Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Arterial embolism caused by a peripherally inserted central catheter in a very premature infant: A case report and literature review
Yi-Fei Huang, Yan-Ling Hu, Xing-Li Wan, Hong Cheng, Yao-Hua Wu, Xiao-Yan Yang, Jing Shi
Yi-Fei Huang, Yan-Ling Hu, Xing-Li Wan, Hong Cheng, Yao-Hua Wu, Xiao-Yan Yang, Jing Shi, Department of Neonatal Nursing, West China Second University Hospital, Sichuan University, Chengdu 610066, Sichuan Province, China
Yi-Fei Huang, Yan-Ling Hu, Xing-Li Wan, Hong Cheng, Yao-Hua Wu, Xiao-Yan Yang, Jing Shi, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Chengdu 610066, Sichuan Province, China
Yi-Fei Huang, Yan-Ling Hu, Xing-Li Wan, Hong Cheng, Yao-Hua Wu, Xiao-Yan Yang, Jing Shi, Ministry of Education, West China Nursing School, Sichuan University, Chengdu 610066, Sichuan Province, China
Author contributions: Hu YL contributed to case conceptualization; Huang YF, Wan XL, Cheng H, and Wu YH contributed to data curation; Huang YF, Wan XL, and Cheng H contributed to case investigation; Hu YL, Huang YF, and Wan XL contributed to resources; and Wan XL, Cheng H, and Wu YH contributed to manuscript drafting, review, and editing.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yan-Ling Hu, MD, Nurse, Neonatal Ward, West China Second Hospital, Sichuan University, No. 1416 Section 1, Chenglong Avenue, Chengdu 610066, Sichuan Province, China. 14023913@qq.com
Received: April 12, 2020
First decision: May 15, 2020
Revised: May 22, 2020
Accepted: August 14, 2020
Article in press: August 14, 2020
Published online: September 26, 2020
BACKGROUND
Extremely premature infants have poor vascular conditions. Operators often choose deep veins such as the femoral vein and axillary vein to peripherally insert central catheters, and these vessels are often accompanied by arteries; thus, it is easy to mistakenly enter the artery.
CASE SUMMARY
The case of an extremely premature infant (born at gestational age 28+3) in whom the left upper extremity artery was accidentally entered during peripheral puncture of the central venous catheter is reported. On the 19th day of hospitalization, the index finger, middle finger and ring finger of the left hand were rosy, the left radial artery and brachial artery pulse were palpable, the recovery was 95%, and the improvement was obvious. At discharge 42 d after admission, there was no abnormality in fingertip activity during the follow-up period.
CONCLUSION
Arterial embolization in preterm infants requires an individualized treatment strategy combined with local anticoagulation and 2% nitroglycerin ointment for local tissue damage caused by arterial embolism in the upper limb. Continuous visualization of disease changes using image visualization increases the likelihood of a good outcome.
Core Tip: Arterial embolization in preterm infants requires individualized treatment strategies combined with local anticoagulation and 2% nitroglycerin ointment for local tissue damage caused by arterial embolism in the upper limbs of preterm infants, and continuous visualization of disease changes using image visualization, which can lead to a good outcome.
