Cardiac tamponade: a rare complication of central venous catheter – a clinical case report

Azevedo, Ana Catarina; Lima, Isabel Flor de; Brito, Vânia; Centeno, Maria João; Fernandes, Antero

doi:10.1016/j.bjane.2015.04.005

Cited by 5 publications

(10 citation statements)

References 19 publications

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“…Chemical injuries and catheter migration are possible mechanisms. 7 , 8 , 9 In most adult patients, the current recommendation for inserting a central venous catheter via the subclavian or jugular veins is 20 cm for the left side and 16 cm for the right side. Other critical considerations include: The kind and size of the catheter, The catheter's angle concerning the vascular wall, The osmolarity of the fluid being infused, and Anatomical differences.…”

Section: Discussionmentioning

confidence: 99%

“…As the catheter or dilator is advanced, the wire begins to “bend” and push against the vessel wall, potentially generating a linear laceration that is significantly greater (and potentially fatal) than a simple puncture. Chemical injuries and catheter migration are possible mechanisms 7–9 . In most adult patients, the current recommendation for inserting a central venous catheter via the subclavian or jugular veins is 20 cm for the left side and 16 cm for the right side.…”

Section: Discussionmentioning

confidence: 99%

“…Chemical injuries and catheter migration are possible mechanisms. [7][8][9] In most adult patients, the current recommendation for inserting a central venous catheter via the subclavian or jugular veins is 20 cm for the left side and 16 cm for the right side. Other critical considerations include:…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Potentially fatal atrium perforation due to right jugular vein catheterization recognized by venography: A case report

Jahanshahi

Nasri

Naderi

et al. 2023

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Potentially fatal atrium perforation due to right jugular vein catheterization recognized by venography: A case report

Jahanshahi

Nasri

Naderi

et al. 2023

Clinical Case Reports

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“…Few case reports of cardiac tamponade are described in literature. [11,12] We try to negotiate the guidewire into the IVC , as a confirmation that we are completely intravascular and not in pericardium. Then we proceed with track dilatation.…”

Section: Discussionmentioning

confidence: 99%

Basics of Tunneled Dialysis Catheter Placement for Haemodialysis – Single Centre Experience

Eada

Reddy²,

Vijay

et al. 2020

AJMRR

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/non tunneled dialysis catheters or through arteriovenous fistulas/grafts. The tunneled dialysis catheters act as bridge dialysis devices during maturation period of arteriovenous fistulas/grafts and also serve as the last option for end stage renal disease patients who have exhausted all the other dialysis accesses. The aim and objective is to review the basic key concepts of internal Jugular, External Jugular and Subclavian tunneled venous catheter placement, techniques utilized, complications encountered, issues of suboptimal functioning and their management. Subjects and Methods: This was a prospective observational study done in department of Radio diagnosis, Narayana medical college, Nellore. About 54 cases were performed in our institution from December 2018 to Mar 2020 (including three pediatric patients). The age range of these patients is 10 to 75 years. Results: Out of 54 cases, one case had failed, as the guide wire didn’t pass across the brachiocephalic vein. Venogram revealed high grade stenosis of right brachiocephalic vein. There were major complications in two cases, minor complications in five cases with delayed complications in two cases. Conclusion: Tunneled catheters play a key role in serving as bridging devices during maturation of AVF/AVG or as the last option in chronic kidney disease patients in whom all other options have exhausted. Intervention radiologist should have good experience and an overall knowledge of the issues involved in placement of tunneled dialysis catheters, knowledge about the complications, technical issues of suboptimal functioning, for optimal catheter placement and also for improving catheter function.

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“…Point-of-care ultrasound Point-of-care ultrasound-guided central venous catheter insertion has proved to decrease the risk of cardiac complications [9,11].…”

Section: Guidewire Placement Techniquementioning

confidence: 99%

Iatrogenic Cardiac Tamponade Secondary to Central Venous Catheter Placement: A Literature Review

Alvarez¹,

Bilal²,

Manasrah³

et al. 2023

Cureus

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Cardiac tamponade is the fluid accumulation within the pericardial sac that compresses the heart and decreases cardiac output. More than 20% of the cases are surgical or non-surgical iatrogenic causes. Cardiac tamponade has been described as a rare complication of central venous catheter placement with an incidence in adults as low as less than 1% but with significantly high mortality of more than 60%. The purpose of this article is to review the incidence, clinical manifestations, pathophysiology, diagnosis, and management of cardiac tamponade after central venous catheter placement as well as different methods to prevent this fatal complication from occurring.

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Cardiac tamponade: a rare complication of central venous catheter – a clinical case report

Cited by 5 publications

References 19 publications

Potentially fatal atrium perforation due to right jugular vein catheterization recognized by venography: A case report

Potentially fatal atrium perforation due to right jugular vein catheterization recognized by venography: A case report

Basics of Tunneled Dialysis Catheter Placement for Haemodialysis – Single Centre Experience

Iatrogenic Cardiac Tamponade Secondary to Central Venous Catheter Placement: A Literature Review

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