappraisal.

Authors:
Chun-Yan Yeung

Pediatr Neonatol 2020 02 7;61(1):1-2. Epub 2020 Jan 7.

Division of Gastroenterology and Nutrition, Department of Pediatrics, MacKay Children's Hospital, No.92, Sec.2, Chung Shan North Road, 10449, Taipei, Taiwan; School of Medicine, MacKay Medical College, No.46, Sec. 3, Zhongzheng Rd., Sanzhi Dist., New Taipei City, 252, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.pedneo.2020.01.001DOI Listing
February 2020

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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http://dx.doi.org/10.1007/s10557-019-06921-wDOI Listing
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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http://dx.doi.org/10.1177/0963689719885091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016464PMC
December 2019

Unexplained abdominal distention in a neonate: culprit femoral central venous line extravasation.

BMJ Case Rep 2019 Dec 3;12(12). Epub 2019 Dec 3.

Neonatology, Al Jalila Children's Specialty Hospital, Dubai, United Arab Emirates.

Central venous lines are an essential part of neonatal intensive care and are used for infusion of medications and parenteral nutrition (PN). PN is usually given via either peripherally inserted central lines or umbilical venous lines. Occasionally, central venous catheters (CVCs) are inserted in the femoral veins. Read More

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http://dx.doi.org/10.1136/bcr-2019-232537DOI Listing
December 2019

Neonatal Pericardial Effusion and Tamponade After Umbilical Venous Catheter Insertion and the Use of Saline Contrast Echo as a Diagnostic Tool.

Am J Case Rep 2019 Sep 19;20:1382-1386. Epub 2019 Sep 19.

Department of Neonatology, King Fahd Medical City, Riyadh, Saudi Arabia.

BACKGROUND Umbilical venous catheter (UVC) insertion is a standard of care in neonatal units. Pericardial effusion, one of the rare but fatal complications of UVC insertion, requires rapid diagnosis and management, and saline contrast echocardiography may enable effective diagnosis. Here, we have reported on the case of pericardial effusion after UVC insertion, highlighted the use of saline contrast echocardiography as a diagnostic tool, and reviewed the available literature on this infrequent life-threatening complication. Read More

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http://dx.doi.org/10.12659/AJCR.917723DOI Listing
September 2019
4 Reads

Thrombosis after umbilical venous catheterisation: prospective study with serial ultrasound.

Arch Dis Child Fetal Neonatal Ed 2020 May 7;105(3):299-303. Epub 2019 Aug 7.

Department of Neonatology, Leiden University Medical Center, Leiden, The Netherlands.

Background: Umbilical venous catheters (UVCs) are associated with thrombus formation. Most studies on thrombosis in infants with UVCs focus on only one part of the route, and none assessed a control group of infants without UVCs.

Objective: To determine the incidence and location of thrombi in infants after umbilical catheterisation and compare this with a control group of infants without umbilical catheters. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316762DOI Listing

Umbilical Venous Catheters and Peripherally Inserted Central Catheters: Are They Equally Safe in VLBW Infants? A Non-Randomized Single Center Study.

Medicina (Kaunas) 2019 Aug 6;55(8). Epub 2019 Aug 6.

NICU, University General Hospital, 41222 Larissa, Greece.

Peripherally inserted central catheters (PICC) and umbilical venous catheters (UVC) are frequently used for vascular access in neonatal intensive care units (NICUs). While there is a significant need for these devices for critically ill neonates, there are many complications associated with their use. We aimed at investigating the incidence of UVC and PICC complications in very low birth weight (VLBW) infants. Read More

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http://dx.doi.org/10.3390/medicina55080442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723053PMC
August 2019
5 Reads

Umbilical vein catheterization through Wharton's jelly: A possibility for a fast and safe way to deliver treatments in the delivery room?

Arch Pediatr 2019 Sep 5;26(6):381-384. Epub 2019 Jul 5.

Neonatal Intensive Care Unit of Pontoise, Hospital René-Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.

Fast and safe venous access can be a critical issue in the delivery room during neonatal cardiopulmonary resuscitation or before endotracheal intubation. Here, we describe a new method to inject drugs using the umbilical vein, directly punctured through Wharton's jelly, performed in ten newborns between November 2016 and May 2018. The umbilical vein was identified and punctured easily and a reflux was obtained in all patients. Read More

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http://dx.doi.org/10.1016/j.arcped.2019.05.004DOI Listing
September 2019
7 Reads

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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http://dx.doi.org/10.1099/jmm.0.001034DOI Listing
September 2019
2 Reads

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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http://dx.doi.org/10.1111/aor.13524DOI Listing
December 2019
2 Reads

Hepatic extravasation complicated by umbilical venous catheterization in neonates: A 5-year, single-center experience.

