A Rare Central Venous Catheter Malposition: A Case Report

Moeinipour, Aliasghar; Amouzeshi, Ahmad; Joudi, Marjan; Fathi, Mehdi; Jahanbakhsh, Saeed; M, Hafez S F; Izanloo, Azra; Khorsand, Mahmood

doi:10.5812/aapm.16049

Cited by 19 publications

(14 citation statements)

References 7 publications

(12 reference statements)

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“…Moreover, the catheter tip can potentially perforate the vessel wall, leading to extravasation of fluid into surrounding tissues. There are few case reports describing central venous catheter misplacement in the left internal mammary vein [4,[9][10]. Moeinipour et al reported a CVC misplacement into the internal mammary vein as in our case.…”

Section: Discussionsupporting

confidence: 53%

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Misplacement of central venous catheter into the left internal mammary vein

2016

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Central venous catheter insertion is a commonly performed procedure in anaesthesia and critical care in order to assist fluid management and to allow administration of intravenous medications. Central venous catheter misplacement can occur, even in expert hands, despite the widespread use of ultrasound guidance. In this case report, we describe central venous catheter misplacement into the left internal mammary vein and subsequent patient management.

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Section: Discussionsupporting

confidence: 53%

“…There are few case reports describing central venous catheter misplacement in the left internal mammary vein [4,[9][10]. Moreover, the catheter tip can potentially perforate the vessel wall, leading to extravasation of fluid into surrounding tissues.…”

Section: Discussionmentioning

confidence: 99%

Misplacement of central venous catheter into the left internal mammary vein

2016

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“…Central venous catheterization is associated with several potential complications including pneumothorax, A catheter malpositioned patient with pain and paresthesia thrombosis, bleeding, arrhythmias, infection and malposition (3)(4)(5)(6)(7)(8). Malposition of central venous catheter is not uncommon and can lead to disastrous consequences like perforation, thrombosis, local toxicity, neurologic deficit and hematoma (9,10).…”

Section: Discussionmentioning

confidence: 99%

A catheter malpositioned patient with pain and paresthesia

haghi

Shokri

Vahdati

et al. 2015

Journal of Emergency Practice and Trauma

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We report a 54-year-old woman with the history of end-stage renal disease (ESRD) who was admitted to our hospital because of volume overload. Due to long-term use of peripheral veins and arteriovenous fistula (AVF) failure, central venous catheterization was the only choice for hemodialysis. She developed right upper extremiti's pain and paresis during hemodialysis. A posteroanterior chest x-ray showed the catheter tip was accidently pushed from right internal jugular vein into right subclavian vein during hemodialysis by the dialysis center nurse. Therefore, we believe that the physician should be aware of any changes in the catheter size after insertion. And a chest x-ray should ensure the catheter's correct position in any patient who develops complications.

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“…However, the reported incidence and types of complications related to the implantation have been variable in the literature. This may be partly attributed to the diversity in the access vessel (jugular vein, subclavian vein, and arm vein), the implantation site (arm vs. chest), implantation technique (surgical vs. radiological), and the TICVP devices (8)(9)(10)(11)(12)(13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%