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Accidental catheterization of internal iliac artery branches: a serious complication of umbilical artery

W A Cumming1, D J Burchfield

  • 1Department of Radiology, University of Florida College of Medicine, Gainesville.

Journal of Perinatology : Official Journal of the California Perinatal Association
|July 1, 1994
PubMed

Insights

Umbilical artery catheter misplacement into internal iliac artery branches can cause serious complications. Prompt recognition and correction are crucial to prevent tissue damage and long-term consequences.

Area of Science:

  • Neonatal Medicine
  • Pediatric Surgery
  • Vascular Imaging

Background:

  • Umbilical artery catheters (UACs) are commonly used for monitoring and treatment in neonates.
  • Accidental malpositioning of UACs into internal iliac artery branches can occur during aortic catheterization.
  • Potential complications include ischemia and infarction of pelvic and perineal structures.

Observation:

  • Three neonates experienced long-term adverse effects due to UAC malplacement.
  • The specific arteries involved were branches of the internal iliac artery.
  • Radiographic confirmation of UAC placement is critical before medication infusion.

Findings:

  • Malpositioned UACs can lead to arterial obstruction.
  • Affected areas include the iliac bone, gluteal muscles, sciatic nerve, and perineum.
  • Consequences can be severe and long-lasting if not addressed promptly.

Implications:

  • Emphasizes the critical need for vigilant radiographic assessment of UAC placement.
  • Highlights the potential for serious ischemic injury from UAC malpositioning.
  • Underscores the importance of prompt intervention to mitigate long-term morbidity in neonates.

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