Pericardial tamponade as a delayed lethal complication of central venous catheterization

Yavaşçaoğlu, Belgin; Yılmazlar, Aysun; Korfalı, Gülşen; Şenkaya, İşık

doi:10.1046/j.1365-2346.2001.0867e.x

Cited by 4 publications

(8 citation statements)

References 12 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A number of complications have been described in association with CVC misplacement, including arterial puncture, pneumothorax, hemothorax, cardiac dysrhythmia, Horner's syndrome, brachial plexus lesion, laceration of a vertebral artery, thoracic duct lesion, air embolism and tracheal laceration (4). Several risk factors inherent to CVC insertion have been identified (2–6) such as the venous route selected, the position and movement of the catheter tip with postural changes, the angle of the tip against the vessel or cardiac walls and the material used for catheters and insertion guidewires. The potential danger of incorrect catheter tip position seems to be particularly related to its movement during changes in arm, neck or head position and after changing to the decubitus.…”

Section: Discussionmentioning

confidence: 99%

“…The main diagnostic test in CT is echocardiography (2–5, 7, 12, 13), which detects the pericardial effusion and determines cardiac dynamics. The differential diagnosis is between cardiac or pulmonary etiologies.…”

Section: Discussionmentioning

confidence: 99%

“…The only effective treatment for this condition is drainage of the effusion (2–5, 7, 12, 13). Echocardiography should be performed before pericardiocentesis except in life‐threatening situations or high clinical suspicion (13).…”

Section: Discussionmentioning

confidence: 99%

“…The iatrogenic causes of cardiac tamponade (CT) include, by frequency, cardiac surgery, coronary artery catheterization and central venous catheter (CVC) placement (1). Malposition of a CVC has an overall incidence of 1–6% (2). Because of the severity of this clinical condition, it is essential to recognize the signs of CT, which if not diagnosed and treated, has a fatal outcome in the majority of cases (2–5).…”

mentioning

confidence: 99%

“…Malposition of a CVC has an overall incidence of 1–6% (2). Because of the severity of this clinical condition, it is essential to recognize the signs of CT, which if not diagnosed and treated, has a fatal outcome in the majority of cases (2–5).…”

mentioning

confidence: 99%

See 4 more Smart Citations

Cardiac tamponade associated with a peripheral vein central venous catheter

Godet¹,

Pellisé

González-P³

et al. 2005

Pediatric Anesthesia

View full text Add to dashboard Cite

SummaryWe present a case of cardiac tamponade associated with placement of a central venous catheter (CVC) via a peripheral vein in a 14-year-old girl with idiopathic scoliosis undergoing corrective surgery. A number of complications have been described in association with CVC misplacement. Sporadic cases of cardiac tamponade from this have been reported, but the actual incidence is unknown. Death from cardiac tamponade attributed to CVCs ranges from 65 to 100%. In our patient, cannulation of the pericardiophrenic vein was probably the cause of cardiac tamponade, based on radiological evidence that the initial location of the catheter was near the right atrium and possibly at the outlet of the pericardiophrenic vein. The catheter could have advanced into the vein and then to the pericardial sac with postural changes. The acute clinical course of cardiac tamponade in our patient had potentially lethal hemodynamic repercussions. The main diagnostic test for this condition is echocardiography and the only effective treatment is drainage of the pericardial effusion. Echocardiography should be performed before pericardiocentesis except in life-threatening situations or high clinical suspicion. Although they are rare, it is important to be aware of the potential for CVC complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%