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Cardiovascular Intervention in Neonates Using an Umbilical Vein Approach
Ying-Tzu Ju1, Yu-Jen Wei1,2, Yung-Chieh Lin1,3
1Department of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng-Kung University, Tainan 704302, Taiwan.
Children (Basel, Switzerland)
|November 27, 2021
Summary
Umbilical vein catheterization offers a safe and efficient method for infant cardiovascular interventions, including patent ductus arteriosus occlusion and pulmonary valve procedures. This approach proves time-saving for neonates requiring critical cardiac catheterization.
Area of Science:
- Pediatric Cardiology
- Interventional Cardiology
- Neonatal Medicine
Background:
- Cardiovascular catheterization is vital for infant treatment.
- Peripheral vascular access can be challenging in neonates.
- Umbilical vein catheterization is an under-investigated approach for neonates.
Purpose of the Study:
- To retrospectively review cardiovascular interventions using the umbilical vein approach in infants.
- To assess the feasibility, success rates, and complications of this method.
Main Methods:
- Retrospective review of 16 infants (17 procedures) from 2017-2020.
- Data collected: perinatal variables, diagnoses, and devices used.
- Infants' gestational age: 22-39 weeks; weight: 478-3685g.
Main Results:
- Successful cardiovascular catheterization in 88.2% (15/17) of cases.
- Indications included patent ductus arteriosus occlusion, pulmonary valvuloplasty, and hemofiltration.
- Complications included ductus venosus closure, hemorrhage, and procedural failure.
Conclusions:
- Umbilical vein catheterization is a safe and time-saving method for infant cardiac catheterization.
- It facilitates the use of large-sized catheters in small infants.
- This approach is a viable alternative when catheterization is necessary.
