Fatal Septic Internal Jugular Vein-Sigmoid Sinus Thrombosis Associated with a Malpositioned Central Venous Catheter

Seung, Won-Bae; Kim, Dae Yong; Kim, Jin Wook; Park, Yong Seok

doi:10.3340/jkns.2013.53.3.183

Cited by 2 publications

(5 citation statements)

References 18 publications

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“…Despite its widespread utilization and apparent procedural simplicity, complications can still arise, some of which can be severe. 10 , 11 , 15 – 17 Traditionally, CVC placements relied on anatomical landmarks for guidance. However, incorporating ultrasound guidance has notably increased the success rate of catheter placements and substantially reduced the relative risk of complications by up to 73%.…”

Section: Discussionmentioning

confidence: 99%

“…However, if the tip is placed too proximally within the subclavian vein, there can be an increased risk of thrombosis and vessel occlusion. 15 …”

Section: Discussionmentioning

confidence: 99%

“…Catheter malposition within the IJV is usually inconsequential; however, rare instances have been associated with severe complications. 10 , 11 , 15 , 23 Trimble and Ivanick 23 reported a case in which a wire had been inadvertently advanced beyond the torcula, extending into the contralateral transverse venous sinus during subclavian central line placement. Other cases involving cannulation of the sigmoid sinus, followed by uncomplicated catheter withdrawal and repositioning, have been reported.…”

Section: Discussionmentioning

confidence: 99%

“… 24 Additionally, Seung et al. 15 reported the case of an infected, malpositioned IJV CVC, resulting in jugular vein–sigmoid sinus thrombosis, ultimately leading to the patient’s death. Shah et al.…”

Section: Discussionmentioning

confidence: 99%

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Angiographic evidence of an inadvertent cannulation of the marginal sinus following central line migration: illustrative case

Amllay,

Owolo,

Nowicki

et al. 2024

Journal of Neurosurgery: Case Lessons

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BACKGROUND Central venous catheters (CVCs) play an indispensable role in clinical practice. Catheter malposition and tip migration can lead to severe complications. The authors present a case illustrating the endovascular management of inadvertent marginal sinus cannulation after an internal jugular vein (IJV) catheter tip migration. OBSERVATIONS A triple-lumen CVC was inserted without complications into the right IJV of a patient undergoing a repeat sternotomy for aortic valve replacement. Two weeks postinsertion, it was discovered that the tip had migrated superiorly, terminating below the torcula in the posterior fossa. In the interventional suite, a three-dimensional venogram confirmed the inadvertent marginal sinus cannulation. The catheter was carefully retracted to the sigmoid sinus to preserve the option of catheter exchange if embolization became necessary. After a subsequent venogram, which displayed an absence of contrast extravasation, the entire catheter was safely removed. The patient tolerated the procedure well. LESSONS Clinicians must be vigilant of catheter tip migration and malposition risks. Relying solely on postinsertion radiographs is insufficient. Once identified, prompt management of the malpositioned catheter is paramount in reducing morbidity and mortality and improving patient outcomes. Removing a malpositioned catheter constitutes a critical step, best performed by a specialized team under angiographic visualization.

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Section: Discussionmentioning

confidence: 99%

“…However, if the tip is placed too proximally within the subclavian vein, there can be an increased risk of thrombosis and vessel occlusion. 15 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Angiographic evidence of an inadvertent cannulation of the marginal sinus following central line migration: illustrative case

Amllay,

Owolo,

Nowicki

et al. 2024

Journal of Neurosurgery: Case Lessons

View full text Add to dashboard Cite

show abstract

“…Tromboz etiyolojisine yönelik yapılan tetkiklerinde hastamızın geçirilmiş otite bağlı mastoidit ve sonrasında ona bağlı SVT atağı geçirdiği kabul edildi. Literatüre baktığımızda septik SVT'lerin baş ve boyun enfeksiyonları (otitis media, mastoidit, sinüzit) sonucunda oluştuğunu ve bütün SVT'lerin %18'inin bu grupta olduğunu görüyoruz 11,12 .…”

Section: Olgu Sunumuunclassified

A Case of Cerebral Venous Thrombosis Complaining Headache Without Any Neurological Sign

Özdemir¹,

Karavaizoğlu²,

Menekşe³

2015

Sakarya Med J

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ÖzetSerebral venöz tromboz klinik semptom ve bulgularının çeşitliliği nedeniyle başlangıçta tanı konulması zor olan bir hastalıktır. Yaklaşık % 30 olguda neden tespit edilemez. Klinik spektrum, izole baş ağrısından fokal defisit, nöbet ve komaya kadar değişebilir. Beynin magnetik rezonans görüntüleme (MRG) ve venografisi, ilk tercih edilecek görüntüleme yöntemleridir. Sadece hastaları bilgisayarlı tomografi (BT) çekerek değerlendirmek, vakaların atlanmasına neden olabilir. Burada 12 yaşında yaklaşık 3 haftadır baş ağrısı nedeniyle birden fazla dış merkez tarafından değerlendirilen ve beyin görüntülemelerinde patoloji bulunamayan bir hasta, beyin MRG'sinin kliniğimizde tekrar değerlendirilmesinde serebral venöz tromboz saptanması nedeniyle sunulmaktadır. Hastalığın klinik seyrinin değişken olması ve nonspesifik bulgularla başvurulabileceğinden tanı koymada güçlük yaşanabileceği unutulmamalıdır. (Sakarya Med J 2015, 5(4):215-219) Anahtar Kelimeler: Serebral venöz tromboz, baş ağrısı, çocuk, nöroradyolojik görüntüleme AbstractCerebral venous thrombosis is difficult to diagnose due to variety of clinical symptoms and signs in the beginning of the disease. Approximately 30% of the etiological reasons are still unknown. Clinical spectrum of the disease varies from isolated headache to focal deficit, seizure and even coma. Magnetic resonance imaging (MRI) and venography of brain are firstly preferred among the imaging techniques. Solely computed tomography (CT) imaging of brain might overlook the diagnosis of the case. Here, 12-year-old patient complaining headache for the last 3 weeks whom was evaluated by a few outside hospitals which could not find any pathology in brain images radiologically is presented; since he was diagnosed by cerebral venous thrombosis when re-evaluated by our radiology staff. The diagnosis of cerebral venous thrombosis might be missed and problematic when brain MRI and CT are evaluated by inexperienced medical personnel. (Sakarya Med J 2015, 5(4):215-219)

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Fatal Septic Internal Jugular Vein-Sigmoid Sinus Thrombosis Associated with a Malpositioned Central Venous Catheter

Cited by 2 publications

References 18 publications

Angiographic evidence of an inadvertent cannulation of the marginal sinus following central line migration: illustrative case

Angiographic evidence of an inadvertent cannulation of the marginal sinus following central line migration: illustrative case

A Case of Cerebral Venous Thrombosis Complaining Headache Without Any Neurological Sign

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