Pediatr Neonatol 2020 02 18;61(1):16-24. Epub 2019 May 18.

Division of Neonatology, Department of Pediatrics, Chang Gung Children's Medical Center, Chang Gung Memorial Hospital, Taoyuan, 33305, Taiwan; Chang Gung University College of Medicine, 259, Wenhua 1st Rd., Taoyuan City 33302, Taiwan.

Background: Care of newborns in the neonatal intensive care unit generally involves umbilical venous catheterization (UVC) for central vein access to enable medical needs. The study aimed to evaluate the sonographic appearance, risk factors, and outcomes of UVC-related hepatic extravasation (HE) in neonates.

Methods: A 5-year retrospective study where 33 neonates were enrolled with a diagnosis age ranging from 2 to 25 days. Read More

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http://dx.doi.org/10.1016/j.pedneo.2019.05.004DOI Listing
February 2020
8 Reads

[Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis].

An Pediatr (Barc) 2020 Apr 22;92(4):215-221. Epub 2019 May 22.

Servicio de Neonatología, Departamento de Pediatría, Hospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo León, México.

Introduction: Although the use of ultrasound for the insertion of central catheters has proven to be cost-effective in adults, it is not known if this is the case in the neonatal population. This study compared the cost-effectiveness of ultrasound-guided umbilical venous catheterisation with conventional catheterisation in a neonatal intensive care unit of a Public University Hospital.

Patients And Methods: A retrospective observational study was conducted on newborns that required an umbilical venous catheter before completing their first 24hours of extra-uterine life. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S16954033193017
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http://dx.doi.org/10.1016/j.anpedi.2019.04.005DOI Listing
April 2020
18 Reads
0.722 Impact Factor

Epidural catheter as an alternative for umbilical vein catheterization.

Saudi J Anaesth 2019 Apr-Jun;13(2):153-154

Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, Uttrakhand, India.

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http://dx.doi.org/10.4103/sja.SJA_701_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448418PMC
April 2019
3 Reads

Comparison of JSS Formula with Modified Shukla's Formula for Insertion of Umbilical Venous Catheter: A Randomized Controlled Study.

Indian Pediatr 2019 Mar;56(3):199-201

Department of Pediatrics, JSS Medical college Hospital, JSS University, MG Road, Mysuru. Karnataka, India.

Objective: To compare the rate of optimal position of UVC between modified Shukla's formula and JSS formula.

Methods: Babies requiring umbilical vein catheterization were randomized to either Shukla or JSS formula group. Post-procedure X-ray was taken to check the tip position. Read More

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March 2019
3 Reads

Umbilical Vein Catheter Protruding Through a Pulmonary Vein in a Patient with an Infracardiac Type Total Abnormal Pulmonary Venous Drainage.

Pediatr Cardiol 2019 04 30;40(4):878-879. Epub 2019 Mar 30.

Department of Paediatric Cardiology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.

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http://dx.doi.org/10.1007/s00246-019-02094-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451718PMC
April 2019
6 Reads

Etiology, presenting features and outcome of children with non-cirrhotic portal vein thrombosis: A multicentre national study.

Dig Liver Dis 2019 08 6;51(8):1179-1184. Epub 2019 Mar 6.

Paediatric Liver, GI and Transplantation, Hospital Papa Giovanni XXIII Bergamo, Bergamo, Italy. Electronic address:

Objectives: Non-cirrhotic portal vein thrombosis (PVT) is a main cause of portal hypertension in children. We describe the characteristics at presentation and outcome of a cohort of patients with PVT to determine clinical features and predictors of outcome.

Methods: We recorded: (1) Associated factors: prematurity, congenital malformations, neonatal illnesses, umbilical vein catheterization (UVC), deep infections, surgery; (2) congenital and acquired prothrombotic disorders; (3) features at last follow up including survival rate and need for surgery. Read More

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http://dx.doi.org/10.1016/j.dld.2019.02.014DOI Listing
August 2019
31 Reads
2.963 Impact Factor

Neonatal gastric perforation: when to expect and how to manage.

