SUMMARYCentral venous catheter (CVC) is a process used on patients who need continous intravenous medication and nutrition support. Seldinger percutaneous technique is often used to place the central venous catheter. Internal jugular vein, femoral and subclavian vein are used the most. Life threatening complications are seen more frequently in patients with central venous catheterisation. Short term compications are; artery punction, pneumothorax, hemothorax, arythmia, tamponade, air embolism, nearby nerve injury, guide wire staying inside the vein, aorta injury, catheter rupture, vein or atrium perforation. In long term, arteriovenous fistula, arterial and venous aneurism, venous trombose and various infections can occur due to catheter location and duration. A woman with central venous catheter swivel was reported in this case. Keywords: Central venous catheter, complications, pneumothorax ÖZET Santral venöz kateter (SVK), sıklıkla hastaya devamlı intravenöz medikasyon, beslenme desteği gerektiğinde başvurulan bir işlemdir. Santral venöz katateri yerleştirmek için Seldinger yöntemi olarak bilinen perkütan giriş tekniği en yaygın olarak kullanılan yöntemdir. En sık internal juguler ven, femoral ve subklaviyen ven kullanılmaktadır. Daha seyrek olarak eksternal juguler ven, sefalik ve bazilik venler kullanılmaktadır. Hayatı tehdit eden komplikasyonlar santral venöz kateterizasyon uygulanan hastalarda daha sık görülmektedir. Erken dönem komplikasyonlar; arter ponksiyonu, pnömotoraks, hemotoraks, aritmi, tamponad, hava embolisi, komşu sinir yaralanması, kılavuz telin damar içinde kalması, aort yaralanması, kateter kopması, ven veya atriyum perforasyonudur. Uzun dönemde ise kateterin uygulama yerine ve kalış süresine bağlı olarak arteriyovenöz fistül, arteriyel ve venöz anevrizma, venöz tromboz ve çeşitli enfeksiyonlar görülebilir. Bu yazıda, santral venöz kateteri kendi etrafında dönen bir bayan hasta sunuldu.
Central venous catheters (CVC) are commonly used for infusion therapies, nutritional support, hemodynamic monitorisation, as temporary transvenous pacemakers, plasmapheresis or hemodialysis, mostly in intensive care units and operating rooms. In this case of a 73-year-old female patient who was monitorised for right median cerebral artery infarct, a large portion of the catheter was broken and embolized in patient's venous structures while changing the central catheter in the right subclavian vein.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.