Peripherally inserted central venous catheter-related thrombosis in a neonate

LI Shu-Juan; ZHANG Ke; WANG Huan-Huan; LI Li-Ling; CAO Yun; ZHOU Wen-Hao; ZHANG Rong

doi:10.7499/j.issn.1008-8830.2304051

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Chinese Journal of Contemporary Pediatrics ›› 2023, Vol. 25 ›› Issue (6) : 658-662. DOI: 10.7499/j.issn.1008-8830.2304051

COLUMN ON DIAGNOSIS & TREATMENT IN MDT MODE

Peripherally inserted central venous catheter-related thrombosis in a neonate

LI Shu-Juan, ZHANG Ke, WANG Huan-Huan, LI Li-Ling, CAO Yun, ZHOU Wen-Hao, ZHANG Rong

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Abstract

The female infant in this case study was admitted to the hospital 4 hours after birth due to preterm birth and respiratory distress. On the third day after birth, peripherally inserted central venous catheter (PICC) catheterization was performed. On day 42, thrombus was found at the entrance of the right atrium from the inferior vena cava during a cardiac ultrasound, and it was considered to be related to PICC placement. Low-molecular-weight heparin and urokinase were given. After two weeks of treatment, ultrasonic monitoring showed thrombus shrinkage. No bleeding or pulmonary embolism occurred during the treatment. The patient discharged after improvement. This article mainly introduces a multidisciplinary team approach to diagnosis and treatment of PICC-related thrombosis in neonates.

Key words

Thrombosis / Peripherally inserted central venous catheter / Multidisciplinary team / Neonate

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LI Shu-Juan, ZHANG Ke, WANG Huan-Huan, LI Li-Ling, CAO Yun, ZHOU Wen-Hao, ZHANG Rong. Peripherally inserted central venous catheter-related thrombosis in a neonate[J]. Chinese Journal of Contemporary Pediatrics. 2023, 25(6): 658-662 https://doi.org/10.7499/j.issn.1008-8830.2304051

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