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Malposition of central venous catheter in the jugular venous arch via external jugular vein -a case report.

Ahn S, Lee JH, Park C, Hong YW, Chun DH - Korean J Anesthesiol (2015)

Bottom Line: The central venous cannulation is commonly performed in the operating rooms and intensive care units for various purposes.Although the central venous catheter (CVC) is used in many ways, the malpositioning of the CVC is often associated with serious complications.We report a case of an unexpected malposition of a CVC in the jugular venous arch via external jugular vein.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

ABSTRACT
The central venous cannulation is commonly performed in the operating rooms and intensive care units for various purposes. Although the central venous catheter (CVC) is used in many ways, the malpositioning of the CVC is often associated with serious complications. We report a case of an unexpected malposition of a CVC in the jugular venous arch via external jugular vein.

No MeSH data available.


The catheter was checked at the end of the operation. The vein was cut into two parts and was connected to each other with the catheter (black arrow).
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Figure 2: The catheter was checked at the end of the operation. The vein was cut into two parts and was connected to each other with the catheter (black arrow).

Mentions: After the operation was initiated through median sternotomy, the mid-portion of the CVC which was inserted via left EJV was found in the operation field. The catheter was located in the vein other than the brachiocephalic vein (BV), and the BV was found at about 3 cm below the catheter. There was a small laceration on the vein, and the vein showed continuity with the catheter inside (Fig. 1). There was only a small amount of bleeding around the vessel, because the diameter of the vessel was similar to that of the catheter. We decided not to ligate the vessel immediately due to the possibility of bleeding, so we checked the catheter after the operation. The vein was cut into two parts and was connected to each other with the catheter (Fig. 2). The surgeon ligated the vessel while removing the catheter and the surgery was completed.


Malposition of central venous catheter in the jugular venous arch via external jugular vein -a case report.

Ahn S, Lee JH, Park C, Hong YW, Chun DH - Korean J Anesthesiol (2015)

The catheter was checked at the end of the operation. The vein was cut into two parts and was connected to each other with the catheter (black arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4384406&req=5

Figure 2: The catheter was checked at the end of the operation. The vein was cut into two parts and was connected to each other with the catheter (black arrow).
Mentions: After the operation was initiated through median sternotomy, the mid-portion of the CVC which was inserted via left EJV was found in the operation field. The catheter was located in the vein other than the brachiocephalic vein (BV), and the BV was found at about 3 cm below the catheter. There was a small laceration on the vein, and the vein showed continuity with the catheter inside (Fig. 1). There was only a small amount of bleeding around the vessel, because the diameter of the vessel was similar to that of the catheter. We decided not to ligate the vessel immediately due to the possibility of bleeding, so we checked the catheter after the operation. The vein was cut into two parts and was connected to each other with the catheter (Fig. 2). The surgeon ligated the vessel while removing the catheter and the surgery was completed.

Bottom Line: The central venous cannulation is commonly performed in the operating rooms and intensive care units for various purposes.Although the central venous catheter (CVC) is used in many ways, the malpositioning of the CVC is often associated with serious complications.We report a case of an unexpected malposition of a CVC in the jugular venous arch via external jugular vein.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

ABSTRACT
The central venous cannulation is commonly performed in the operating rooms and intensive care units for various purposes. Although the central venous catheter (CVC) is used in many ways, the malpositioning of the CVC is often associated with serious complications. We report a case of an unexpected malposition of a CVC in the jugular venous arch via external jugular vein.

No MeSH data available.