Internal mammary artery injury following subclavian vein catheterization

Hama, Yukihiro; Kaji, Tatsuru; Fujii, Manabu; Kosuda, Shigeru

doi:10.1007/s10140-004-0388-6

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…Similar complications have been described regarding attempts at cannulation of the internal jugular vein (4) and the subclavian vein (5,6). There are also reports of fatal hemothoraces related to CVC placement (1,2), in which the source of bleeding was not described, probably because of the difficulties in performing diagnostic or therapeutic procedures owing to the rapid sequence of adverse events.…”

Section: Discussionmentioning

confidence: 75%

Internal mammary artery injury after central venous catheterization

Eulmesekian

Pérez²,

Minces³

et al. 2007

Pediatric Critical Care Medicine

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Central venous catheter placement in the intrathoracic vein may cause potentially lethal complications in the form of an injury to the internal mammary artery. Hypotension during or immediately after the procedure should be a warning of a serious adverse event, such as massive hemothorax, that may compromise life. Adequate drainage of the pleural cavity may not completely relieve vascular compression if some of the bleeding from an injured internal mammary artery is extrapleural. Early diagnosis and treatment by selective embolization of the injured vessel in interventional radiology is the first therapeutic choice and may be life saving.

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Section: Discussionmentioning

confidence: 75%

Internal mammary artery injury after central venous catheterization

Eulmesekian

Pérez²,

Minces³

et al. 2007

Pediatric Critical Care Medicine

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“…In various places, particularly in less developed countries, many patients receive dialysis through this catheter throughout their arterio-venous fistula maturation period [ 11 ]. The catheter insertion and dilatation procedure may sometimes lead to grave complications like hematoma, pneumothorax, subcutaneous emphysema, thoracic duct injury, arterial puncture, hemothorax, pericardial tamponade, mediastinal hematoma, and catheter-induced infection [ 12 , 13 ]. Hemothorax, in most published reports, resulted from arterial injury and rarely from venous injury by needle or catheter [ 2 , 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…The catheter insertion and dilatation procedure may sometimes lead to grave complications like hematoma, pneumothorax, subcutaneous emphysema, thoracic duct injury, arterial puncture, hemothorax, pericardial tamponade, mediastinal hematoma, and catheter-induced infection [ 12 , 13 ]. Hemothorax, in most published reports, resulted from arterial injury and rarely from venous injury by needle or catheter [ 2 , 12 , 13 ]. It can very rarely occur from dilator injury [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Brachiocephalic Vein Injury Leading to Massive Hemothorax Following the Insertion of a Tunneled Dialysis Catheter Requiring Surgical Intervention for Repair: Report of a Rare Case

Parvez¹,

DasGupta²,

Hoque³

et al. 2022

Cureus

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Dialysis catheters are commonly used tools for patients requiring hemodialysis. A dilator with a large caliber is used to insert such a catheter, which in turn can result in serious vascular injury leading to rare complications like hemothorax. Common treatment options for such vascular injuries comprise surgical repair by thoracotomy or video-assisted thoracoscopic surgery (VATS) and endovascular repair. We herein report a case of a brachiocephalic vein injury and massive right-sided hemothorax following the insertion of a tunneled dialysis catheter in the right internal jugular vein, treated successfully by our team at Square Hospitals Ltd.

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“…There have been a number of previous reports of CVC malpositioning in the internal mammary vein [ 4 – 8 ]. However, IMA malpositioning is extremely rare with only a few reports of this complication, all involving an inadvertent puncture of IMA [ 9 – 11 ]. Puncture of IMA may induce mediastinal or pleural hematoma, pseudoaneurysm, or arteriovenous fistula.…”

Section: Discussionmentioning

confidence: 99%

Rare central venous catheter malposition – an ultrasound-guided approach would be helpful: a case report

et al. 2016

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BackgroundA central venous catheter enables the measurement of hemodynamic variations, such as accurate central venous pressure; catheter malposition may induce potentially fatal complications. This case report describes a rare central venous catheter tip malposition in the right internal mammary artery.Case presentationA 56-year-old Japanese woman who presented with severe pneumonia secondary to scleroderma was treated under ventilator support because of acute respiratory failure. A right central venous catheter was inserted using a landmark technique to monitor central venous pressure and administer medications. However, central venous waveforms detected by the catheter using a pressure lot transducer were later found to be absent. Further imaging studies, including plain radiography, computed tomography, and angiography, confirmed central venous catheter malposition in the internal mammary artery. Her right internal mammary artery was embolized using two interlocking detachable coils, and the central venous catheter was removed from her internal mammary artery without further complications.ConclusionsInternal mammary artery malposition is a rare but potentially lethal complication of central venous catheter catheterization; however, caution should be taken regarding the assessment of risk factors and management of a severe complication. An ultrasound-guided approach would be helpful.

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Internal mammary artery injury following subclavian vein catheterization

Cited by 6 publications

References 10 publications

Internal mammary artery injury after central venous catheterization

Internal mammary artery injury after central venous catheterization

Brachiocephalic Vein Injury Leading to Massive Hemothorax Following the Insertion of a Tunneled Dialysis Catheter Requiring Surgical Intervention for Repair: Report of a Rare Case

Rare central venous catheter malposition – an ultrasound-guided approach would be helpful: a case report

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