Effects of umbilical arterial catheterization on mesenteric hemodynamics
Impairment of mesenteric blood flow due to the use of umbilical artery catheters (UAC) may increase the risk of necrotizing enterocolitis (NEC) in newborn infants. We used Duplex Doppler sonography to investigate the degree of vessel obstruction due to UAC and their effect on visceral hemodynamics i...
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| Veröffentlicht in: | Pediatric radiology 1996-07, Vol.26 (7), p.435-438 |
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| container_title | Pediatric radiology |
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| creator | RAND, T WENINGER, M KOHLHAUSER, C BISCHOF, S HEINZ-PEER, G TRATTNIG, S POPOW, C SALZER, H. R |
| description | Impairment of mesenteric blood flow due to the use of umbilical artery catheters (UAC) may increase the risk of necrotizing enterocolitis (NEC) in newborn infants. We used Duplex Doppler sonography to investigate the degree of vessel obstruction due to UAC and their effect on visceral hemodynamics in 12 newborn infants. Ultrasonography was performed before and immediately after removal of the UAC, which was positioned above the ostia of the celiac and superior mesenteric arteries (SMA). Vessel diameter, peak systolic blood flow velocity (PSFV), end diastolic blood flow velocity (EDFV), and Pourcelot's resistance index (RI) were measured in the celiac trunk and the SMA within 1 cm of their origins. Removal of the UAC led to a significant increase in mean PSFV (celiac trunk: 50 cm/s +/- 15 vs 62 cm/s +/- 0.22, P < 0.05; SMA: 52 cm/s +/- 0.17 vs 72 cm/s +/- 0.21, P < 0.05). RI increased from 0.7 +/- 0.14 to 0.74 +/- 0.13 and from 0.73 +/- 0.1 to 0.76 +/- 0.13 for the celiac trunk and SMA, respectively. The EDFV and vessel diameters did not change significantly after UAC removal. Our results suggest that UAC cause a decrease in mesenteric blood flow. Therefore, their use in hemodynamically unstable neonates or in those with gastrointestinal disease should be very carefully considered. |
| doi_str_mv | 10.1007/BF01377197 |
| format | Article |
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R</creator><creatorcontrib>RAND, T ; WENINGER, M ; KOHLHAUSER, C ; BISCHOF, S ; HEINZ-PEER, G ; TRATTNIG, S ; POPOW, C ; SALZER, H. R</creatorcontrib><description>Impairment of mesenteric blood flow due to the use of umbilical artery catheters (UAC) may increase the risk of necrotizing enterocolitis (NEC) in newborn infants. We used Duplex Doppler sonography to investigate the degree of vessel obstruction due to UAC and their effect on visceral hemodynamics in 12 newborn infants. Ultrasonography was performed before and immediately after removal of the UAC, which was positioned above the ostia of the celiac and superior mesenteric arteries (SMA). Vessel diameter, peak systolic blood flow velocity (PSFV), end diastolic blood flow velocity (EDFV), and Pourcelot's resistance index (RI) were measured in the celiac trunk and the SMA within 1 cm of their origins. Removal of the UAC led to a significant increase in mean PSFV (celiac trunk: 50 cm/s +/- 15 vs 62 cm/s +/- 0.22, P < 0.05; SMA: 52 cm/s +/- 0.17 vs 72 cm/s +/- 0.21, P < 0.05). RI increased from 0.7 +/- 0.14 to 0.74 +/- 0.13 and from 0.73 +/- 0.1 to 0.76 +/- 0.13 for the celiac trunk and SMA, respectively. The EDFV and vessel diameters did not change significantly after UAC removal. Our results suggest that UAC cause a decrease in mesenteric blood flow. Therefore, their use in hemodynamically unstable neonates or in those with gastrointestinal disease should be very carefully considered.