Very rare and serious complication of central line insertion

Ojaswani Rai Sood

doi:10.18231/j.ijca.2019.121

Abstract

Very rare and serious complication of central line insertion - IJCA- Print ISSN No: - 2394-4781 Online ISSN No:- 2394-4994 Article DOI No:- 10.18231/j.ijca.2019.121, Indian Journal of Clinical Anaesthesia-Indian J Clin Anaesth

Highlights

Central venous catheter (CVC) insertion is indicated for various therapeutic as well as diagnostic purposes in patients admitted in intensive care units (ICU), various dialysis units and in routine and emergency operation theaters
Variousmal positions of CVC can be its placement in internal mammary vein, coiling within the vein itself, migration of catheter to ipsilateral jugular vein from subclavian vein or translocation to the contralateral subclavian vein etc. 1–3 Pericardial effusion and pericardial tamponade are rare but accounting for up to 0.7% of central venous catheter related complications 4,5
We present a very rare case of mal positioned central venous catheter vein entering into superior part of superior venacava (SVC), traversing along its medial wall and its tip reaching up to the junction between SVC and aorta

Summary

Introduction

Central venous catheter (CVC) insertion is indicated for various therapeutic as well as diagnostic purposes in patients admitted in intensive care units (ICU), various dialysis units and in routine and emergency operation theaters. A CVC malposition can be associated with large number of recognized complications, some of which may be fatal. These may occur either during insertion of the catheter (e.g. arterial puncture, pneumothorax, arrhythmias), and/or during maintenance of the line (e.g. infection, thrombosis). 1–3 Pericardial effusion and pericardial tamponade are rare but accounting for up to 0.7% of central venous catheter related complications 4,5. We present a very rare case of mal positioned central venous catheter vein entering into superior part of superior venacava (SVC), traversing along its medial wall and its tip reaching up to the junction between SVC and aorta.

Case presentation

Findings

Discussion

Conclusion