Br J Hosp Med (Lond) 2019 Mar;80(3)

Consultant Paediatric Surgeon and Urologist, Department of Paediatric Surgery, Bristol Royal Children's Hospital, Bristol BS2 8BJ.

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http://dx.doi.org/10.12968/hmed.2019.80.3.iDOI Listing
March 2019
0.366 Impact Factor

Distal Migration and Successful Retrieval of a Broken Umbilical Venous Catheter in a Neonate.

Indian Pediatr 2019 02;56(2):149

Department of Neonatology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.

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February 2019
3 Reads

Inadvertent Migration of Umbilical Venous Catheters Often Leads to Malposition.

Neonatology 2019 15;115(3):205-210. Epub 2019 Jan 15.

Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.

Background: Migration of umbilical venous catheters (UVCs) has been described anecdotally.

Objectives: The aim of this paper was to investigate migration of UVCs using ultrasonography (US).

Methods: In a prospective observational study, the position of UVCs was determined using serial US within 24 h, at midweek, and at the end of the week after umbilical catheterization. Read More

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https://www.karger.com/Article/FullText/494369
Publisher Site
http://dx.doi.org/10.1159/000494369DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6518856PMC
December 2019
34 Reads

Congenital diaphragmatic hernia in newborn infants: Variable endotracheal tube and umbilical venous catheter positions.

Early Hum Dev 2019 01 10;128:12-14. Epub 2018 Nov 10.

Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, UK; MRC-Asthma UK Centre in Allergic Mechanisms of Asthma, King's College London, UK; National Institute for Health Research (NIHR) Biomedical Research Centre Based at Guy's and St. Thomas' NHS Foundation Trust and King's College London, UK.

We reviewed the radiographs of 131 infants with congenital diaphragmatic hernia and report that the umbilical venous catheter usually deviates to the ipsilateral and the endotracheal tube to the contralateral side of the defect. The trachea and the umbilical vein, however, can be found on either side of the midline. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03783782183065
Publisher Site
http://dx.doi.org/10.1016/j.earlhumdev.2018.11.004DOI Listing
January 2019
38 Reads
1.931 Impact Factor

Recanalization of Chronic Extrahepatic Portal Vein Obstruction in Pediatric Patients Using a Minilaparotomy Approach.

J Pediatr Gastroenterol Nutr 2019 03;68(3):384-388

Department of Surgery, University of Minnesota, Masonic Children's Hospital, Minneapolis, MN.

Purpose: Extrahepatic portal vein obstruction (EHPVO) is the most frequent cause of portal hypertension in children. Some patients are not amenable to meso-Rex bypass and alternative surgeries do not restore physiologic flow. We aim to demonstrate the feasibility and safety of minilaparotomy for recanalization of chronic EHPVO. Read More

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http://dx.doi.org/10.1097/MPG.0000000000002206DOI Listing
March 2019
11 Reads

Percutaneous retrieval of umbilical vein catheter fragment in an infant two months after embolization.

Turk J Pediatr 2018 ;60(2):191-193

Division of Pediatric Cardiology, Departmant of Pediatrics, Dicle University Faculty of Medicine, Diyarbakır, Turkey.

Akın A, Bilici M, Demir F, Yılmazer MM, İpek MŞ, Kara H. Percutaneous retrieval of umbilical vein catheter fragment in an infant two months after embolization. Turk J Pediatr 2018; 60: 191-193. Read More

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http://dx.doi.org/10.24953/turkjped.2018.02.012DOI Listing
May 2019
7 Reads

TPNoma: an unusual complication of umbilical venous catheter malposition.

Arch Dis Child Fetal Neonatal Ed 2019 May 29;104(3):F326. Epub 2018 Sep 29.

Department of Neonatology, Sunderland Royal Hospital, Sunderland, UK.

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http://fn.bmj.com/lookup/doi/10.1136/archdischild-2018-31596
Publisher Site
http://dx.doi.org/10.1136/archdischild-2018-315960DOI Listing
May 2019
30 Reads

How to use… Imaging for umbilical venous catheter placement.

Arch Dis Child Educ Pract Ed 2019 Apr 13;104(2):88-96. Epub 2018 Aug 13.

Department of Neonatology, University College London Hospital, London, UK.

