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February 26, 2026The Journal of Vascular AccessOpen Access

Proximal trimming and retrograde tunneling for neonatal central venous access: An atypical over the wire approach from a single center experience

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Authors

AMAndrea Moscatelli ADAndrea DatoIstituto Giannina Gaslini SBSilvia BurattiIstituto Giannina Gaslini

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Implication

Case series demonstrates safe catheter placement in neonates, suggesting retrograde tunneling simplifies procedures.

Key Points

To describe a modified technique for T-CVAD placement in neonates under 5 kg.
Utilized a Seldinger over-the-wire insertion method
Incorporated retrograde tunneling and proximal trimming
Conducted procedure on eight neonates
No procedure-related adverse events observed
7 out of 8 catheters were removed after therapy
One catheter was removed due to late tip migration

Cite This Study

Moscatelli et al. (2026) studied this question.

synapsesocial.com/papers/699f956d1bc9fecf3dab331a https://doi.org/10.1177/11297298261423705

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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1The intracavitary ECG method for tip location of ultrasound-guided centrally inserted central catheter in neonates2022 · 26 citations
2Securement of central venous catheters by subcutaneously anchored suturless devices in neonates2021 · 28 citations
3Ultrasound-Guided Subclavian Vein Cannulation in Low Birth Weight Neonates2017 · 57 citations
4Centrally inserted central catheters in preterm neonates with weight below 1500 g by ultrasound-guided access to the brachio-cephalic vein2020 · 62 citations
5Rapid Central Vein Assessment (RaCeVA): A systematic, standardized approach for ultrasound assessment before central venous catheterization2018 · 202 citations