Cardiovascular Intervention in Neonates Using an Umbilical Vein Approach

Cardiovascular catheterization has been applied in infant treatment for several decades. To date, considerable research attention has been paid to cardiovascular catheterization in small neonates. However, peripheral vascular routes of catheterization are possible obstacles for interventionists. Umb...

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Autores principales:	Ying-Tzu Ju, Yu-Jen Wei, Yung-Chieh Lin, Min-Ling Hsieh, Jing-Ming Wu, Jieh-Neng Wang
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	umbilical vein newborn premature infants cardiovascular intervention patent ductus arteriosus Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/53da14f0c800425eae7cf8b5f77f4f1e
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spelling	oai:doaj.org-article:53da14f0c800425eae7cf8b5f77f4f1e2021-11-25T17:14:34ZCardiovascular Intervention in Neonates Using an Umbilical Vein Approach10.3390/children81110172227-9067https://doaj.org/article/53da14f0c800425eae7cf8b5f77f4f1e2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1017https://doaj.org/toc/2227-9067Cardiovascular catheterization has been applied in infant treatment for several decades. To date, considerable research attention has been paid to cardiovascular catheterization in small neonates. However, peripheral vascular routes of catheterization are possible obstacles for interventionists. Umbilical vein catheterization has been reported as a route for neonates, although few attempts have been made to investigate this approach. This study aimed to retrospectively review cardiovascular intervention using the umbilical vein approach as applied to infants admitted to a tertiary center from 2017 to 2020. Details including the perinatal variables, indication diagnoses, and procedure devices were collected. The enrollment included a total of 16 cases representing 17 intervention events, with infants born at a gestation age of 22–39 weeks and body weight ranging from 478 to 3685 g at the time of the procedure. The postnatal age ranged from 1 to 27 days. The catheter sizes ranged from 4 to 11 Fr. Indications included being admitted for patent ductus arteriosus occlusion (<i>n</i> = 15), balloon pulmonary valvuloplasty (<i>n</i> = 3), balloon atrial septostomy (BAS) (<i>n</i> = 3), pulmonary valve (PV) perforation (<i>n</i> = 1), and two interventions for catheter placement for continuous venovenous hemofiltration. The success rate for cardiovascular catheterization was 88.2% (15/17). There were two patients for which cannulation failed due to ductus venosus closure: one intraabdominal hemorrhage complication during continuous venovenous hemofiltration (CVVH), and one cardiac catheterization failure of PV perforation due to failure to insert the guiding catheter into the right ventricular outflow tract. Based on these findings, we conclude that cardiac catheterization and the placement of a large-sized catheter through an umbilical vein in a small infant represents a safe and time-saving method when catheterization is required.Ying-Tzu JuYu-Jen WeiYung-Chieh LinMin-Ling HsiehJing-Ming WuJieh-Neng WangMDPI AGarticleumbilical veinnewbornpremature infantscardiovascular interventionpatent ductus arteriosusPediatricsRJ1-570ENChildren, Vol 8, Iss 1017, p 1017 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	umbilical vein newborn premature infants cardiovascular intervention patent ductus arteriosus Pediatrics RJ1-570
spellingShingle	umbilical vein newborn premature infants cardiovascular intervention patent ductus arteriosus Pediatrics RJ1-570 Ying-Tzu Ju Yu-Jen Wei Yung-Chieh Lin Min-Ling Hsieh Jing-Ming Wu Jieh-Neng Wang Cardiovascular Intervention in Neonates Using an Umbilical Vein Approach
description	Cardiovascular catheterization has been applied in infant treatment for several decades. To date, considerable research attention has been paid to cardiovascular catheterization in small neonates. However, peripheral vascular routes of catheterization are possible obstacles for interventionists. Umbilical vein catheterization has been reported as a route for neonates, although few attempts have been made to investigate this approach. This study aimed to retrospectively review cardiovascular intervention using the umbilical vein approach as applied to infants admitted to a tertiary center from 2017 to 2020. Details including the perinatal variables, indication diagnoses, and procedure devices were collected. The enrollment included a total of 16 cases representing 17 intervention events, with infants born at a gestation age of 22–39 weeks and body weight ranging from 478 to 3685 g at the time of the procedure. The postnatal age ranged from 1 to 27 days. The catheter sizes ranged from 4 to 11 Fr. Indications included being admitted for patent ductus arteriosus occlusion (<i>n</i> = 15), balloon pulmonary valvuloplasty (<i>n</i> = 3), balloon atrial septostomy (BAS) (<i>n</i> = 3), pulmonary valve (PV) perforation (<i>n</i> = 1), and two interventions for catheter placement for continuous venovenous hemofiltration. The success rate for cardiovascular catheterization was 88.2% (15/17). There were two patients for which cannulation failed due to ductus venosus closure: one intraabdominal hemorrhage complication during continuous venovenous hemofiltration (CVVH), and one cardiac catheterization failure of PV perforation due to failure to insert the guiding catheter into the right ventricular outflow tract. Based on these findings, we conclude that cardiac catheterization and the placement of a large-sized catheter through an umbilical vein in a small infant represents a safe and time-saving method when catheterization is required.
format	article
author	Ying-Tzu Ju Yu-Jen Wei Yung-Chieh Lin Min-Ling Hsieh Jing-Ming Wu Jieh-Neng Wang
author_facet	Ying-Tzu Ju Yu-Jen Wei Yung-Chieh Lin Min-Ling Hsieh Jing-Ming Wu Jieh-Neng Wang
author_sort	Ying-Tzu Ju
title	Cardiovascular Intervention in Neonates Using an Umbilical Vein Approach
title_short	Cardiovascular Intervention in Neonates Using an Umbilical Vein Approach
title_full	Cardiovascular Intervention in Neonates Using an Umbilical Vein Approach
title_fullStr	Cardiovascular Intervention in Neonates Using an Umbilical Vein Approach
title_full_unstemmed	Cardiovascular Intervention in Neonates Using an Umbilical Vein Approach
title_sort	cardiovascular intervention in neonates using an umbilical vein approach
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/53da14f0c800425eae7cf8b5f77f4f1e
work_keys_str_mv	AT yingtzuju cardiovascularinterventioninneonatesusinganumbilicalveinapproach AT yujenwei cardiovascularinterventioninneonatesusinganumbilicalveinapproach AT yungchiehlin cardiovascularinterventioninneonatesusinganumbilicalveinapproach AT minlinghsieh cardiovascularinterventioninneonatesusinganumbilicalveinapproach AT jingmingwu cardiovascularinterventioninneonatesusinganumbilicalveinapproach AT jiehnengwang cardiovascularinterventioninneonatesusinganumbilicalveinapproach
_version_	1718412587278794752

Cardiovascular Intervention in Neonates Using an Umbilical Vein Approach

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