Korean J Nephrol.  2000 Jan;19(1):158-162.

Development of ARDS by Hemothorax as a Complication of Subclavian Catheter Insertion

Affiliations
  • 1Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Subclavian catheters were used in the treatment of chronic renal failure patients waiting for the maturation of AV fistula. But, it sometimes causes fatal complications. Of these, massive bleeding into pleural cavity after subclavian vein cannulation is a rather rare but causes very serious complication. Most of patients with hemothorax are successfully treated with conservative treatment(i.e. pleural drainage, maintaining the circulatory volume, treatment of possible coagulopathy) but it sometimes needs surgery. We recently experienced a case of ARDS complicated by hemothorax which was successfully treated with thracooscopic drainage. We reviewed the pathogenesis of ARDS by hemothorax and suggested the guidlines for the treatment of massive hemothorax using video-assisted thoracoscopic surgery.

Keyword

Hemothorax; ARDS; Video-assisted thoracoscopic surgery(VATS)

MeSH Terms

Catheterization
Catheters*
Drainage
Fistula
Hemorrhage
Hemothorax*
Humans
Kidney Failure, Chronic
Pleural Cavity
Subclavian Vein
Thoracic Surgery, Video-Assisted
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