</description><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/BF01377197</identifier><identifier>PMID: 8662058</identifier><identifier>CODEN: PDRYA5</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood Flow Velocity ; Catheterization, Peripheral - adverse effects ; Catheters, Indwelling - adverse effects ; Celiac Artery - diagnostic imaging ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Enterocolitis, Pseudomembranous - epidemiology ; Female ; Humans ; Infant, Newborn ; Intensive care medicine ; Male ; Medical sciences ; Mesenteric Artery, Superior - diagnostic imaging ; Mesenteric Vascular Occlusion - diagnostic imaging ; Mesenteric Vascular Occlusion - etiology ; Risk Factors ; Splanchnic Circulation ; Ultrasonography, Doppler, Duplex ; Umbilical Arteries</subject><ispartof>Pediatric radiology, 1996-07, Vol.26 (7), p.435-438</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-332f90893b6914d371a69774d1701f321635f3e3fa6c6911b7d9acd29f4c2e953</citedby><cites>FETCH-LOGICAL-c311t-332f90893b6914d371a69774d1701f321635f3e3fa6c6911b7d9acd29f4c2e953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3175434$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8662058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RAND, T</creatorcontrib><creatorcontrib>WENINGER, M</creatorcontrib><creatorcontrib>KOHLHAUSER, C</creatorcontrib><creatorcontrib>BISCHOF, S</creatorcontrib><creatorcontrib>HEINZ-PEER, G</creatorcontrib><creatorcontrib>TRATTNIG, S</creatorcontrib><creatorcontrib>POPOW, C</creatorcontrib><creatorcontrib>SALZER, H. R</creatorcontrib><title>Effects of umbilical arterial catheterization on mesenteric hemodynamics</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><description>Impairment of mesenteric blood flow due to the use of umbilical artery catheters (UAC) may increase the risk of necrotizing enterocolitis (NEC) in newborn infants. We used Duplex Doppler sonography to investigate the degree of vessel obstruction due to UAC and their effect on visceral hemodynamics in 12 newborn infants. Ultrasonography was performed before and immediately after removal of the UAC, which was positioned above the ostia of the celiac and superior mesenteric arteries (SMA). Vessel diameter, peak systolic blood flow velocity (PSFV), end diastolic blood flow velocity (EDFV), and Pourcelot's resistance index (RI) were measured in the celiac trunk and the SMA within 1 cm of their origins. Removal of the UAC led to a significant increase in mean PSFV (celiac trunk: 50 cm/s +/- 15 vs 62 cm/s +/- 0.22, P < 0.05; SMA: 52 cm/s +/- 0.17 vs 72 cm/s +/- 0.21, P < 0.05). RI increased from 0.7 +/- 0.14 to 0.74 +/- 0.13 and from 0.73 +/- 0.1 to 0.76 +/- 0.13 for the celiac trunk and SMA, respectively. The EDFV and vessel diameters did not change significantly after UAC removal. Our results suggest that UAC cause a decrease in mesenteric blood flow. Therefore, their use in hemodynamically unstable neonates or in those with gastrointestinal disease should be very carefully considered.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Catheterization, Peripheral - adverse effects</subject><subject>Catheters, Indwelling - adverse effects</subject><subject>Celiac Artery - diagnostic imaging</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Enterocolitis, Pseudomembranous - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mesenteric Artery, Superior - diagnostic imaging</subject><subject>Mesenteric Vascular Occlusion - diagnostic imaging</subject><subject>Mesenteric Vascular Occlusion - etiology</subject><subject>Risk Factors</subject><subject>Splanchnic Circulation</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Umbilical Arteries</subject><issn>0301-0449</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM9LwzAUx4Moc04v3oUexINQzctLm-aoY3PCwIueS5omLNIfM2kP86-3ZWXCg_flfT-8w4eQW6BPQKl4fl1TQCFAijMyB44sBimzczKnSCGmnMtLchXCN6UUE8AZmWVpymiSzclmZa3RXYhaG_V14SqnVRUp3xnvhqBVtzNj_lWda5tomNoE04wnHe1M3ZaHRtVOh2tyYVUVzM20F-RrvfpcbuLtx9v78mUbawToYkRmJc0kFqkEXqIAlUoheAmCgkUGKSYWDVqV6oGAQpRS6ZJJyzUzMsEFeTj-3fv2pzehy2sXtKkq1Zi2D7nIgFFgcgAfj6D2bQje2HzvXa38IQeaj9ryf20DfDd97YvalCd08jT091OvwiDIetVoF04Ygkg4cvwDaGNzTA</recordid><startdate>19960701</startdate><enddate>19960701</enddate><creator>RAND, T</creator><creator>WENINGER, M</creator><creator>KOHLHAUSER, C</creator><creator>BISCHOF, S</creator><creator>HEINZ-PEER, G</creator><creator>TRATTNIG, S</creator><creator>POPOW, C</creator><creator>SALZER, H. 