Diffuse and Severe Ischemic Injury of the Extremities: A Complication of Umbilical Vein Catheterization

ABSTRACT

We report a case of severe, peripheral, and diffuse tissue ischemia after umbilical vein catheterization (UVC) in a preterm newborn born to a preeclamptic mother. Nitroglycerin ointment was used to treat lesions. The recovery was good but partial loss of the distal phalange of one finger and one toe occurred. This is the first report of peripheral vasospasm occurring after UVC. Topical nitroglycerin, traditionally used to treat peripheral artery catheter-induced ischemic injury, may be useful to treat the same lesions occurring after UVC.

KEYWORDS

Umbilical venous catheterization - ischemic injury - vasospasm

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