Subclavian Vein Catheter Extravasation—Insufficient Catheter Length as a Probable Causal Factor

Abstract

Highlights Correct central venous catheter length reduces extravasation-related injuries Correct length is needed for infusion of vesicant or irritant therapies in patients

Unilateral vocal fold paralysis as a port complication

“…This highlights the importance of using the accurate length of the catheter and guarantee its correct placement. 14 However, according to patient’s clinical records no drug extravasation was reported. Skin changes could also be caused by skin infection or mechanical damage to the skin by the reservoir itself, but according to the clinical records, it was not possible to establish the etiology and none of them would be related to deep venous thrombosis.…”

Subclavian line infiltration causing neck compartment syndrome and bradycardic arrest: A case report

“…During placement of subclavian lines, the distance from skin to vessel is often at least 35 % of the total catheter length when the needle is inserted at a 45-degree angle [ 10 ]. Presumably, blind CVC placement may exaggerate this as the needle is likely to enter the skin at a more acute angle.…”

A neonate with aseptic cutaneous necrosis related to the migration of the proximal central venous catheter infusion port

“…During CVC placement in neonates, apart from the size and insertion depth, the distance between the ports and port proximity to the vascular entry site should also be considered. 2 This is especially relevant for critically ill infants expected to need the catheter for an extended postoperative time. The distance between the ports varies with the catheter size and between catheter brands.…”