A rare complication following internal jugular vein catheterization to malposition: acute Budd Chiari syndrome

Sumeyra Koyuncu,Cihan Uysal,Bulent Tokgoz,Guven Kahriman,Ismail Kocyigit,Oktay Oymak,Nevzat Herdem,Murat Sipahioğlu

doi:10.1186/s12882-020-02182-0

Sumeyra Koyuncu, Cihan Uysal + Show 6 more

Open Access

https://doi.org/10.1186/s12882-020-02182-0

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Journal: BMC Nephrology	Publication Date: Dec 1, 2020
Citations: 4	License type: open-access

Affiliation: Erciyes University

Abstract

BackgroundTunneled catheters can be used as an alternative vascular access in patients with limited health expectancy,vascular access problems and several comorbidities. We aimed to present a patient with venous stenosis related- reversible acute Budd-Chiari syndrome after catheter malposition.Case presentationAfter changing of tunneled catheter insertion, 36-year old man was admitted to our hospital with sudden onset of nausea, fever, chills and worsening general condition In computed tomography (CT) imaging, a hypodense thrombus was observed in which the distal end of the catheter is at the level of drainage of the hepatic veins in the inferior vena cava and that blocked hepatic vein drainage around the catheter. The catheter was removed and a new catheter was inserted in the same session. Because patient’s general condition was good and without fever, he was discharged with advices on the 9th day of hospitalization.ConclusionAlthough catheter malposition and thrombosis are not a common complication, clinicians should be alert of these complications.

Highlights

Tunneled catheters can be used as an alternative vascular access in patients with limited health expectancy,vascular access problems and several comorbidities
Conclusion: catheter malposition and thrombosis are not a common complication, clinicians should be alert of these complications
It has been suggested that the first choice for vascular access is arteriovenous fistula (AVF), but tunneled catheters can be used as an alternative to AVF in patients with limited health expectancy, comorbidities and

Summary

Introduction

Tunneled catheters can be used as an alternative vascular access in patients with limited health expectancy,vascular access problems and several comorbidities. Usage of dialysis catheter is still very common in this cohort according to the annual report of the United States Renal Data System (USRDS), approximately 63% of patients used a catheter for vascular access for the first dialysis treatment in the USA [6]. Another important complication such as catheter malposition ratio was between 3.6–14% in small and medium-sized studies in the literature. Catheter malposition is rare in right IJV catheterization [7, 8]

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Findings

Conclusion