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http://dx.doi.org/10.1136/archdischild-2017-312662DOI Listing
April 2019
4 Reads

Transcatheter retrieval of embolized catheter using venovenous loop in a neonate.

Turk J Pediatr 2018 ;60(1):113-115

Departments of Interventional Radiology, Başkent University Faculty of Medicine, Ankara, Turkey.

Varan B, Yakut K, Harman A. Transcatheter retrieval of embolized catheter using venovenous loop in a neonate. Turk J Pediatr 2018; 60: 113-115. Read More

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http://dx.doi.org/10.24953/turkjped.2018.01.020DOI Listing
January 2019
16 Reads

Systematic ultrasound examinations in neonates admitted to NICU: evolution of portal vein thrombosis.

J Perinatol 2018 10 6;38(10):1359-1364. Epub 2018 Aug 6.

Department of Pediatric Radiology, Clocheville Hospital, CHRU, 49 Boulevard Beranger, Tours, France.

Objective: The aim of the study was to better describe incidence, risk factors, and the natural evolution of neonatal portal vein thrombosis (PVT).

Study Design: One hundred and twenty-three premature newborns or with birth weight <1.5 kg were prospectively included in a single center during a one-year period. Read More

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http://dx.doi.org/10.1038/s41372-018-0132-9DOI Listing
October 2018
4 Reads

Intramyocardial angiogenetic stem cells and epicardial erythropoietin save the acute ischemic heart.

Dis Model Mech 2018 06 22;11(6). Epub 2018 Jun 22.

Reference and Translation Center for Cardiac Stem Cell Therapy, Rostock University Medical Center, 18055 Rostock, Germany.

Ischemic heart failure is the leading cause of mortality worldwide. An early boost of intracardiac regenerative key mechanisms and angiogenetic niche signaling in cardiac mesenchymal stem cells (MSCs) could improve myocardial infarction (MI) healing. Epicardial erythropoietin (EPO; 300 U kg) was compared with intraperitoneal and intramyocardial EPO treatments after acute MI in rats (=156). Read More

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http://dx.doi.org/10.1242/dmm.033282DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031356PMC
June 2018
11 Reads
4.973 Impact Factor

Magnifying lenses to aid umbilical catheter insertion.

Acta Paediatr 2018 08 17;107(8):1469-1470. Epub 2018 May 17.

Department of Neonatology, The National Maternity Hospital, Dublin 2, Ireland.

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http://dx.doi.org/10.1111/apa.14367DOI Listing
August 2018
4 Reads

Case 253: Thrombosed Umbilical Venous Varix in an Infant.

Radiology 2018 05;287(2):719-724

From the Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S Kingshighway Blvd, Campus Box 8131, St Louis, MO 63110.

History A 3-month-old previously healthy girl presented to an outside institution with a 4-day history of low-grade fever, irritability, and a tender "knot" in the upper abdomen. Ultrasonography (US) was performed at an outside hospital. US images were not available for review; however, they showed a mass in the left hepatic lobe, per the outside report, and the patient was referred to our institution for further evaluation. Read More

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http://pubs.rsna.org/doi/10.1148/radiol.2018160106
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http://dx.doi.org/10.1148/radiol.2018160106DOI Listing
May 2018
9 Reads

A misplaced peripherally inserted central catheter presenting as contralateral pleural effusion.

BMJ Case Rep 2018 Apr 17;2018. Epub 2018 Apr 17.

Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

A preterm neonate born at 27 weeks, with a birth weight of 555 g, was on continuous positive airway pressure (CPAP) for apnoea of prematurity and initially received total parenteral nutrition (TPN) through the umbilical venous catheter. Peripherally inserted central catheter (PICC) was inserted in the left basilica vein on day 8 to continue TPN. The baby developed respiratory distress with persistent hypoxia after TPN was initiated through the PICC line. Read More

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http://dx.doi.org/10.1136/bcr-2018-224471DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5905790PMC
April 2018
40 Reads

Noncanonical Matrix Metalloprotease 1-Protease-Activated Receptor 1 Signaling Drives Progression of Atherosclerosis.

Arterioscler Thromb Vasc Biol 2018 06 5;38(6):1368-1380. Epub 2018 Apr 5.

From the Center for Hemostasis and Thrombosis Research, Tufts Medical Center, Tufts University School of Medicine, Boston, MA (R.R., T.H., G.K., E.K.F., S.E.T., A.S., L.C., A.K.)

