Complication Of Subclavian Vein Catheterization Research Articles

Lung deflation while placing a subclavian vein catheter: Our experience in minimizing the risk of pneumothorax.

Lung deflation may reduce the risk of pneumothorax based on the assumption that the distance between the subclavian vein and the lung pleura would increase as well as the diameter of the vein. We aim to provide evidence to support the suggested desideratum of deflation in adults. A prospective database was created that included patients who underwent subclavian vein catheterization for monitoring and therapeutic reasons from January 2014 to January 2020. Measurements using ultrasonography of the diameter of the subclavian vein were taken while the patient's breathing was controlled by a ventilator and then repeated after disconnecting the mechanical ventilation and opening the pressure relief valve. A total of 123 patients were enrolled, with an average age of 41.9 years. The subclavian vein diameter was measured during controlled breathing with a mean average of 8.1 ± 0.6mm in males and 7.1 ± 0.5mm in females. The average increase after lung deflation with the pressure relief valve closed was 8.0± 5.1mm in males and 13.9 ± 5.4mm in females. An increase was noticed after opening a pressure valve, and the means were 5.5 ± 2.8mm in males and 5.1 ± 3.3mm in females. The catheter malposition rate was 0.8. The benefit of interrupting mechanical ventilation and lung deflation lies within possibly avoiding pneumothorax as a complication of subclavian vein catheterization. These findings support the need for evidence regarding the curtailment of pneumothorax incidence in spontaneously breathing patients and the suggested increase in first-time punctures and success rates.

Brachial Plexopathy: Complication of Subclavian Vein Catheterization

ABSTRACT Central venous catheters (CVCs) are often used in critical care setting for resuscitation and monitoring and as a temporary access for hemodialysis. The increased risk of complications associated with CVCs chronic kidney disease (CKD) patients is not recognized widely. Neurological complications are extremely rare with only few cases reported. Brachial plexus injury may occur by direct needle injury or by compressive effects of a hematoma. Prompt evacuation of hematoma is warranted to prevent permanent neurological sequelae. We describe a case of brachial plexopathy after subclavian vein cannulation attempt with full recovery on conservative treatment. Prevention of such complications is the best way to reduce morbidity in CKD patients. For this timely creation of an arteriovenous fistula in CKD patients, ultrasound-guided insertion of CVCs, use of internal jugular vein as the preferred route, and close watch on coagulation defects due to uremic state is recommended. Key messages Chronic kidney disease (CKD) patients should have a permanent vascular access (arteriovenous fistula) well in advance of anticipated time of initiation of dialysis. How to cite this article Beniwal P, Malhotra V, Mathur M. Brachial Plexopathy: Complication of Subclavian Vein Catheterization. Panam J Trauma Crit Care Emerg Surg 2014;3(2):76-78.

A potentially fatal complication during subclavian vein catheterization in an infant with congenital heart disease—puncture to pulmonary artery directly: a case report

The most frequent and acute complications of subclavian vein catheterization are arterial puncture to the subclavian artery and pneumothorax. We report an arterial puncture directly to the pulmonary artery in infant during subclavian vein catheterization.

Applications and complications of subclavian vein catheterization for hemodialysis.

To study the indications, complications and duration of 605 subclavian catheters inserted over a period of 4 years as venous access for the management of renal failure in local setup. Cross-sectional descriptive study. Hemodialysis section, Department of Urology and Kidney Transplantation, Lahore General Hospital, Lahore. The study was conducted from October, 1998 to July, 2002. All patients coming for dialysis during the period of October 1998 to July 2002 were included information noted on specific form. Among the patients who underwent subclavian vein catheterization, 75.2% patients were suffering from chronic renal failure and 24.7% patients were admitted for acute renal failure. Among chronic renal failure patients, 21.9% catheters had to be replaced due to various complications e.g. thrombosis, infection or kinking of the catheter. The subclavian catheters remained in place for a mean duration of 4 weeks. Early complications encountered were arterial puncture, inability to cannulate the innominate vein, hemothorax, puncture of thoracic duct, hemomediastinum, arrhythmias and pulmonary hematoma in 10.7%, 16.5%, 0.5%, 0.2%, 0.6% and 0.2% of patients respectively. Mortality attributed to the procedure occurred in 0.1 % cases. Delayed complications included early infection in 15% catheterizations while delayed infection occurred in 39 % cases. Percutaneous subclavian catheterization is valuable, relatively easy to learn and safe method with acceptable rate of complications for patients necessitating hemodialysis and no established permanent vascular access.

Unilateral breast enlargement: a rare complication of subclavian vein catheterization for hemodialysis

Radiologic findings of an unusual uremic case of marked unilateral breast enlargement due to subclavian vein stenosis after subclavian catheterization for hemodialysis are presented.

Unilateral breast enlargement: Four case reports of an [ldquo ]unusual[rdquo ] presentation of central vein stenosis in patients undergoing hemodialysis

Subclavian vein stenosis is the most common late complication of subclavian vein catheterization for access for hemodialysis.1 Stenosis of the superior vena cava can also occur in this clinical setting.2 Patients with a concomitant ipsilateral arteriovenous fistula or prosthetic bridge graft and proximal venous stenosis may have upper extremity, neck, or chest wall edema.1 In female patients a stenotic lesion proximal to the junction of the internal mammary and subclavian veins with a concomitant arteriovenous shunt may cause unilateral breast edema that resembles inflammatory breast carcinoma in its presentation, thus posing a diagnostic dilemma.

