Korean J Anesthesiol.  2001 Apr;40(4):539-542. 10.4097/kjae.2001.40.4.539.

Malposition of a Subclavian Catheter in the Internal Jugular Vein Due to the Direction of a J-type Guidewire End

• Jeon YT
• Oh YS
• Bahk JH

• KMID: 2091607
• DOI: http://doi.org/10.4097/kjae.2001.40.4.539

Abstract

A central venous catheter is inserted through the subclavian vein for the purpose of administration of fluids and drugs, and the monitoring of the central venous pressure. Central venous catheterization is associated with complications that may occur during the insertion of the catheter or owing to the aberrant location of its tip. A malpositioned catheter can result in faulty central venous pressure reading or lead to thrombosis of the vein. Many attempts have been made to correctly place a central venous catheter into the superior vena cava. We report a case where the cephalad direction of the flexible end of a J type guidewire was related to the guidewire advancing into the internal jugular vein.

Keyword

Anatomy: vein; subclavian; Equipment: catheter; central venous; guidewire

MeSH Terms

Catheterization, Central Venous
Catheters*
Central Venous Catheters
Central Venous Pressure
Jugular Veins*
Subclavian Vein
Thrombosis
Veins
Vena Cava, Superior