Aortic Injury and Cardiac Tamponade as a Complication of Subclavian Venous Catheterization

Fangio, Pascal; Mourgeon, Eric; Romelaer, Antoinette; Goarin, Jean‐Pierre; Coriat, Pierre; Rouby, Jean‐Jacques

doi:10.1097/00000542-200206000-00038

Cited by 23 publications

(20 citation statements)

References 8 publications

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“…However, the cannulation for a central venous catheter (CVC) can place patients at risk, with fatal complications such as arrhythmia [3], pneumothorax [4], inadvertent arterial puncture [5], hemothorax [6] or cardiac tamponade [7,8]. …”

Section: Introductionmentioning

confidence: 99%

Comparison of the central venous pressure from internal jugular vein and the pressure measured from the peripherally inserted antecubital central catheter (PICCP) in liver transplantation recipients

Yun

Park

Cho

et al. 2011

Korean J Anesthesiol

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BackgroundUnlike its use during stable conditions, central venous pressure (CVP) monitoring from a peripherally inserted central venous catheter (PICC) has not often been used in surgeries with significant hemodynamic alterations. The aim of this study was to evaluate the feasibility of measuring PICC pressure (PICCP) as an alternative to measuring centrally inserted central catheter pressure (CICCP) in adult liver transplantation (LT) patients.MethodsWe measured PICCP and CICCP simultaneously during each main surgical period in adult LT. Statistical analysis was performed using simple linear regression analysis to observe whether changes in PICCP paralleled by simultaneous changes in CICCP. Correlation analysis and Bland-Altman analysis were used to determine the degree of agreement between the two devices. Differences were considered statistically significant when P values were less than 0.05.ResultsA total of 1342 data pairs were collected from 35 patients. The PICCPs and CICCPs were highly correlated overall (r = 0.970, P < 0.001) as well as at each period measured. The differences among each period were not clinically significant (0.33 mmHg for pre-anhepatic, 0.32 mmHg for anhepatic, -0.15 mmHg for reperfusion, and -0.10 mmHg for neohepatic periods). The overall mean difference was 0.14 mmHg (95% confidence interval: 0.09-0.19) and PICCP tended to give a higher reading by between 0.09 and 0.19 mmHg overall. The limit of agreement was -1.74 to 2.02 overall.ConclusionsThese findings suggest that PICCP can be a reasonable alternative to CICCP in situations of dynamic systemic compliance and preload, as well as under stable hemodynamic conditions.

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Section: Introductionmentioning

confidence: 99%

Comparison of the central venous pressure from internal jugular vein and the pressure measured from the peripherally inserted antecubital central catheter (PICCP) in liver transplantation recipients

Yun

Park

Cho

et al. 2011

Korean J Anesthesiol

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“…Perforation may occur within 0-60 days following the catheter placement, and about 50 % them seem to occur within the first two days. The most important symptoms and clinical findings are shortness of breath, chest pain, cough, hypotension, a new and suddenly developed pleural effusion and mediastinal widening (5,7) .…”

Section: Discussionmentioning

confidence: 99%

“…In all of these reported cases, right subclavian vein catheterization has been performed via infraclavicular approach, and the patients have developed cardiac tamponade and cardiac arrest (8,9) . Robinson et al reported in their article that 6 out of 10 patients in whom vein perforation was detected had undergone right subclavian vein catheterization, and the most important finding was the enlarged mediastinum detected on the postoperative chest X-ray.…”

Section: Discussionmentioning

confidence: 99%

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Complication of Right Subclavian Vein Catheterization: Superior Vena Cava Perforation

Çelik¹,

Kocamanoglu²,

Büyükkarabacak³

et al. 2013

GKDA Derg

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“…SVK takılması işlemi masum gibi görünse de bir çok komplikasyon riskini de beraberinde getirmekte ve bazıları hayatı tehdit edici olabilmektedir (2).…”

Section: Introductionunclassified

A Rare Complication in the ICU: Missed Central Venous Guide Wire

Altuntaş

2017

Journal of Contemporary Medicine

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: Perkutan santral venoz kateter (SVK) takilmasi yogun bakim unitesinde (YBU), acilde ve ameliyathanede hasta tedavisi icin bir gereklilik haline gelmistir. SVK takilmasi isleminde kateterin bir kilavuz tel uzerinden gonderildigi Seldinger teknigi rutin olarak kullanilmaktadir. Seldinger tekniginin diger yontemlere ustunlugu bilinmektedir ve dunya capinda tercih edilmektedir. Tecrubeli uygulayicilarda kilavuz tel kullanimi guvenli olmaktadir. Kilavuz telin SVK takilmasi sirasinda kaybolmasi hastaya ciddi zararlar verebilir, ek tetkiklere ve cikarilma islemine gereksinim duyulabilir. YBU'ne aspirasyon pnomonisi, hipoksemik solunum yetmezligi ve bilateral plevral efuzyon tanilariyla kabul edilen, Periferik damar yolu takilamamasindan dolayi SVK ihtiyaci olan, kateterizasyon islemi sirasinda kilavuz telin femoral vende kaldigi fark edilerek, kucuk cerrahi islemle cikartilan 88 yasinda kadin hasta olgusu sunulmustur.Keywords : Yogun bakim unitesi, komplikasyon, santral venoz kateterizasyon For your questions please send message to

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Aortic Injury and Cardiac Tamponade as a Complication of Subclavian Venous Catheterization

Cited by 23 publications

References 8 publications

Comparison of the central venous pressure from internal jugular vein and the pressure measured from the peripherally inserted antecubital central catheter (PICCP) in liver transplantation recipients

Comparison of the central venous pressure from internal jugular vein and the pressure measured from the peripherally inserted antecubital central catheter (PICCP) in liver transplantation recipients

Complication of Right Subclavian Vein Catheterization: Superior Vena Cava Perforation

A Rare Complication in the ICU: Missed Central Venous Guide Wire

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