Malpositioning of central venous catheter from right to left subclavian vein: A rare complication

Abstract

Invasive monitoring with central venous catheter (CVC) is a valuable tool now a day in Intensive Care Units and in postoperative hemodynamically unstable patients. It is often employed for administering medications and parenteral nutrition. In most of the instances, these catheters are inserted using proper topographical landmarks and ultrasonography-guided methods. Central venous cannulation is associated now and then with unexpected complications despite the use of all precautions and help of imaging techniques. There is a wide variety of complications related to the central venous cannulation including malpositioning. Malpositioning of the catheter into contralateral subclavian is an extremely unusual event. Here, we report a rare case of malpositioning of CVC from the right to the left subclavian vein also we outline how the misplacement was identified and effectively managed.

Subclavian Vein Cannulation via Supraclavicular or Infraclavicular Route Which is Better? A Prospective Randomized Controlled Trial

“…In our study, we diagnosed 1 patient of group SC and 3 patients of group IC with guidewire misplacement into ipsilateral IJV, during the procedure while scanning nearby vessels like ipsilateral IJV and brachiocephalic veins for confirmation of accurate guidewire position. 25 …”