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Case Reports in Pediatrics
Volume 2014, Article ID 368256, 4 pages
http://dx.doi.org/10.1155/2014/368256
Case Report

Acute Brachial Artery Thrombosis in a Neonate Caused by a Peripheral Venous Catheter

1Department of Neonatology, GFO-Hospitals Bonn, St Mary’s Hospital, Robert-Koch Street 1, 53115 Bonn, Germany
2Department of Vascular Surgery, GFO-Hospitals Bonn, St Mary’s Hospital, Bonn, Germany
3Department of Cardiology, Pulmonology and Angiology, University Medical Centre, Dusseldorf, Germany
4Department of Experimental Hematology and Transfusion Medicine, University Medical Centre, Bonn, Germany

Received 7 April 2014; Revised 17 June 2014; Accepted 18 June 2014; Published 30 June 2014

Academic Editor: Francois Cachat

Copyright © 2014 Simon Berzel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This case describes the diagnostic testing and management of an acute thrombosis of the brachial artery in a female neonate. On day seven of life, clinical signs of acutely decreased peripheral perfusion indicated an occlusion of the brachial artery, which was confirmed by high-resolution Doppler ultrasound. Imaging also showed early stages of collateralization so that surgical treatment options could be avoided. Unfractionated heparin was used initially and then replaced by low-molecular-weight heparin while coagulation parameters were monitored closely. Within several days, brachial artery perfusion was completely restored. Acetylsalicylic acid was given for additional six weeks to minimize the risk of recurring thrombosis. If inadequately fixated in a high-risk location, a peripheral venous catheter can damage adjacent structures and thus ultimately cause arterial complications.