A Case of Late Onset Group B Streptococcal Sepsis with the Complication of Subclavian Vein Catheterization

A Case of Late Onset Group B Streptococcal Sepsis with the Complication of Subclavian Vein Catheterization

Dural Sinus Thrombosis Complicating Subclavian Vein Catheterization: Treatment With Local Thrombolysis

Local venous thrombosis is a known complication of subclavian vein catheterization.1,2 The clot can extend to the noncatheterized ipsilateral internal jugular vein.3,4 It is usually asymptomatic, however, signs of venous congestion can occur. Dural sinus thrombosis has been reported in association with retrograd catheterization of the internal jugular vein,5 but not the subclavian vein. We report a case of symptomatic right sigmoid sinus, transverse sinus, and bilateral internal jugular vein thrombosis without subclavian vein thrombosis in an infant few hours after placement of right subclavian vein catheter. CASE REPORT A 9-week-old girl was seen in the emergency room for lethargy, cyanosis, and apnea.

Pleural Effusion Associated With Ipsilateral Breast and Arm Edema as a Complication of Subclavian Vein Catheterization and Arteriovenous Fistula Formation for Hemodialysis

A 38-year-old woman with end-stage kidney disease presented with a pleural effusion and profound edema of the ipsilateral arm and breast. A patent hemodialysis arteriovenous fistula access was present in the involved extremity. Brachiocephalic vein stenosis, as a result of previous dialysis catheter placement in the subclavian vein, was demonstrated by ultrasound imaging and Doppler analysis. Takedown of the arteriovenous fistula in the edematous arm along with living-related kidney transplantation caused immediate resolution of the breast and arm edema and rapid clearing of the effusion. An anatomic explantation for the findings is offered.

Vertebral Artery Pseudoaneurysm

The present case report details a previously unreported complication of subclavian vein catheterization, vertebral artery pseudoaneurysm. Attention to this problem was brought about in the patient by the development of stridor and dysphagia noted 5 days following placement of the subclavian catheter. A computed tomographic scan of the neck revealed a superior mediastinal, contrast-enhancing mass in the region of the right subclavian artery with a "bull's-eye" sign suggestive of a pseudoaneurysm. Arteriography subsequently proved the pseudoaneurysm to be of vertebral origin. The pseudoaneurysm was ligated via a neck incision together with a median sternotomy to obtain vascular control. The evaluation and treatment options of this problem are discussed.

Delayed Pneumothorax: A Complication of Subclavian Vein Catheterization

Delayed Pneumothorax: A Complication of Subclavian Vein Catheterization

Benign Intracranial Hypertension: A Complication of Subclavian Vein Catheterization and Arteriovenous Fistula

Thrombosis of the right innominate vein occurred in a patient on maintenance hemodialysis following repeated subclavian vein catheterization. The patient had a functional right brachial arteriovenous fistula for blood access that resulted in a massive retrograde blood flow into the cerebral venous system with the development of the benign intracranial hypertension. The symptoms and signs of intracranial hypertension abated following ligation of the arteriovenous fistula. This unusual association of benign intracranial hypertension with an arteriovenous fistula and innominate vein thrombosis has not been reported previously. Pertinent literature dealing with benign intracranial hypertension and complications of subclavian vein catheterization is reviewed.

Late appearance of pneumothorax after subclavian venipuncture

Pneumothorax is a well-recognized complication of subclavian vein catheterization. Chest radiography is advised soon after the procedure. Implied here is that when pneumothorax occurs, it will do so shortly after attempted subclavian venipuncture. Two cases of late pneumothorax are reported, one of which became clinically apparent four days after the procedure. If undetected, this may present a hazard in preoperative patients.

Osteomyelitis of Both Clavicles as a Complication of Subclavian Venipuncture

Complications of subclavian vein catheterization are common and include pneumothorax, hemothorax, and sepsis. Osteomyelitis is a rare complication. The present report describes a patient with osteomyelitis of both clavicles due to subclavian vein venipuncture, in whom fever and chills were absent and the sole clinical finding was local pain and tenderness in the involved area.

Preventing complications of subclavian vein catheterization.

The proximity of the subclavian vein to several important structures of the arm, neck and chest make serious complications in subclavian catheterization occur in 0.4% to 9.9% of cases. Complications can be in immediate, chronic and late categories. An understanding of the anatomy, venography and a step-by-step technique of catheterization will help prevent complications and assist the physician in recognizing them when they occur.

Fatal Bilateral Pneumothoraces Complicating Subclavian Vein Catheterization

Bilateral pneumothoraces complicating attempted bilateral subclavian vein catheterization culminated in the iatrogenic death of the patient. Complications of subclavian vein catheterization are reviewed briefly. This procedure should be limited to patients in whom its use is clearly indicated and should be performed only by individuals who are experienced in the anatomy of the region, who are trained in the technique of subclavian puncture, and who have the means and ability to perform immediate tube thoracostomy should pneumothorax occur.

Chylothorax: A complication of subclavian vein catheterization and parenteral hyperalimentation: R. J. Thurer. J Thorac Cardiovasc Surg 71:465–468 (March), 1976

Chylothorax: A complication of subclavian vein catheterization and parenteral hyperalimentation: R. J. Thurer. J Thorac Cardiovasc Surg 71:465–468 (March), 1976

Chylothorax: A complication of subclavian vein catheterization and parenteral hyperalimentation

A case is presented in which a unique combination of events occurred as a complication of subclavian vein catheterization. Extravasation of intravenous hyperalimentation solution occurred, resulting in mediastinitis and venous obstruction of the jugulosubclavian confluence bilaterally. Bilateral chylothorax resulted which was successfully managed by conservative means. The methods used and the rationale for their employment are discussed.

A prospective study of the complications of subclavian vein catheterization

A prospective study of the complications of subclavian vein catheterization

A new complication of subclavian vein catheterization.

A new complication of subclavian vein catheterization.