{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T06:42:43Z","timestamp":1748587363669},"reference-count":15,"publisher":"Springer Publishing Company","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatal Network"],"published-print":{"date-parts":[[2009,5]]},"abstract":"<jats:p>A NUMBER OF SERIOUS COMPLICATIONS can arise from malpositioned central venous catheters (CVCs), including cardiac tamponade and perforation, pleural effusions, and infusion into the vertebral venous system anywhere along the spinal column. Figure 1 is an x-ray of a premature infant taken after insertion of a 2.0 Silastic peripherally inserted central catheter (PICC), demonstrating the catheter entering the left ascending lumbar vein (ALV). Routine contrast injection of 0.3 mL of iothalamate meglumine 60 percent (Conray, Covidien Imaging Solutions, Hazelwood, Missouri) at the time of the PICC-placement film demonstrated that the contrast material extended into the vertebral venous plexus. The catheter was immediately withdrawn before intravenous fluid was administered, and the infant experienced no complications.<\/jats:p>","DOI":"10.1891\/0730-0832.28.3.179","type":"journal-article","created":{"date-parts":[[2011,11,16]],"date-time":"2011-11-16T14:40:13Z","timestamp":1321454413000},"page":"179-183","source":"Crossref","is-referenced-by-count":11,"title":["Inadvertent Catheterization of the Ascending Lumbar Vein"],"prefix":"10.1891","volume":"28","author":[{"given":"Carol","family":"Trotter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2009,5,1]]},"reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s00431-005-1667-2","article-title":"An under-recognised malposition of neonatal long lines.","volume":"164","author":"P. Filan","year":"2005","journal-title":"European Journal of Pediatrics"},{"key":"2","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1097\/00003246-199605000-00030","article-title":"Potentially lethal misplacement of femoral central venous catheters.","volume":"24","author":"G. Lavandosky","year":"1996","journal-title":"Critical Care Medicine"},{"key":"3","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/S0022-3476(00)10868-6","article-title":"Paravertebral and intraspinal malposition of transfemoral central venous catheters in newborns.","volume":"136","author":"M. Zenker","year":"2000","journal-title":"The Journal of Pediatrics"},{"key":"4","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1007\/s00261-006-9166-0","article-title":"Flow direction of ascending lumbar veins on magnetic resonance angiography and venography: Would \"descending lumbar veins\" be a more precise name physiologically?","volume":"32","author":"S. Morita","year":"2007","journal-title":"Abdominal Imaging"},{"key":"5","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1055\/s-2007-994099","article-title":"Unusual misplacement sites of percutaneous central venous lines in the very low birthweight neonate.","volume":"14","author":"R. Lussky","year":"1997","journal-title":"American Journal of Perinatology"},{"key":"6","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1038\/sj.jp.7200207","article-title":"Focal neurological manifestations following aberrant central venous catheter placement.","volume":"19","author":"V. Rajan","year":"1999","journal-title":"Journal of Perinatology"},{"key":"7","first-page":"352","article-title":"Fatal neurologic complication of parenteral feeding through a central venous catheter.","volume":"138","author":"M. Kelly","year":"1984","journal-title":"American Journal of Diseases of Children"},{"key":"8","unstructured":"Vidwans, A., Neumann, D. P., Hussain, N., Rosenkrantz, T., & Sanders, M. R. (2000). Diagnosis and management of spinal epidural space extravasation complicating percutaneous central venous line placement in a premature infant: Case report and review of literature. <i>Connecticut Medicine, 64<\/i>(2), 79\u201382."},{"key":"9","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1046\/j.1440-1754.2003.00160.x","article-title":"Parenteral nutrition retrieved by lumbar puncture following left saphenous vein catheterization.","volume":"39","author":"P. Clarke","year":"2003","journal-title":"Journal of Paediatrics and Child Health"},{"key":"10","first-page":"1439","article-title":"Radiological case of the month. Intravenous hyperalimentation fluid obtained with lumbar puncture: An unusual complication of a central venous catheter.","volume":"145","author":"M. Mah","year":"1991","journal-title":"American Journal of Diseases of Children"},{"key":"11","doi-asserted-by":"crossref","unstructured":"De, A., & Imam, A. (2005). Long line complication: Accidental cannulation of ascending lumbar vein. <i>Archives of Disease in Childhood. Fetal and Neonatal Edition, 90<\/i>, F48.","DOI":"10.1136\/adc.2003.048140"},{"key":"12","doi-asserted-by":"crossref","unstructured":"Schoonakker, B. C., & Harding, D. (2005). Radiological sign of a long line in the ascending lumbar vein. [Letter]. <i>Archives of Disease in Childhood, 90<\/i>, 982.","DOI":"10.1136\/adc.2005.072595"},{"key":"13","doi-asserted-by":"crossref","unstructured":"Berger, T. M., Stocker, M., & Caduff, J. (2006). Neonatal long lines: Localisation with conventional radiography using a horizontal beam technique. <i>Archives of Disease in Childhood. Fetal and Neonatal Edition, 91<\/i>, F311.","DOI":"10.1136\/adc.2005.079475"},{"key":"14","doi-asserted-by":"crossref","unstructured":"Cartwright, D. W. (2004). Parenteral nutrition retrieved by lumbar puncture following left saphenous vein catheterization [Letter to the editor, November 14, 2003]. <i>Journal of Paediatrics and Child Health, 40<\/i>, 332\u2013333.","DOI":"10.1111\/j.1440-1754.2004.00389.x"},{"key":"15","unstructured":"Clarke, P., Wadhawan, R., Smyth, J., & Emmerson, A. (2004). Reply to D. W. 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