Extravascular placement of a central venous catheter in the mediastinum

Tilak, Monala; Proctor, Scott M; Donovan, James F.; Fitch, Jane C.K.

doi:10.1053/j.jvca.2003.10.016

Cited by 13 publications

(19 citation statements)

References 11 publications

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“…They reported negative aspiration of blood at the time of catheterization, which they attributed to dehydration. In another study, Tilak and coworkers 6 reported initial malplacement of the catheter in the mediastinum when they cannulated the left internal jugular vein. In their case, the location of the vein was difficult and then the negotiation of guidewire was also difficult.…”

Section: Delayed Massive Hydrothorax Following Subclavian Line Insertionmentioning

confidence: 99%

Delayed Massive Hydrothorax Following Subclavian Catheter Insertion

Aggarwal

Soni²

2015

Critical Care Nursing Quarterly

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Complications of central venous catheter can become life threatening if not managed timely. We present a case of massive hydrothorax that developed few hours after placement of the central venous pressure line. The diagnosis was little delayed because the catheter was normally placed initially and later got displaced within few hours of shifting to the intensive care unit. However, the patient was managed timely. Our case report suggests that the position of the catheter should be checked frequently in the intensive care unit and particularly so after shifting and positioning of the patient and the associated complications should be kept in mind.

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Section: Delayed Massive Hydrothorax Following Subclavian Line Insertionmentioning

confidence: 99%

Delayed Massive Hydrothorax Following Subclavian Catheter Insertion

Aggarwal

Soni²

2015

Critical Care Nursing Quarterly

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“…A venogram with contrast media is the gold standard for confirming the location of a catheter [4].Werecommendthatavenogrambearrangedif extravasation is suspected. Intrathoracic extravasation presenting with hoarseness is rare, but potentially reversible, basedonthepresentobservations.Weemphasizetheimportanceofconsideringallaspectsofapatient'ssymptomatology duringtheinvestigationofanyatypicalsymptoms.…”

Section: Case Reportmentioning

confidence: 99%

Hoarseness: An Unusual Complication of Port-A Catheter Perforation

Wang

Tsai

Chan³

et al. 2012

Onkologie

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Background: A port-A catheter implantation for cancer patients is popular as a route for chemotherapy. Potential complications exist, such as perforation during chemotherapeutic agent infusion, especially when the port-A tip is incorrectly positioned or when it is in long-term use. Case Report: We report on a patient who presented with hoarseness as a result of port-A catheter perforation-related mediastinitis subsequent to chemotherapeutic agent infusion through the catheter. Conclusions: Hoarseness is a rare complication of port-A perforation and extravasation. To avoid perforation, the tip of the catheter should be located in a high-flow vessel, such as the distal superior vena cava rather than higher in the caval vein, to prevent a locally increased concentration of drugs. We also recommend that a venogram be arranged if extravasation is suspected.

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“…[2] A steep angle of more than 40° between the CVC tip and vessel wall is more likely to erode and perforate. [3]…”

Section: Introductionmentioning

confidence: 99%

Optimum depth of central venous catheter - Comparision by pere′s, landmark and endocavitory (atrial) ECG technique: A prospective study

Sharma

Malhotra

et al. 2013

Anesth Essays Res

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Context:Blind insertion of central venous catheter has many implications. Better options should be sought to perform this procedure.Aim:To evaluate various options for positioning central venous catheter tip.Settings and Design:This is institutional based randomized prospective controlled study.Materials and Methods:In this prospective study depth and position of central venous catheter were evaluated in 150 patients in intensive care unit. Three different methods: Pere's, landmark, and endocavitory (atrial) ECG control were used.Statistical Analysis:Twoway ANOVA test was applied on SPSS version 16 to test the significant difference between the three groups.Results:Patient characteristic and demographic data were similar in the three groups. The average depth of central venous catheter by Pere's, landmark, and endocavitory (ECG) technique were 14.20 ± 0.69 cm, 12.08 ± 0.98 cm, and 8.18 ± 0.74 cm, respectively.Conclusion:The correct position of central venous catheter by endocavitory (atrial) ECG appears not only to reduce the procedure related complications but also post procedure manipulation of catheter tip detected by post procedure chest X-ray.

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Extravascular placement of a central venous catheter in the mediastinum

Cited by 13 publications

References 11 publications

Delayed Massive Hydrothorax Following Subclavian Catheter Insertion

Delayed Massive Hydrothorax Following Subclavian Catheter Insertion

Hoarseness: An Unusual Complication of Port-A Catheter Perforation

Optimum depth of central venous catheter - Comparision by pere′s, landmark and endocavitory (atrial) ECG technique: A prospective study

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