Late Complications of Catheterisation for Intravenous Nutrition

Guest, J.; Leiberman, D. P.

doi:10.1016/s0140-6736(76)90642-5

Cited by 13 publications

(1 citation statement)

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“…The catheter has a rounded end and is sofe which should help it negotiate convolutions in the vein and the junction of the external jugular and subclavian veins and decrease the risk of venous or cardiac perforation. 8 The flexibility of the catheter allows it to kink when the tip is arrested by an unfavourable configuration of the vein, either at the cervical fascia, the jugulosubclavian junction, or at the entrance of tributaries. Further lengths of catheter introduced may form a series of flattened coils and during withdrawal these coils can become progressively tightened until kinking occurs.…”

Section: Discussionmentioning

confidence: 99%

Difficult Removal of External Jugular Vein Catheters

1981

Anaesth Intensive Care

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Section: Discussionmentioning

confidence: 99%

Difficult Removal of External Jugular Vein Catheters

1981

Anaesth Intensive Care

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Iatrogenic cardiac tamponade after central venous catheter

Chabanier

Dany

Brutus

et al. 1988

Clinical Cardiology

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Summary:Myocardial perforations with a central venous catheter are m in adults (67 cases published since 1968). These accidents are fatal in more than two-thirds of the cases owing to confusion caused by misleading symptoms which suggest pulmonary embolism. The perforation is generally localized in the right atrium (29 cases), less frequently in the right ventricle (1 8 cases). The superior vena cava is rarely affected (3 cases). The site of the perforation was not found in the other published cases. Clinical symptoms are signs of tamponade with disorders of cardiac hythm. An enlargement of the cardiac shadow and an abnormal position of the catheter, buckled or openly intrapericardial, make the diagnosis radiologically.Echocardiography provides some information, but this is often too late for practical application. The diagnosis is made with right catheterization when it shows an equalization of the diastolic pressures. This allows the patient to be watched closely following the pericardial tap, after which a surgical approach may be indicated and perfonned. Prevention of these iatrogenic accidents must be systematic and strictly controlled for.

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