Cardiac tamponade complicating central venous catheter

Chamsi‐Pasha, Hassan; Waldek, S.

doi:10.1136/pgmj.64.750.290

Cited by 8 publications

(6 citation statements)

References 5 publications

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“…Symptoms and signs are usually sudden and include nausea, dyspnoea, retrosternal chest pain, cyanosis, venous engorgement, pulsus paradoxus, and confusion. 5 The most common ®ndings noted by Nasim and colleagues 3 from case reports were hypotension (88%), raised central venous pressure (70%) and a disturbance in cardiac rhythm (67%), mainly tachycardia. However in 29% of these cases death occurred suddenly after`vague premonitory signs', 3 as in the present report.…”

Section: Discussionmentioning

confidence: 95%

Central venous catheterization and fatal cardiac tamponade

Booth

Norton

Mulvey

2001

British Journal of Anaesthesia

111

110

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Cardiac tamponade is a poorly recognized complication of central venous catheterization associated with a high mortality. We present a case of fatal cardiac tamponade after intra- pericardial infusion of total parenteral nutrition in a patient who had two central venous catheters. We suggest that catheter tip position should always be confirmed before use of a catheter. Tamponade should be suspected in a patient who deteriorates when a central venous catheter is used and resuscitation via the catheter should be avoided.

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Section: Discussionmentioning

confidence: 95%

Central venous catheterization and fatal cardiac tamponade

Booth

Norton

Mulvey

2001

British Journal of Anaesthesia

111

110

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“…Insertion approach and site confirmation Catheter position should be checked via x-ray as soon as it is placed and should follow the "Greenall criterion" where the tip should not lie more than 2 cm below an imaginary line that crosses the lower surfaces of the clavicular heads [12,21]. In the case of internal jugular vein approach, the preferred catheter insertion site is as high as possible, while for subclavian approach, it is as lateral as possible [12].…”

Section: Recommendation Descriptionmentioning

confidence: 99%

“…If symptoms and vital signs do not improve, the next step is to remove the central venous catheter and perform pericardiocentesis [ 21 ].…”

Section: Reviewmentioning

confidence: 99%

Iatrogenic Cardiac Tamponade Secondary to Central Venous Catheter Placement: A Literature Review

Alvarez¹,

Bilal²,

Manasrah³

et al. 2023

Cureus

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Cardiac tamponade is the fluid accumulation within the pericardial sac that compresses the heart and decreases cardiac output. More than 20% of the cases are surgical or non-surgical iatrogenic causes. Cardiac tamponade has been described as a rare complication of central venous catheter placement with an incidence in adults as low as less than 1% but with significantly high mortality of more than 60%. The purpose of this article is to review the incidence, clinical manifestations, pathophysiology, diagnosis, and management of cardiac tamponade after central venous catheter placement as well as different methods to prevent this fatal complication from occurring.

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“…[2] Ruptured superior thyroid artery [3] and cardiac tamponade have also been reported. [4] We describe here a case of spinal cord infarction as a consequence of dialysis catheter insertion, a hitherto unrecognized complication.…”

Section: Introductionmentioning

confidence: 95%

Spinal Cord Infarction Following Central-Line Insertion

et al. 2003

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Hemothorax is a recognized complication of central line insertion into the jugular or subclavian vein. We describe a case of hemothorax consequent upon acute dialysis catheter insertion, which resulted in spinal cord infarction and quadriplegia. We postulate that the extensive mediastinal shift induced after insertion of the catheter resulted in stretching of the veins draining the cord with a resultant drop in perfusion pressure and infarction. This case highlights a hitherto unreported complication of this procedure.

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Cardiac tamponade complicating central venous catheter

Abstract: Summary Cardiac tamponade complicating central venous catheters is usually fatal. We present a 23 year old woman who developed cardiac tamponade 12 hours after the insertion of a subclavian line. Early recognition of this complication and urgent pericardiocentesis led to her survival.

Cited by 8 publications

References 5 publications

Central venous catheterization and fatal cardiac tamponade

Central venous catheterization and fatal cardiac tamponade

Iatrogenic Cardiac Tamponade Secondary to Central Venous Catheter Placement: A Literature Review

Spinal Cord Infarction Following Central-Line Insertion

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