Reducing major procedural complications from central venous catheterisation

Bodenham, Andrew

doi:10.1111/j.1365-2044.2010.06583.x

Cited by 33 publications

(30 citation statements)

References 14 publications

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“…The left internal jugular vein carries an even higher risk of central vein stenosis than the right internal jugular, probably because of its complex anatomical pathway and multiple angulations [6][7]. Catheter misplacement can occur at the time of insertion or after a period of time due to migration of the tip [8][9][10]. In this report, we present an unusual case of left internal jugular vein emodialysis catheter malpositioning.…”

Section: Introductionmentioning

confidence: 86%

Anatomy Revisited: Hemodialysis Catheter Malposition into the Chest

et al. 2018

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In most situations, central catheters are implanted in the right jugular vein as initial access for hemodialysis. However, after repeated punctures, the proximal vessels become stenosed and thrombosed and misplacement is likely to occur. Correct catheter position in the vein can be easily ascertained with X-ray or cross-sectional CT imaging. In this report, we describe the case of a 77-year-old patient on chronic hemodialysis via catheter due to arteriovenous fistula dysfunction. We placed a cuffed-tunneled hemodialysis catheter in the left internal jugular vein. Malpositioning of the catheter led to perforation of the great veins and migration of the catheter tip into the chest. It is important to be aware of the risk of potential incorrect positioning of dialysis catheters. Due to the stenosis and fragility of the vessel wall, perforation may occur. In cases of doubt, correct placement of large-bore catheters via the internal jugular vein should be verified by means of appropriate imaging before hemodialysis is performed.

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Section: Introductionmentioning

confidence: 86%

Anatomy Revisited: Hemodialysis Catheter Malposition into the Chest

et al. 2018

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“…We thank Dr Subert for his comments on our description of a method to enhance the subclavian vein during cannulation using microbubbles and ultrasound [1]. He is, of course, quite right to correct our description of the intended cannulation site to the axillary vein.…”

Section: A Replymentioning

confidence: 99%

A reply

Bennett¹,

Vassallo²

2011

Anaesthesia

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“…The carina has previously been suggested as a useful landmark to avoid intracardiac placement and its associated risks, and also that the catheter tip should lie within the superior vena cava parallel to its walls [1,2]. However, this has been disputed and there remains no consensus as to optimal tip placement.…”

Section: Introductionmentioning

confidence: 99%