{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T18:49:24Z","timestamp":1788115764447,"version":"build-2803163510"},"reference-count":19,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,1,27]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>An 840 g female baby born at 25 weeks gestation suffered a rare complication of umbilical arterial catheter (UAC) insertion, involving an accidental transection resulting in 11 cm of retained catheter inside the baby. Investigations revealed migration of the proximal tip of the catheter within 10 hours into the left subclavian artery.<\/jats:p>\n               <jats:p>This complication is rare and has not frequently been described in the literature. Given the size and gestation of the patient, the risks and benefits of both conservative and non-conservative management were discussed in detail prior to any treatment decision being made. Effective multidisciplinary teamwork contributed to the successful removal of the UAC, done via a minimally invasive infraumbilical approach, associated with no further complications.<\/jats:p>","DOI":"10.1136\/bcr-2021-247296","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T12:01:18Z","timestamp":1647259278000},"page":"e247296","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Infraumbilical surgical retrieval of transected umbilical artery catheter in an 840 g newborn"],"prefix":"10.1136","volume":"15","author":[{"given":"Alessandra","family":"Maggioni","sequence":"first","affiliation":[{"name":"Neonatal Unit, Evelina London Children's Hospital, London, UK"},{"name":"Faculty of Life Sciences and Medicine, Department of Perinatal Imaging and Health, King's College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Sattar","sequence":"additional","affiliation":[{"name":"Neonatal Unit, Evelina London Children's Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemanshoo","family":"Thakkar","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, Evelina London Children's Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3397-6563","authenticated-orcid":false,"given":"Anna","family":"Milan","sequence":"additional","affiliation":[{"name":"Neonatal Unit, Evelina London Children's Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,3,14]]},"reference":[{"key":"2025082711280768000_15.3.e247296.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-8389(05)70252-9"},{"key":"2025082711280768000_15.3.e247296.2","first-page":"e283","article-title":"Rupture and displacement of umbilical arterial catheter: bilateral arterial occlusion in a very low birth weight preterm","volume":"113","author":"Dilli","year":"2015","journal-title":"Arch Argent Pediatr"},{"key":"2025082711280768000_15.3.e247296.3","doi-asserted-by":"crossref","DOI":"10.1136\/fn.83.1.F74e","article-title":"Retained umbilical artery catheter presenting as an umbilical abscess","volume":"83","author":"Kotnis","year":"2000","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"2025082711280768000_15.3.e247296.4","doi-asserted-by":"crossref","DOI":"10.1016\/j.epsc.2020.101424","article-title":"Bilateral lower extremity ischemia due to a retained umbilical artery catheter in a preterm neonate","volume":"56","author":"Birkhold","year":"2020","journal-title":"J Pediatr Surg Case Rep"},{"key":"2025082711280768000_15.3.e247296.5","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.26.2.133"},{"key":"2025082711280768000_15.3.e247296.6","doi-asserted-by":"crossref","first-page":"e93","DOI":"10.5301\/jva.5000445","article-title":"Transumbilical retrieval of broken umbilical artery catheter in a 1000 gm premature newborn","volume":"16","author":"Do\u011fan","year":"2015","journal-title":"J Vasc Access"},{"key":"2025082711280768000_15.3.e247296.7","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1007\/s00246-017-1639-0","article-title":"Transcatheter retrieval of cardiovascular foreign bodies in children: a 15-year single centre experience","volume":"38","author":"Kudumula","year":"2017","journal-title":"Pediatr Cardiol"},{"key":"2025082711280768000_15.3.e247296.8","doi-asserted-by":"crossref","first-page":"660","DOI":"10.4103\/ija.IJA_202_19","article-title":"A novel use of ultrasound for the extraction of a fractured umbilical arterial catheter","volume":"63","author":"Dennis","year":"2019","journal-title":"Indian J Anaesth"},{"key":"2025082711280768000_15.3.e247296.9","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1542\/peds.49.2.281","article-title":"An unusual complication of umbilical artery catheterization","volume":"49","author":"Lackey","year":"1972","journal-title":"Pediatrics"},{"key":"2025082711280768000_15.3.e247296.10","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1977.02120180109022"},{"key":"2025082711280768000_15.3.e247296.11","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/S0022-3476(78)81178-0","article-title":"Umbilical catheter retrieval in the premature infant","volume":"93","author":"Smith","year":"1978","journal-title":"J Pediatr"},{"key":"2025082711280768000_15.3.e247296.12","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198711000-00024"},{"key":"2025082711280768000_15.3.e247296.13","doi-asserted-by":"crossref","first-page":"S178","DOI":"10.1007\/BF03545623","article-title":"Transumbilical intravascular retrieval of an umbilical artery catheter","volume":"25 Suppl 1","author":"Murphy","year":"1995","journal-title":"Pediatr Radiol"},{"key":"2025082711280768000_15.3.e247296.14","first-page":"434","article-title":"Retained catheter in the aorta","volume":"3","author":"Huang","year":"2019","journal-title":"Clin Pract Cases Emerg Med"},{"key":"2025082711280768000_15.3.e247296.15","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1046\/j.1440-1754.2001.0742e.x","article-title":"Delayed diagnosis and treatment of umbilical arterial catheter-associated aortic thrombus","volume":"37","author":"Rohana","year":"2001","journal-title":"J Paediatr Child Health"},{"key":"2025082711280768000_15.3.e247296.16","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1111\/jth.13130","article-title":"Coagulation indices in very preterm infants from cord blood and postnatal samples","volume":"13","author":"Neary","year":"2015","journal-title":"J Thromb Haemost"},{"key":"2025082711280768000_15.3.e247296.17","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-2308"},{"key":"2025082711280768000_15.3.e247296.18","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2012-301895"},{"key":"2025082711280768000_15.3.e247296.19","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/0741-5214(86)90410-6","article-title":"Neonatal thoracoabdominal aortic thrombosis associated with the umbilical artery catheter: successful management by transaortic thrombectomy","volume":"4","author":"Himmel","year":"1986","journal-title":"J Vasc Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-247296","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:28:13Z","timestamp":1756319293000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-247296"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":19,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3,14]]},"published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1136\/bcr-2021-247296"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-247296","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}