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The Indian Journal of Pediatrics

, Volume 78, Issue 2, pp 161–164 | Cite as

Umbilical Vascular Catheter Associated Portal Vein Thrombosis Detected by Ultrasound

  • Manizheh Mostafa GharehbaghiEmail author
  • Masood Nemati
  • Sakha Sedigheh Hosseinpour
  • Reza Taei
  • Robabe Ghargharechi
Original Article

Abstract

Objective

To determine catheter-associated thrombosis by color Doppler ultrasound and to detect duration of catheter placement as a risk factor for thrombosis.

Methods

All newborn infants with umbilical vascular catheterization for more than 6 h duration were included in this study. Color Doppler ultrasound examination was performed within 24–48 h of catheter insertion, 48–72 h after its withdrawal and weekly until hospital discharge or clot resolution.

Results

Portal vein thrombosis (PVT) was determined in five cases (3.04%) of 164 infants received umbilical vascular catheterization. The mean duration of catheter placement in patients with PVT was 3.4 ± 1.94 days, which was not significantly different from infants without thrombosis (3.5 ± 2.03). Thrombosis was completely recanalized and resolved after 3–6 weeks in three survived neonates. There was history of exchange transfusion for hyperbilirubinemia via umbilical vein in two neonates with PVT.

Conclusions

Catheter-associated portal venous thrombosis was uncommon in our study. The duration of catheter placement was not longer in patients with portal vein thrombosis than those without thrombosis.

Keywords

Umbilical vascular catheterization Portal vein thrombosis Duration of catheter placement 

Notes

Acknowledgements

The authors would like to thank research vice chancellor of Tabriz University of Medical Sciences and children health research center for providing the funding for the study. We should express our gratitude to Firoozi F.MD, and Mrs. Azimi for help in data collection.

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Copyright information

© Dr. K C Chaudhuri Foundation 2010

Authors and Affiliations

  • Manizheh Mostafa Gharehbaghi
    • 1
    • 4
    Email author
  • Masood Nemati
    • 2
  • Sakha Sedigheh Hosseinpour
    • 3
  • Reza Taei
    • 2
  • Robabe Ghargharechi
    • 3
  1. 1.Department of Pediatrics and NeonatologyTabriz University (Medical Sciences)TabrizIran
  2. 2.Department of RadiologyTabriz University (Medical Sciences)TabrizIran
  3. 3.Department of PediatricsTabriz University (Medical Sciences)TabrizIran
  4. 4.NICU-Al Zahra hospitalTabrizIran

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