Accidental placement of central venous catheter tip into internal mammary vein

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Accidental Placement of Central Venous Catheter into Internal Mammary Vein: A Rare Catheter Malposition

477 The Editor, Central venous catheterization plays important roles in cardiac surgery. Although a relatively safe procedure, it is associated with multiple complications. Malposition of the catheter tip is one of them. This report presents a rare malposition of a catheter into left internal mammary vein (IMV). It also emphasizes the need for routine use of ultrasound to minimize such complica...

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Can we predict the Position of Central Venous Catheter Tip Following Cannulation of Internal Jugular Vein?

Materials and Method: This is a prospective observational study involving 154 patients. Following placement of internal jugular vein (IJV) catheter the distal port was flushed with 10ml saline over a period of 3 seconds and observed simultaneously for the time of onset of bubbles in the RA using transthoracic echocardiography (4 chamber view). Results: In 119 patients the bubbling during saline...

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Unusual Placement of a Central Venous Catheter: Left Pericardiophrenic Vein

A 62-year-old man presented to the emergency department with hypotension and diarrhea secondary to Clostridium difficile infection. Due to poor peripheral access, a left internal jugular vein triple lumen central venous catheter (CVC) was inserted for fluid resuscitation. The CVC was placed under real-time ultrasound guidance, which revealed normal anatomy, with no resistance during placement. ...

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Therapeutic embolization of an internal mammary artery damaged by placement of a central venous catheter.

We describe the embolization of a left internal mammary artery damaged by left internal jugular venous catheterization. Because potentially serious complications can occur with a blind approach for central venous catheterization, portable ultrasound machines should be used more often to ensure correct placement of the catheter.

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A 37 year old female diagnosed as a case of acute myeloid leukemia (AML) underwent allogenic stem cell transplant. A 12.5 French triple lumen Hickman's catheter was inserted via right internal jugular vein under fluoroscopic guidance. Post insertion X-ray confirmed desired position of the catheter tip (Fig. 1). Two days post insertion she developed mild pain in the nape of neck which increased ...

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ژورنال

عنوان ژورنال: Indian Journal of Critical Care Medicine

سال: 2015

ISSN: 0972-5229,1998-359X

DOI: 10.4103/0972-5229.158290