Bookmarks
KEY FACTS
Terminology
Imaging
Diagnostic Checklist
TERMINOLOGY
Definitions
- Umbilical venous catheter (UVC)
- Normal course: Umbilical vein → umbilical recess → left portal vein → ductus venosus → middle or left hepatic vein → inferior vena cava (IVC) → right atrium (RA)
- Indications: Central venous access in ill/premature neonate for fluids/medications, total parenteral nutrition (TPN), exchange transfusion, venous pressure monitoring
- UVC can be maintained 7-14 days
- Umbilical arterial catheter (UAC)
- Normal course: Umbilical artery → internal iliac artery → common iliac artery → aorta
- Indications: Frequent blood sampling, monitoring of arterial pressures, angiography, exchange transfusion
- UAC can be maintained 7-10 days
- Umbilical venous catheter (UVC)
IMAGING
Radiographic Findings
Ultrasonographic Findings
Imaging Recommendations
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Treatment
DIAGNOSTIC CHECKLIST
Consider
Reporting Tips
Selected References
- Ullman AJ et al: Complications of Central Venous Access Devices: A Systematic Review. Pediatrics. 136(5):e1331-44, 2015
- Arnts IJ et al: Comparison of complication rates between umbilical and peripherally inserted central venous catheters in newborns. J Obstet Gynecol Neonatal Nurs. 43(2):205-15, 2014
- Fuchs EM et al: Umbilical venous catheter-induced hepatic hematoma in neonates. J Neonatal Perinatal Med. 7(2):137-42, 2014
- Grizelj R et al: Severe liver injury while using umbilical venous catheter: case series and literature review. Am J Perinatol. 31(11):965-74, 2014
- Hagerott HE et al: Clinical-radiologic features and treatment of hepatic lesions caused by inadvertent infusion of parenteral nutrition in liver parenchyma due to malposition of umbilical vein catheters. Pediatr Radiol. 44(7):810-5, 2014
- Harabor A et al: Rates of intracardiac umbilical venous catheter placement in neonates. J Ultrasound Med. 33(9):1557-61, 2014
- Hoellering AB et al: Determination of umbilical venous catheter tip position with radiograph. Pediatr Crit Care Med. 15(1):56-61, 2014
- Marshall M: Radiographic assessment of umbilical venous and arterial catheter tip location. Neonatal Netw. 33(4):208-16, 2014
- Park CK et al: Neonatal central venous catheter thrombosis: diagnosis, management and outcome. Blood Coagul Fibrinolysis. 25(2):97-106, 2014
- Oestreich AE: Umbilical vein catheterization--appropriate and inappropriate placement. Pediatr Radiol. 40(12):1941-9, 2010
- Blondiaux E et al: Calcified aneurysm of the abdominal aorta 12 years after umbilical artery catheterization. Pediatr Radiol. 38(2):233-6, 2008
- Wyers MR et al: Umbilical artery catheter use complicated by pseudoaneurysm of the aorta. Pediatr Radiol. 32(3):199-201, 2002
- Hogan MJ: Neonatal vascular catheters and their complications. Radiol Clin North Am. 37(6):1109-25, 1999
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Terminology
Imaging
Diagnostic Checklist
TERMINOLOGY
Definitions
- Umbilical venous catheter (UVC)
- Normal course: Umbilical vein → umbilical recess → left portal vein → ductus venosus → middle or left hepatic vein → inferior vena cava (IVC) → right atrium (RA)
- Indications: Central venous access in ill/premature neonate for fluids/medications, total parenteral nutrition (TPN), exchange transfusion, venous pressure monitoring
- UVC can be maintained 7-14 days
- Umbilical arterial catheter (UAC)
- Normal course: Umbilical artery → internal iliac artery → common iliac artery → aorta
- Indications: Frequent blood sampling, monitoring of arterial pressures, angiography, exchange transfusion
- UAC can be maintained 7-10 days
- Umbilical venous catheter (UVC)
IMAGING
Radiographic Findings
Ultrasonographic Findings
Imaging Recommendations
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Treatment
DIAGNOSTIC CHECKLIST
Consider
Reporting Tips
Selected References
- Ullman AJ et al: Complications of Central Venous Access Devices: A Systematic Review. Pediatrics. 136(5):e1331-44, 2015
- Arnts IJ et al: Comparison of complication rates between umbilical and peripherally inserted central venous catheters in newborns. J Obstet Gynecol Neonatal Nurs. 43(2):205-15, 2014
- Fuchs EM et al: Umbilical venous catheter-induced hepatic hematoma in neonates. J Neonatal Perinatal Med. 7(2):137-42, 2014
- Grizelj R et al: Severe liver injury while using umbilical venous catheter: case series and literature review. Am J Perinatol. 31(11):965-74, 2014
- Hagerott HE et al: Clinical-radiologic features and treatment of hepatic lesions caused by inadvertent infusion of parenteral nutrition in liver parenchyma due to malposition of umbilical vein catheters. Pediatr Radiol. 44(7):810-5, 2014
- Harabor A et al: Rates of intracardiac umbilical venous catheter placement in neonates. J Ultrasound Med. 33(9):1557-61, 2014
- Hoellering AB et al: Determination of umbilical venous catheter tip position with radiograph. Pediatr Crit Care Med. 15(1):56-61, 2014
- Marshall M: Radiographic assessment of umbilical venous and arterial catheter tip location. Neonatal Netw. 33(4):208-16, 2014
- Park CK et al: Neonatal central venous catheter thrombosis: diagnosis, management and outcome. Blood Coagul Fibrinolysis. 25(2):97-106, 2014
- Oestreich AE: Umbilical vein catheterization--appropriate and inappropriate placement. Pediatr Radiol. 40(12):1941-9, 2010
- Blondiaux E et al: Calcified aneurysm of the abdominal aorta 12 years after umbilical artery catheterization. Pediatr Radiol. 38(2):233-6, 2008
- Wyers MR et al: Umbilical artery catheter use complicated by pseudoaneurysm of the aorta. Pediatr Radiol. 32(3):199-201, 2002
- Hogan MJ: Neonatal vascular catheters and their complications. Radiol Clin North Am. 37(6):1109-25, 1999