Objective: Protease-activated receptor-1 (PAR1) is classically activated by thrombin and is critical in controlling the balance of hemostasis and thrombosis. More recently, it has been shown that noncanonical activation of PAR1 by matrix metalloprotease-1 (MMP1) contributes to arterial thrombosis. However, the role of PAR1 in long-term development of atherosclerosis is unknown, regardless of the protease agonist. Read More

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http://dx.doi.org/10.1161/ATVBAHA.118.310967DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076425PMC
June 2018
23 Reads

Postnatal dilatation of umbilical cord vessels and its impact on wall integrity: Prerequisite for the artificial placenta.

Int J Artif Organs 2018 Jul 22;41(7):393-399. Epub 2018 Mar 22.

1 Division of Neonatology, Department of Pediatrics, McMaster University, Hamilton, ON, Canada.

Introduction: A lung assist device, which acts as an artificial placenta, can provide additional gas exchange for preterm and term newborns with respiratory failure. The concept of the lung assist device requires a large bore access via umbilical vessels to allow pumpless extracorporeal blood flow rates up to 30 mL/kg/min. After birth, constricted umbilical vessels need to be reopened for vascular access. Read More

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http://dx.doi.org/10.1177/0391398818763663DOI Listing
July 2018
13 Reads

Accuracy of five formulae to determine the insertion length of umbilical venous catheters.

Arch Dis Child Fetal Neonatal Ed 2019 Mar 17;104(2):F165-F169. Epub 2018 Mar 17.

Newborn Research Centre, The Royal Women's Hospital, Parkville, Victoria, Australia.

Introduction: Umbilical venous catheter (UVC) placement is a common neonatal procedure. It is important to position the UVC tip accurately at the first attempt to prevent complications and minimise handling. Catheters positioned too low need to be removed, but catheters positioned too high may be withdrawn in a sterile fashion to a safe position. Read More

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http://dx.doi.org/10.1136/archdischild-2017-314280DOI Listing
March 2019
7 Reads

Duration to Establish an Emergency Vascular Access and How to Accelerate It: A Simulation-Based Study Performed in Real-Life Neonatal Resuscitation Rooms.

Pediatr Crit Care Med 2018 05;19(5):468-476

Pediatric Working Group, Austrian Resuscitation Council, Graz, Austria.

Objectives: To compare the duration to establish an umbilical venous catheter and an intraosseous access in real hospital delivery rooms and as a secondary aim to assess delaying factors during establishment and to provide recommendations to accelerate vascular access in neonatal resuscitation.

Design: Retrospective analysis of audio-video recorded neonatal simulation training.

Settings: Simulation training events in exact replications of actual delivery/resuscitation rooms of 16 hospitals with different levels of care (Austria and Germany). Read More

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http://dx.doi.org/10.1097/PCC.0000000000001508DOI Listing
May 2018
14 Reads

Review of Routes to Administer Medication During Prolonged Neonatal Resuscitation.

Pediatr Crit Care Med 2018 04;19(4):332-338

Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, Alberta Health Services, Canada.

Objective: During neonatal cardiopulmonary resuscitation, early establishment of vascular access is crucial. We aimed to review current evidence regarding different routes for the administration of medications during neonatal resuscitation.

Data Sources: We reviewed PubMed, EMBASE, and Google Scholar using MeSH terms "catheterization," "umbilical cord," "delivery room," "catecholamine," "resuscitation," "simulation," "newborn," "infant," "intraosseous," "umbilical vein catheter," "access," "intubation," and "endotracheal. Read More

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http://dx.doi.org/10.1097/PCC.0000000000001493DOI Listing
April 2018
14 Reads

Umbilical cannulation optimizes circuit flows in premature lambs supported by the EXTra-uterine Environment for Neonatal Development (EXTEND).

J Physiol 2018 05 2;596(9):1575-1585. Epub 2018 Mar 2.

Center for Fetal Research, Department of Surgery.

