Back to Search
Start Over
Rare central venous catheter malposition - an ultrasound-guided approach would be helpful: a case report.
- Source :
-
Journal of medical case reports [J Med Case Rep] 2016 Sep 13; Vol. 10 (1), pp. 248. Date of Electronic Publication: 2016 Sep 13. - Publication Year :
- 2016
-
Abstract
- Background: A central venous catheter enables the measurement of hemodynamic variations, such as accurate central venous pressure; catheter malposition may induce potentially fatal complications. This case report describes a rare central venous catheter tip malposition in the right internal mammary artery.<br />Case Presentation: A 56-year-old Japanese woman who presented with severe pneumonia secondary to scleroderma was treated under ventilator support because of acute respiratory failure. A right central venous catheter was inserted using a landmark technique to monitor central venous pressure and administer medications. However, central venous waveforms detected by the catheter using a pressure lot transducer were later found to be absent. Further imaging studies, including plain radiography, computed tomography, and angiography, confirmed central venous catheter malposition in the internal mammary artery. Her right internal mammary artery was embolized using two interlocking detachable coils, and the central venous catheter was removed from her internal mammary artery without further complications.<br />Conclusions: Internal mammary artery malposition is a rare but potentially lethal complication of central venous catheter catheterization; however, caution should be taken regarding the assessment of risk factors and management of a severe complication. An ultrasound-guided approach would be helpful.
- Subjects :
- Catheterization, Central Venous adverse effects
Critical Care
Female
Humans
Iatrogenic Disease
Medical Errors
Middle Aged
Catheterization, Central Venous methods
Mammary Arteries diagnostic imaging
Pneumonia therapy
Respiratory Distress Syndrome therapy
Scleroderma, Localized therapy
Tomography, X-Ray Computed
Subjects
Details
- Language :
- English
- ISSN :
- 1752-1947
- Volume :
- 10
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of medical case reports
- Publication Type :
- Academic Journal
- Accession number :
- 27623960
- Full Text :
- https://doi.org/10.1186/s13256-016-1026-0