This case identifies plastic bronchitis as a rare yet serious complication of long-term large bore vascular access when a vessel-sparing approach is not possible” Carter et al (2017).

Abstract:

BACKGROUND: Despite peritoneal dialysis being the preferred mode of renal replacement therapy in neonates and infants, long-term haemodialysis may be necessary in a minority of patients with its attendant risks.

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CASE DIAGNOSIS/TREATMENT: This case identifies plastic bronchitis as a rare yet serious complication of long-term large bore vascular access when a vessel-sparing approach is not possible.

CONCLUSIONS: An appropriately sized catheter should be used for the dialytic therapy required and to optimize access survival.

Reference:

Carter, S., van de Hoef, D., Temple, M., Harvey, E., Al-Saleh, S., Licht, C. and Noone, D. (2017) Plastic bronchitis: a rare complication of long-term haemodialysis catheter placement in a child. Pediatric Nephrology. [epub ahead of print].

doi: 10.1007/s00467-017-3717-1.

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