Malposition of Subclavian Venous Catheter Leading to Chest Complications

Kumar, Madhur; Singh, Akash Ranjan; Sidhu, Kuldeep Singh; Kaur, Amandeep

doi:10.7860/jcdr/2016/19399.7860

Cited by 6 publications

(5 citation statements)

References 14 publications

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“…8 Leang et al and Kumar et al reported misplaced catheter in the pleural space. 9,10 Author could not find any case report of mediastinal placement of feeding tube through basilic vein.…”

Section: Discussionmentioning

confidence: 98%

Mediastinal malposition of catheter after venous cut down

Nasir

Gupta

et al. 2018

Int Surg J

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Central venous catheterization is one of the very essential tool of modern intensive care. Apart from monitoring the critically ill patient, it helps in administration of antibiotics, parenteral nutrition, chemotherapy, fluids and drug delivery. Peripheral inserted central catheter (PICC) by surgically isolating basilic vein or venous cut down, is considered one of the safe technique to access central veins. The advantage of this procedure is that traumatic complications like pneumothorax, hemothorax and arterial puncture are less as compared to directly placing central catheters. Malposition (intracaval or extracaval) is one of the commonly encountered complication associated with central venous catheterization. Extracaval is rarely encountered and there are isolated case reports in the literature where catheter tip is found outside the central vein into the surrounding structures. Knowledge of such complications is important else these remain unrecognized resulting in delayed treatment and poor outcome. Here, we report a unique case, wherein tip of infant feeding tube inserted from basilic vein was found in anterior mediastinum resulting bilateral hemothorax and pleural effusion.

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“…8 Leang et al and Kumar et al reported misplaced catheter in the pleural space. 9,10 Author could not find any case report of mediastinal placement of feeding tube through basilic vein.…”

Section: Discussionmentioning

confidence: 98%

Mediastinal malposition of catheter after venous cut down

Nasir

Gupta

et al. 2018

Int Surg J

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“…Previous case studies have described the misplacement of central venous catheters or hemodialysis catheter into the azygous vein [8], accessory hemiazygous vein [9], brachiocephalic vein, subclavian vein [10], brachiocephalic artery [11], mediastinum [12], pleural space [13], left atrium [14] and pericardium [15].…”

Section: Introductionmentioning

confidence: 99%

Central Migration of Tunneled Dialysis Catheter into Right Ventricle causing Positional Superior Vena Cava Obstruction: A Case Report

Sharif¹

2020

AUN

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Tunneled dialysis catheters placement under real-time ultrasound guidance using the internal jugular route is considered to be a relatively simple and straightforward procedure, though its insertion and maintenance are not entirely risk-free. A literature search is full of reports describing various complications dialysis catheters placement; however, a central displacement of the catheter months after insertion is not described in the past. This case report highlights a case of the central migration of tunneled dialysis catheters and emphasizes the importance of close monitoring of the position of these catheters.

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“…, 3 Other complications include hydrothorax, hemothorax, chylothorax, extravasation of infusate, cardiac tamponade, mediastinal hemorrhage, and malpositioning of the catheter 13 Catheter malpositioning can cause malfunction and can also lead to other complications, like jugular or subclavian retrograde infusion and the other complications mentioned above, e.g. mediastinal or pleural bleeding.…”

Section: Introductionmentioning

confidence: 99%

Inadvertent insertion of a venous catheter into the internal thoracic vein: a word of caution

et al. 2019

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Central venous catheters are widely used in clinical practice and are linked to many types of complications, including incorrect positioning at the time the catheter is fitted. Here, the authors describe a case in which a fully implantable catheter was inadvertently positioned in the right internal thoracic vein. The complication was identified when the nursing team attempted to use the catheter. The right internal thoracic vein is within the radiographic projection of the right brachiocephalic vein and the superior vena cava, simulating correct catheter placement on an anteroposterior radiograph. In cases of central catheter malfunction during the immediate postoperative period, work-up should include oblique and lateral views, to rule out the complication described here without a need for computed tomography.

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Malposition of Subclavian Venous Catheter Leading to Chest Complications

Cited by 6 publications

References 14 publications

Mediastinal malposition of catheter after venous cut down

Mediastinal malposition of catheter after venous cut down

Central Migration of Tunneled Dialysis Catheter into Right Ventricle causing Positional Superior Vena Cava Obstruction: A Case Report

Inadvertent insertion of a venous catheter into the internal thoracic vein: a word of caution

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