Malposition of central venous dialysis catheter in the right internal mammary vein in uremic patient: case report.

نویسندگان

  • Sanja Sakan
  • Nikolina Basić-Jukić
  • Petar Kes
  • Ranka Stern-Padovan
  • Mladen Perić
چکیده

A 68-year-old Caucasian woman was admitted to the Department for construction of vascular access for dialysis after thrombosis of arteriovenous fistula. Temporary dialysis catheter was inserted in the left internal jugular vein while she had permanent pacemaker implanted on the right thoracic side. The patient signalized pain in the left breast. Postprocedural chest x-ray revealed that the catheter was malpositioned in the right internal mammary vein. The catheter was immediately pulled out and temporary catheter was inserted in the left femoral vein. Malposition of central venous catheter into small tributaries of central vein is a rare complication which can be hazardous and needs to be quickly recognized.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A catheter malpositioned patient with pain and paresthesia

We report a 54-year-old woman with the history of end-stage renal disease (ESRD) who was admitted to our hospital because of volume overload. Due to long-term use of peripheral veins and arteriovenous fistula (AVF) failure, central venous catheterization was the only choice for hemodialysis. She developed right upper extremiti’s pain and paresis during hemodialysis. A posteroanterior chest x-ra...

متن کامل

Central venous catheter malposition due to dialysis catheter: a case report

A 56-year-old man on maintenance hemodialysis was admitted to the intensive care unit with septic shock and coagulopathy. As there was a dialysis catheter in the right internal jugular vein, the left internal jugular vein was cannulated with a central venous catheter to initiate vasopressor therapy. A chest X-ray showed formation of a catheter loop inside the left brachiocephalic vein, probably...

متن کامل

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...

متن کامل

A Rare Central Venous Catheter Malposition: A Case Report

INTRODUCTION Central venous catheter placement is a routine procedure for the management of critically ill patients; however, it is important to ensure its proper placement. A central venous catheter malposition may cause various complications, some of which can be fatal. CASE PRESENTATION We report an unexpected malposition of a catheter in the left internal jugular vein, where it entered in...

متن کامل

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

BACKGROUND A 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 PRESENTATION A 56-year-old Japanese woman who presented with severe pneumonia secon...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Acta clinica Croatica

دوره 50 4  شماره 

صفحات  -

تاریخ انتشار 2011