Paravertebral and intraspinal malposition of transfemoral central venous catheters in newborns
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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From the Universitäts-Klinik für Kinder und Jugendlicbe, Erlangen, Germany; and Kinderklinik Dritter Orden, Passau, Germany.
Reprint requests: Martin Zenker, MD, Department of Neonatology, University Children's Hospital, Loschgestrasse 15, 91054 Erlangen, Germany.
ABSTRACT