Key Points: Bronchopulmonary dysplasia is a disease of extreme prematurity that occurs when the immature lung is exposed to gas ventilation. We designed a novel 'artificial womb' system for supporting extreme premature lambs (called EXTEND) that obviates gas ventilation by providing oxygen via a pumpless arteriovenous circuit with the lamb submerged in sterile artificial amniotic fluid. In the present study, we compare different arteriovenous cannulation strategies on EXTEND, including carotid artery/jugular vein (CA/JV), carotid artery/umbilical vein (CA/UV) and umbilical artery/umbilical vein (UA/UV). Read More

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http://dx.doi.org/10.1113/JP275367DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5924826PMC
May 2018
21 Reads

Gold Nanoparticles Compromise TNF-α-Induced Endothelial Cell Adhesion Molecule Expression Through NF-κB and Protein Degradation Pathways and Reduce Neointima Formation in A Rat Carotid Balloon Injury Model.

J Biomed Nanotechnol 2016 Dec;12(12):2185-01

The aim of this study was to investigate the anti-inflammatory effects and mechanism of action of the gold nanoparticles (AuNPs) on vascular injury. In vitro vascular endothelial cell (EC) inflammation and in vivo rat carotid balloon injury models were used. The expression of TNF-α-induced cell adhesion molecules (CAMs) was suppressed by the AuNPs in human umbilical vein ECs and aortic ECs. Read More

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http://dx.doi.org/10.1166/jbn.2016.2315DOI Listing
December 2016
9 Reads
5.340 Impact Factor

Repair of a mycotic abdominal aortic aneurysm in a neonate using an everted jugular vein patch.

J Vasc Surg Cases Innov Tech 2017 Dec 2;3(4):218-220. Epub 2017 Nov 2.

Section of Pediatric Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn.

A 43-day-old boy presented with bacteremia after umbilical artery catheterization. Duplex ultrasound examination revealed a 1.1- × 1. Read More

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http://dx.doi.org/10.1016/j.jvscit.2017.08.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765176PMC
December 2017
10 Reads

Practice of umbilical venous catheterization using a resource-efficient 'blended' training model.

Resuscitation 2018 Jan 26;122:e21-e22. Epub 2017 Nov 26.

Division of Neonatology, Department of Paediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.

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http://dx.doi.org/10.1016/j.resuscitation.2017.11.060DOI Listing
January 2018
5 Reads

Supraclavicular Approach to Ultrasound-Guided Brachiocephalic Vein Cannulation in Children and Neonates.

Front Pediatr 2017 5;5:211. Epub 2017 Oct 5.

Pediatric and Neonatal Intensive Care Unit, Paris South University Hospitals, Le Kremlin-Bicêtre, Assistance Publique Hôpitaux de Paris, Paris, France.

The correct choice of intra vascular access in critically ill neonates should be individualized depending on the type and duration of therapy, gestational and chronological age, weight and/or size, diagnosis, clinical status, and venous system patency. Accordingly, there is an ongoing demand for optimization of catheterization. Recently, the use of ultrasound (US)-guided cannulation of the subclavian vein (SCV) has been described in children and neonates. Read More

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http://journal.frontiersin.org/article/10.3389/fped.2017.002
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http://dx.doi.org/10.3389/fped.2017.00211DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633682PMC
October 2017
60 Reads

Investigation of umbilical venous vessels anatomy and diameters as a guideline for catheter placement in newborns.

Clin Anat 2018 Mar 31;31(2):269-274. Epub 2017 Oct 31.

Institute of Anatomy II, University of Cologne, Cologne, 50926, Germany.

Umbilical cord catheters (UCC) are important for the primary care of critically ill newborns. To analyze anatomical variations of the umbilical vein (UV) and its further course, we performed abdominal spiral-CT examinations on stillborns. The aim of the study was to explore the high incidence of mal-positioned UCCs and to improve their positioning. Read More

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http://dx.doi.org/10.1002/ca.22998DOI Listing
March 2018
18 Reads

Hepatic Complications of Umbilical Venous Catheters in the Neonatal Period: The Ultrasound Spectrum.

J Ultrasound Med 2018 Jun 16;37(6):1335-1344. Epub 2017 Oct 16.

Departments of Neonatology, Gazi University Faculty of Medicine, Ankara, Turkey.

Objectives: Umbilical venous catheterization is commonly used in the neonatal period; however, it has some complications. In this study, we evaluated neonates who underwent umbilical venous catheterization and developed hepatic complications. Furthermore, we aimed to define all of the possible lesions and to clarify the imaging findings of umbilical venous catheter-induced hepatic injury. Read More

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http://dx.doi.org/10.1002/jum.14443DOI Listing
June 2018
28 Reads
1.530 Impact Factor

Early planned removal of umbilical venous catheters to prevent infection in newborn infants.

