Paravertebral and intraspinal malposition of transfemoral central venous catheters in newborns

M Zenker; T Rupprecht; M Hofbeck; N Schmiedl; V Vetter; M Ries

Paravertebral and intraspinal malposition of transfemoral central venous catheters in newborns

J Pediatr. 2000 Jun;136(6):837-40.

Authors

M Zenker¹, T Rupprecht, M Hofbeck, N Schmiedl, V Vetter, M Ries

Affiliation

¹ Universitäts-Klinik für Kinder und Jugendliche, Erlangen, Germany.

PMID: 10839887

Abstract

We report permanent tetraplegia in a newborn resulting from intraspinal malposition of a transfemoral catheter. In 2 other neonates paravertebral malposition of indwelling Silastic lines was detected. We suggest that left-sided transfemoral catheterization and conditions enhancing collateral flow through the vertebrolumbar pathway may predispose to inadvertent paravertebral catheter placement.

Publication types

Case Reports

MeSH terms

Catheterization, Central Venous / adverse effects*
Catheterization, Central Venous / methods*
Female
Femoral Vein
Humans
Infant, Newborn
Infant, Premature
Quadriplegia / etiology*
Spine