Perforation by Central Venous Catheters: A New Testament to an Old Test

Malenka, David J.; Ross, Jonathan M.

doi:10.1177/0148607189013003309

Cited by 9 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The insertion of CVCs carries with it the risk of migration outside the vein. There have been numerous reports in the literature of catheter tip migration into the pleural and peritoneal cavities (3–6), and into the pericardial cavity (3,7,8). The consequences can be serious and potentially life threatening.…”

Section: Discussionmentioning

confidence: 99%

An unusual complication of a central venous catheter in a neonate

Cupitt

2000

Pediatric Anesthesia

View full text Add to dashboard Cite

The use of central venous catheters in neonates is associated with early and late complications. It is recognized that catheter tip migration and perforation of a viscus can occur at any time with a potentially fatal outcome. We present a case in which the successful placement of a central line was followed 2 weeks later by a sudden respiratory deterioration necessitating intubation and ventilation. The catheter tip had eroded through the wall of a pulmonary artery and a bronchus into the bronchial tree. The report highlights the serious morbidity arising from the use of central venous lines in neonates and stresses the importance of X-rays in establishing the correct position of all catheters. A sudden change in the condition of a patient should raise the suspicion of a catheter-related problem.

show abstract

Section: Discussionmentioning

confidence: 99%

An unusual complication of a central venous catheter in a neonate

Cupitt

2000

Pediatric Anesthesia

View full text Add to dashboard Cite

show abstract

“…If free flow is not obtained either the catheter may be kinked or the tip may be adjacent to the vessel wall. Inability to aspirate blood from the lumens supports the possibility of erosion or perforation [ 8 ], however, free flow in the lumens does not exclude the diagnosis [ 9 ]. Chest X-ray should be done to confirm the line position and the tip should overlie the shadow of the SVC and should not lie in close proximity to the vessel wall.…”

Section: Discussionmentioning

confidence: 99%

Rare complication of a dialysis catheter insertion

Balasubramanian

Gupta

Nicholls

et al. 2014

Clinical Kidney Journal

View full text Add to dashboard Cite

Insertion of a dialysis catheter is a very common procedure in renal medicine, which is associated with one or more complications in ∼15% of patients. Central venous catheter vascular erosion is a rare but serious complication, the incidence appears to be between 0.4 and 1% which can be difficult to diagnose, leading to increased morbidity and mortality. We report a case of a persistent left-sided superior vena cava (PLSVC) and a possible central venous catheter vascular erosion following insertion of a left-sided internal jugular dialysis catheter. We discuss the mechanisms, diagnosis and measures to limit vascular erosion and also briefly discuss PLSVC.

show abstract

“…This complication occurred in eight (2.3%) of our patients within the first three weeks of catheterization. Although the incidence is low, it can initiate a life-threatening event (Conces & Holden 1984;Melenka & Ross 1989). Catheter related thrombus formation has been reported in 2% to 22% (Metha et al 1992).…”

Section: Discussionmentioning

confidence: 99%

Central venous catheters in neonates less than 3500 g—results of a prospective study

Schimpl

Weber

Pfleger

et al. 1994

Pediatric Anesthesia

View full text Add to dashboard Cite

In this prospective study we analysed 336 consecutive central venous catheters in neonates less than 3500 g. A protocol standardizing the technique of insertion, the care of the catheter, the preparation of solutions and weekly bacteriological screening was applied to all catheter insertions. Mechanical complications were observed in 15 (6%), catheter dislodgement (5%), obstruction (8%), perforation (2%) and caval vein thrombosis (0.6%). Routine bacteriological cultures of feeding solutions and infusion devices showed a contamination rate of 3.5% and 2%. Skin swab and catheter tip cultures after catheter removal demonstrated positive results in 6% and 4.7%, but catheter related sepsis occurred in only 2.3%. Staphylococcus epidermidis was found in 81 % of all positive bacterial cultures. Four point seven per cent of catheters were removed for suspected infection though only one third of them produced a bacteriological growth. We conclude that the risk of mechanical complications and contamination of central venous catheters in neonates can be minimized by the use of a standardized protocol.

show abstract

Perforation by Central Venous Catheters: A New Testament to an Old Test

Cited by 9 publications

References 7 publications

An unusual complication of a central venous catheter in a neonate

An unusual complication of a central venous catheter in a neonate

Rare complication of a dialysis catheter insertion

Central venous catheters in neonates less than 3500 g—results of a prospective study

Contact Info

Product

Resources

About