All issues > Volume 37(2); 1994

Original Article

J Korean Pediatr Soc. 1994;37(2):180-184. Published online February 15, 1994.

Exchange Transfusion Using Percutaneous Femoral Vein Catheterization in Neonates: Comparison with Umbilical Vein Catheterization

Song-Ja SJ Kim¹, Hyang-Ok HO Woo¹, Seung-Hwan SH Kim¹, Mi-Ryeong MR Kim¹, Sun-Kyeong SK Sin¹, Hee-Shang HS Youn¹

¹Department of Pediatrics, College of Medicine, Gyeong Sang National University, Jinju, Korea

Abstract

Traditionally umbilical vein has been used for exchange transfusion in neonates. This method is relatively safe and effective but with a few complications. So via percutaneous femoral vein catheters we tried exchange transfusion in 30 patients with neonatal hyperbilirubinemia admitted to GNUH from September 1990 to August 1992. Femoral vein catheterization succeeded in 2~3 trials. In all cases high bilirubin level was lowered by half at the end of exchange transfusion. Transient microscopic hematuria by bladder puncture occurred in one neonate. Exchange transfusion via femoral vein catheter is a sage, easy and effective method.

Keywords :Neonatal Hyperblirubinemia, Exchange Transfusion, Percutaneous Femoral Vein Catheterization