Inferior Petrosal Sinus Thrombosis in a Child due to Malposition of Central Venous Catheter: A Case Report

Akıncı, Burcu; Duyu, Muhterem; Alkılıç, Liya; Karapınar, Deniz Yılmaz; Karapınar, Bülent

doi:10.1159/000484637

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Reports of PAC placement toward the cephalad direction are limited, but there have been reports of central venous catheters bent upward in the RIJV [ 21 , 22 ]. Catheter misplacement in the cephalad direction can lead to serious complications, including thrombosis and hemorrhage [ 23 ]. Early recognition and withdrawal of the PAC in our patient led to hospital discharge without complications.…”

Section: Discussionmentioning

confidence: 99%

Cephalad misplacement of a pulmonary artery catheter in a patient with a preexisting Hickman catheter

et al. 2021

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Background Pulmonary artery catheter insertion is a routine practice in high-risk patients undergoing cardiac surgery. However, pulmonary artery catheter insertion is associated with numerous complications that can be devastating to the patient. Incorrect placement is an overlooked complication with few case reports to date. Case presentation An 18-year-old male patient underwent elective mitral valve replacement due to severe mitral valve regurgitation. The patient had a history of synovial sarcoma, and Hickman catheter had been inserted in the right internal jugular vein for systemic chemotherapy. We made multiple attempts to position the pulmonary artery catheter in the correct position but failed. A chest radiography revealed that the pulmonary artery catheter was bent and pointed in the cephalad direction. Removal of the pulmonary artery catheter was successful, and the patient was discharged 10 days after the surgery without complications. Conclusions To prevent misplacement of the PAC, clinicians should be aware of multiple risk factors in difficult PAC placement, and be prepared to utilize adjunctive methods, such as TEE and fluoroscopy.

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Section: Discussionmentioning

confidence: 99%

Cephalad misplacement of a pulmonary artery catheter in a patient with a preexisting Hickman catheter

et al. 2021

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“…Misplaced Central venous cannulation is a common complication faced by anesthesiologist all over the world. Central venous catheter(CVC) have been found to be misplaced in normal or rarely anomalous structures (1)(2)(3)(4). The various sites of CVC malpostion and their clinical features are: carotid artery ( hypotension and hemorrhagic shock); azygos vein ( pleural effusion, pulmonary edema, dyspnea, chest pain, back pain, and cardiac tamponade); persistent leftsided superior vena cava (cardiac tamponade); internal mammary vein ( shoulder or arm pain); vertebral vein ( thrombosis, endothelial damage, and fluid leakage); extradural space (severe back pain); pericardium (hemopericardium, fatal ventricular fibrillation), pleural space (dyspnea, pneumothorax, chest pain, and back pain); mediastinum (Chest pain); thoracic duct(infusion mediastinum and chylothorax) (5).…”

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confidence: 99%