Early-onset Thrombosis of Internal Jugular Vein Associated with Introducer Catheter for Heart Catheterization in Cardiac Surgery

Abstract

The presence of an introducer catheter for SGC, even for a short time, is associated with a high incidence of early-onset CRT. This incidence is significantly related to the catheter tip being positioned in the brachiocephalic vein and to its use as a central venous access.

If it looks like a catheter and winds like a catheter . . . fibroblastic sheath mimicking a central venous catheter fragment: A case report

“…Ultrasound imaging might certainly have been helpful in this case; 7 however, chiefly because of time constraints, we do not routinely scan our patients upon removal. Moreover, the suspected retained catheter was found incidentally in the cardiac catheterization lab, where practitioners do not routinely manage long-term vascular access devices.…”

Ultrasonographically detected central venous catheter-related thrombosis in patient undergoing anticoagulation therapy during anesthetic induction

“…The velocity of blood flow is slow while maintaining the CVC in the vessel lumen, leading to stasis. In addition, synthetic materials used to construct CVC and infused drugs through the catheter that irritant the vessel wall might activate coagulation [11]. CRT most commonly occurs in upper extremities when catheters are kept for a long time [12].…”

“…However, because embolic events can be associated with high morbidity and mortality even though incidence is low, the To reduce the incidence of thrombosis, the end of the catheter should be located in a brachiocephalic vein, or in the upper third of the SVC. And insertion of catheter should be performed carefully to minimize vascular injury [11]. In addition, the life span of the CVC should be kept as short as possible.…”

“…Ultrasonography shows direct visualization of thrombus and color doppler represents blood flow around thrombus [11].…”

Percutaneous placement of large cannula into the internal jugular vein for minimally invasive surgery: Where do we go?

“…5 Most of these studies did not include cardiac surgical patients or catheters larger than 7.5F. Fabiani and colleagues 6 performed Doppler ultrasound (DUS) on 116 patients undergoing cardiac surgery before insertion and after removal of 8F to 9.5F introducer sheaths. The incidence of RIJV thrombus was 26.4% despite the average catheter duration of only 3.9 AE 2 days.…”