Umbilical Venous Catheter (UVC) and Epicutaneo-Caval Catheters (ECC) are reference catheters in the neonatal period. However, many factors such as the corpulence of neonates, poor venous capital, and anatomical variants can complicate ECC insertion or make it impossible. In newborns with failed ECC insertion, they developed an hybrid technique that combines the insertion of a long-lasting silicone or polyurethane small caliber catheter, usually used as a ECC in newborns, with the ease and speed of ultrasound guided puncture of the brachiocephalic vein (BCV).
Echo guided percutaneous catheterization of the brachiocephalic vein with a long lasting silicone or
polyurethane small caliber catheter is a safe alternative to the ECC if insertion has failed. However, it requires a mastery of ultrasound-guided insertion technique in term and premature neonates.
Authors : Zied Merchaoui , Quitterie Laudouar, Clémence Marais, Luc Morin, Narjess Ghali, Ramy Charbel, Nada Seeman, Mostafa Mokhtari and Pierre Tissières
Pediatric and Neonatal Intensive Care Unit, Bicêtre Medical Centre, Paris Saclay University, AP HP, Le Kremlin Bicêtre, France
Corresponding author: Zied Merchaoui, Pediatric and Neonatal Intensive Care Unit, Bicêtre
Medical Centre, Paris Saclay University, AP HP, 78, rue du General
Leclerc, Le Kremlin Bicêtre 94275, France.