Cochrane Database Syst Rev 2017 10 10;10:CD012142. Epub 2017 Oct 10.

Neonatology, Royal Prince Alfred Hospital, Missenden Road, Camperdown, Sydney, NSW, Australia, 2050.

Background: Lengthy duration of use may be a risk factor for umbilical venous catheter-associated bloodstream infection in newborn infants. Early planned removal of umbilical venous catheters (UVCs) is recommended to reduce the incidence of infection and associated morbidity and mortality.

Objectives: To compare the effectiveness of early planned removal of UVCs (up to two weeks after insertion) versus an expectant approach or a longer fixed duration in preventing bloodstream infection and other complications in newborn infants. Read More

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http://dx.doi.org/10.1002/14651858.CD012142.pub2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485860PMC
October 2017
6 Reads

Femoral Vein Catheter is an Important Risk Factor for Catheter-related Thrombosis in (Near-)term Neonates.

J Pediatr Hematol Oncol 2018 03;40(2):e64-e68

Department of Pediatrics, Division of Neonatology, Leiden University Medical Center, Leiden.

Central venous catheters (CVCs) in neonates are associated with an increased risk of thrombosis. Most reports focus on umbilical venous catheters (UVCs) and peripherally inserted central catheters (PICCs), whereas data available on femoral venous catheters (FVCs) are limited. We performed a retrospective cohort study in all neonates (gestational age ≥34 wk) with CVCs. Read More

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http://dx.doi.org/10.1097/MPH.0000000000000978DOI Listing
March 2018
18 Reads

Association between Umbilical Catheters and Neonatal Outcomes in Extremely Preterm Infants.

Am J Perinatol 2018 Feb 14;35(3):233-241. Epub 2017 Sep 14.

Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.

Objective:  The objective of this study was to examine the association between umbilical catheters and a composite outcome of mortality or major neonatal morbidity in extremely preterm infants.

Study Design:  Data were abstracted from the Canadian Neonatal Network database for infants born at <29 weeks' gestational age and admitted to 29 neonatal intensive care units between January 2010 and December 2012. Four groups were identified: those with no umbilical catheters, umbilical venous catheters (UVCs), umbilical artery catheters (UACs), and those with both UVCs and UACs. Read More

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http://dx.doi.org/10.1055/s-0037-1606607DOI Listing
February 2018
31 Reads
1.597 Impact Factor

A Single Institution Study of Umbilical Vein Complications and Necrotizing Enterocolitis in Premature Infants.

Am Surg 2017 Sep;83(9):e364-e366

Department of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.

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September 2017
15 Reads

Call for Caution: Neonatal Portal Vein Thrombosis following Enbucrilate Embolization of Placental Chorioangioma.

Fetal Diagn Ther 2018 11;43(1):77-80. Epub 2017 Aug 11.

Department of Obstetrics and Gynaecology, Sarawak General Hospital, Kuching, Malaysia.

We illustrate a case of giant placental chorioangioma presenting at 20 weeks of gestation. Subsequent monitoring revealed enlargement of the lesion, associated with fetal anemia and cardiac failure, prompting in utero intervention. Amnioreduction followed by percutaneous embolization of the tumour with enbucrilate:Lipiodol Ultra-Fluid™ at a dilution of 1:5 was successfully performed. Read More

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https://www.karger.com/Article/FullText/479105
Publisher Site
http://dx.doi.org/10.1159/000479105DOI Listing
August 2018
24 Reads

A Newborn with an Alternative Porto-Caval Shunt.

Pol J Radiol 2017 16;82:320-321. Epub 2017 Jun 16.

Department of Radiology, Gazi University, Faculty of Medicine, Ankara, Turkey.

Background: Absent ductus venosus (ADV) is a rare condition, but it should be known that this embryonic anomaly may be detected by fetal echocardiographic or newborn ultrasound examinations.

Case Report: We present a baby with an ADV and an accompanying alternative porto-caval shunt between the right portal vein and inferior vena cava detected on postnatal ultrasound examination.

Conclusions: Variations in the fetal umbilical or porto-systemic circulations should be detected by fetal or newborn ultrasound examinations and kept in mind before common interventions such as UV catheterizations. Read More

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http://www.polradiol.com/abstract/index/idArt/900726
Publisher Site
http://dx.doi.org/10.12659/PJR.900726DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484609PMC
June 2017
20 Reads