Pulling out a broken catheter using interventional radiology in a preterm. Neonatal intensive care


Submitted: 26 February 2021
Accepted: 20 April 2021
Published: 14 May 2021
Abstract Views: 979
PDF: 347
HTML: 10
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

There are different indications for the placement of a pleural drainage. It is indicated in a massive pneumothorax or a pleural effusion, and a tunnelled indwelling pleural catheter is put in place. As in any procedure, complications may occur. A broken catheter is a rare one, and when it occurs, it has to be removed by thoracoscopic surgery. This article describes the first case of a removal of a fractured pleural catheter in a preterm newborn with a bilateral pneumothorax using interventional radiology. We propose an alternative way less invasive that could enable a shorter recovery time with fewer complications.


Moro Serrano M, Vento Torres M. De guardia en neonatología. 3rd ed. España: Editorial Médica Panamericana S.A.; 2016: pp. 781-6.

Martinon Torres F, Martinon Sanchez JM. Toracocentesis y drenaje pleural. Ann Pediatr Contin 2003;1:159-5. DOI: https://doi.org/10.1016/S1696-2818(03)71608-4

3 Solís Sánchez G, Mantecón Fernández L. Tratamiento de los escapes aéreos en Neonatología. Ann Pediatr Contin 2013;11: 350-3. DOI: https://doi.org/10.1016/S1696-2818(13)70158-6

Navarro-Mingorance A, Reyes-Dominguez SB, León-León MC, Pastor-Vivero MD. Rotura de catéter pleural: presentación de 2 casos. Ann Pediatr 2014;80:125-6. DOI: https://doi.org/10.1016/j.anpedi.2013.02.021

Fysh ET, Wrightson JM, Lee YCG, Rahman NM. Fractured indwelling pleural catheters. Chest 2012;141:1090-4.

Gaucher A, Levrat Q, Troitzky A, et al. Broken chest tube into the pleural cavity by a Monod’ trocar. Ann Fr Anesth Reanim 2010;29:153-3. DOI: https://doi.org/10.1016/j.annfar.2009.12.012

Canals Candela FJ, Vizcaíno Díaz C, Ferrández Berenguer MJ, et al. Surfactant replacement therapy with a minimally invasive technique: Experience in a tertiary hospital. Ann Pediatr 2016;84:79-84 DOI: https://doi.org/10.1016/j.anpede.2015.10.012

Moe M, Hussain A. Broken chest tube: a rare complication from use of Bonanno catheter for drainage of a malignant pleural effusion. Clin Oncol (R Coll Radiol). 2003;15:220. DOI: https://doi.org/10.1016/S0936-6555(03)00095-5

Fysh ET, Wrightson JM, Lee YCG, Rahman NM. Fractured indwelling pleural catheters. Chest 2012;141:1090-4. DOI: https://doi.org/10.1378/chest.11-0724

Bradley M. Image-guided soft-tissue foreign body extraction: Success and pitfalls. Clin Radiol 2012;6:531-4. DOI: https://doi.org/10.1016/j.crad.2011.10.029

Dorta Luis, I. J. ., Carretero, P. G., Pérez, C. L. M., Cabezudo, I. H., Figueroa, A. L., & Palau, A. G. (2021). Pulling out a broken catheter using interventional radiology in a preterm. Neonatal intensive care. La Pediatria Medica E Chirurgica, 43(1). https://doi.org/10.4081/pmc.2021.255

Downloads

Download data is not yet available.

Citations