Korean J Anesthesiol.  2016 Oct;69(5):532-534. 10.4097/kjae.2016.69.5.532.

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

Affiliations
  • 1Department of Anesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences, Bhubaneswar, India. drbhaskar.com@gmail.com
  • 2Department of Anesthesiology, Pondicherry Institute of Medical Sciences, Pondicherry, India.

Abstract

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 due to hindrance by the dialysis catheter. This report describes the hurdles encountered, repeated cannulation attempts, and serial chest X-ray findings required to obtain acceptable placement of the catheter tip.

Keyword

Catheter malposition; Chest X-ray; Dialysis catheter

MeSH Terms

Brachiocephalic Veins
Catheterization
Catheters*
Central Venous Catheters*
Dialysis*
Humans
Intensive Care Units
Jugular Veins
Middle Aged
Renal Dialysis
Shock, Septic
Thorax

Cited by  1 articles

Secondary migration of a pre-existing central venous catheter due to a Swan-Ganz catheter insertion - A case report -
Joonho Cho, Byung Hoon Yoo, Jihwan Park, Yun Hee Lim, In-jung Jun, Kye-min Kim
Anesth Pain Med. 2023;18(1):46-50.    doi: 10.17085/apm.22212.

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