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Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity</topic><topic>Catheterization, Peripheral - adverse effects</topic><topic>Catheters, Indwelling - adverse effects</topic><topic>Celiac Artery - diagnostic imaging</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>Enterocolitis, Pseudomembranous - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mesenteric Artery, Superior - diagnostic imaging</topic><topic>Mesenteric Vascular Occlusion - diagnostic imaging</topic><topic>Mesenteric Vascular Occlusion - etiology</topic><topic>Risk Factors</topic><topic>Splanchnic Circulation</topic><topic>Ultrasonography, Doppler, Duplex</topic><topic>Umbilical Arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RAND, T</creatorcontrib><creatorcontrib>WENINGER, M</creatorcontrib><creatorcontrib>KOHLHAUSER, C</creatorcontrib><creatorcontrib>BISCHOF, S</creatorcontrib><creatorcontrib>HEINZ-PEER, G</creatorcontrib><creatorcontrib>TRATTNIG, S</creatorcontrib><creatorcontrib>POPOW, C</creatorcontrib><creatorcontrib>SALZER, H. R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RAND, T</au><au>WENINGER, M</au><au>KOHLHAUSER, C</au><au>BISCHOF, S</au><au>HEINZ-PEER, G</au><au>TRATTNIG, S</au><au>POPOW, C</au><au>SALZER, H. R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of umbilical arterial catheterization on mesenteric hemodynamics</atitle><jtitle>Pediatric radiology</jtitle><addtitle>Pediatr Radiol</addtitle><date>1996-07-01</date><risdate>1996</risdate><volume>26</volume><issue>7</issue><spage>435</spage><epage>438</epage><pages>435-438</pages><issn>0301-0449</issn><eissn>1432-1998</eissn><coden>PDRYA5</coden><abstract>Impairment of mesenteric blood flow due to the use of umbilical artery catheters (UAC) may increase the risk of necrotizing enterocolitis (NEC) in newborn infants. We used Duplex Doppler sonography to investigate the degree of vessel obstruction due to UAC and their effect on visceral hemodynamics in 12 newborn infants. Ultrasonography was performed before and immediately after removal of the UAC, which was positioned above the ostia of the celiac and superior mesenteric arteries (SMA). Vessel diameter, peak systolic blood flow velocity (PSFV), end diastolic blood flow velocity (EDFV), and Pourcelot's resistance index (RI) were measured in the celiac trunk and the SMA within 1 cm of their origins. Removal of the UAC led to a significant increase in mean PSFV (celiac trunk: 50 cm/s +/- 15 vs 62 cm/s +/- 0.22, P < 0.05; SMA: 52 cm/s +/- 0.17 vs 72 cm/s +/- 0.21, P < 0.05). RI increased from 0.7 +/- 0.14 to 0.74 +/- 0.13 and from 0.73 +/- 0.1 to 0.76 +/- 0.13 for the celiac trunk and SMA, respectively. The EDFV and vessel diameters did not change significantly after UAC removal. Our results suggest that UAC cause a decrease in mesenteric blood flow. Therefore, their use in hemodynamically unstable neonates or in those with gastrointestinal disease should be very carefully considered.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>8662058</pmid><doi>10.1007/BF01377197</doi><tpages>4</tpages></addata></record> |
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| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Flow Velocity Catheterization, Peripheral - adverse effects Catheters, Indwelling - adverse effects Celiac Artery - diagnostic imaging Emergency and intensive care: neonates and children. Prematurity. Sudden death Enterocolitis, Pseudomembranous - epidemiology Female Humans Infant, Newborn Intensive care medicine Male Medical sciences Mesenteric Artery, Superior - diagnostic imaging Mesenteric Vascular Occlusion - diagnostic imaging Mesenteric Vascular Occlusion - etiology Risk Factors Splanchnic Circulation Ultrasonography, Doppler, Duplex Umbilical Arteries |
| title | Effects of umbilical arterial catheterization on mesenteric hemodynamics |
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