Neonatal lymphedema from thoracic duct obstruction complicating percutaneous intravenous central catheterization

Research output: Contribution to journalArticle

Abstract

Percutaneous intravenous central catheter (PICC) complications are not common and generalized edema and anasarca in neonates as a complication of PICC malposition is even rarer. Documentation of the pathomechanisms of lymphedema in cases of severe anasarca in neonates is not often done. Here we document thoracic duct obstruction as the cause of lymphedema in a neonate with severe nonpitting generalized edema. Most PICC procedures should ideally be guided by point-of-care bedside ultrasound (US), and this precaution may prevent malposition of PICC lines although it will not detect subsequent migration or extravasation.

Original languageEnglish (US)
Pages (from-to)67-72
Number of pages6
JournalLymphology
Volume50
Issue number2
StatePublished - 2017

Fingerprint

Central Venous Catheterization
Thoracic Duct
Lymphedema
Edema
Catheters
Point-of-Care Systems
Documentation

Keywords

  • Anasarca
  • Edema
  • Lymphedema
  • Lymphoscintigraphy
  • Neonate
  • Percutaneous intravenous central catheter (PICC)
  • SPECT/CT
  • Thoracic duct

ASJC Scopus subject areas

  • Immunology and Allergy
  • Medicine(all)
  • Hematology

Cite this

@article{00ca2372ca6e471a8c5fdef8c952c947,
title = "Neonatal lymphedema from thoracic duct obstruction complicating percutaneous intravenous central catheterization",
abstract = "Percutaneous intravenous central catheter (PICC) complications are not common and generalized edema and anasarca in neonates as a complication of PICC malposition is even rarer. Documentation of the pathomechanisms of lymphedema in cases of severe anasarca in neonates is not often done. Here we document thoracic duct obstruction as the cause of lymphedema in a neonate with severe nonpitting generalized edema. Most PICC procedures should ideally be guided by point-of-care bedside ultrasound (US), and this precaution may prevent malposition of PICC lines although it will not detect subsequent migration or extravasation.",
keywords = "Anasarca, Edema, Lymphedema, Lymphoscintigraphy, Neonate, Percutaneous intravenous central catheter (PICC), SPECT/CT, Thoracic duct",
author = "Kylat, {R. I.} and Kuo, {Phillip H} and Bedrick, {Alan D} and Witte, {Marlys H}",
year = "2017",
language = "English (US)",
volume = "50",
pages = "67--72",
journal = "Lymphology",
issn = "0024-7766",
publisher = "International Society of Lymphology",
number = "2",

}

TY - JOUR

T1 - Neonatal lymphedema from thoracic duct obstruction complicating percutaneous intravenous central catheterization

AU - Kylat, R. I.

AU - Kuo, Phillip H

AU - Bedrick, Alan D

AU - Witte, Marlys H

PY - 2017

Y1 - 2017

N2 - Percutaneous intravenous central catheter (PICC) complications are not common and generalized edema and anasarca in neonates as a complication of PICC malposition is even rarer. Documentation of the pathomechanisms of lymphedema in cases of severe anasarca in neonates is not often done. Here we document thoracic duct obstruction as the cause of lymphedema in a neonate with severe nonpitting generalized edema. Most PICC procedures should ideally be guided by point-of-care bedside ultrasound (US), and this precaution may prevent malposition of PICC lines although it will not detect subsequent migration or extravasation.

AB - Percutaneous intravenous central catheter (PICC) complications are not common and generalized edema and anasarca in neonates as a complication of PICC malposition is even rarer. Documentation of the pathomechanisms of lymphedema in cases of severe anasarca in neonates is not often done. Here we document thoracic duct obstruction as the cause of lymphedema in a neonate with severe nonpitting generalized edema. Most PICC procedures should ideally be guided by point-of-care bedside ultrasound (US), and this precaution may prevent malposition of PICC lines although it will not detect subsequent migration or extravasation.

KW - Anasarca

KW - Edema

KW - Lymphedema

KW - Lymphoscintigraphy

KW - Neonate

KW - Percutaneous intravenous central catheter (PICC)

KW - SPECT/CT

KW - Thoracic duct

UR - http://www.scopus.com/inward/record.url?scp=85026466945&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85026466945&partnerID=8YFLogxK

M3 - Article

VL - 50

SP - 67

EP - 72

JO - Lymphology

JF - Lymphology

SN - 0024-7766

IS - 2

ER -