Abstract
The umbilical vein (UV) and artery (UA) provide an easily accessible route for cardiac catheterization (CC) in neonates, but catheter manipulation reportedly is more difficult and long term sequelae more likely than with cutdown(C)or percutaneous(P) entry of the femoral veins. This study was undertaken to evaluate these objections to UVCC and UACC.
From January 1971 through July 1976, 193 infants ≤1 week old underwent CC. Of these infants 85 (44%) had UVCC, 77 (40%) CCC, and 31 (16%) PCC. The UA was also catheterized in 74/85 with UVCC, 39/77 CCC, 14/31 PCC. Success of catheter manipulation is shown by the ratio of chamber entered/chamber accessible to catheter:
During CC, complications related to method of catheter entry occurred in 3/85 with UVCC, 1/127 UACC, 2/77 CCC, 0/31 PCC. In those surviving 24 hrs after CC and in whom we have adequate follow-up, complications recognized >24 hrs after CC were found in 4/67 with UVCC, 0/110 UACC, 10/73 CCC, and 1/30 PCC.
UVCC and UACC was performed more quickly and as successfully as CCC or PCC in the neonates evaluated and with no more immediate or long term complications.
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Porter, CB., Gillette, P., Mullins, C. et al. USE OF UMBILICAL VESSELS FOR CARDIAC CATHETERIZATION. Pediatr Res 11, 397 (1977). https://doi.org/10.1203/00006450-197704000-00169
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DOI: https://doi.org/10.1203/00006450-197704000-00169