Journal of Neonatal-Perinatal Medicine

DOI: 10.3233/NPM-180159

Received 3 October 2018; Revised 5 February 2019; Accepted 28 March 2019

© 2019 – IOS Press and the authors



Percutaneous retrieval of fractured

intravascular catheters in premature infants


A. Rothman, V. Jaiswal, W.N. Evans, H. Restrepo, A. Galindo



Abraham Rothman, MD, Children's Heart Center Nevada, 3006 S. Maryland Parkway, Suite # 690, Las Vegas, NV 89109, USA.

Tel.: +1 702 732 1290; Fax: +1 702 732 1385

E-mail address:



BACKGROUND: Premature infants often require long-term indwelling intravascular catheters. Occasionally, catheters

fracture and migrate into cardiovascular structures, risking perforation, infection, thrombosis, and interference with cardiac

and valve function. This case series describes our experience with percutaneous retrieval of broken intravascular catheters.


METHODS: A gooseneck micro-snare was used to retrieve fractured catheters in four premature infants, weighing between

840 and 1930 grams.


RESULTS: All procedures were successful without complications.

CONCLUSIONS: Gooseneck-snare retrieval of broken indwelling intravascular catheters can be performed safely and

successfully in premature infants even those that weigh less than 1000 grams.


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