The Journal of Pediatrics
Volume 136, Issue 6 , Pages 837-840, June 2000

Paravertebral and intraspinal malposition of transfemoral central venous catheters in newborns

From the Universitäts-Klinik für Kinder und Jugendlicbe, Erlangen, Germany; and Kinderklinik Dritter Orden, Passau, Germany.

Received 30 November 1999; accepted 15 December 1999.

We report permanent tetraplegia in a newborn resulting from intraspinal malposition of a transfemoral catheter. In 2 other neonates paravertebral malposition of indwelling Silastic lines was detected. We suggest that left- sided transfemoral catheterization and conditions enhancing collateral flow through the vertebrolumbar pathway may predispose to inadvertent paravertebral catheter placement.

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PII: S0022-3476(00)10868-6

The Journal of Pediatrics
Volume 136, Issue 6 , Pages 837-840, June 2000