0
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Rare Central Venous Catheter Malpositions: A Case Series

      case-report
      1 ,
      ,
      Cureus
      Cureus
      central venous catheter, chest x ray, ultrasound-guided, intensive care, malposition

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Central venous catheters are a procedure that provides vascular access, allowing the application of various clinical treatments and the measurement of some hemodynamic values. It provides access to the internal jugular vein, subclavian vein, and, femoral vein with a large-bore catheter. There are mechanical, infectious, and thromboembolic complications resulting from central venous catheter placement and care. Central venous catheter malposition is a rare catheter complication that may be encountered. The location of the central venous catheter can be evaluated with imaging techniques such as posteroanterior chest radiograph, ultrasonography, central venous catheter waveform, and transesophageal echocardiography. Five malposition cases detected by imaging after the central venous catheter procedure in our clinic are presented.

          Related collections

          Most cited references22

          • Record: found
          • Abstract: not found
          • Article: not found

          Preventing complications of central venous catheterization.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Intravascular Complications of Central Venous Catheterization by Insertion Site.

            Three anatomical sites are commonly used to insert central venous catheters, but insertion at each site has the potential for major complications.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Mechanical complications of central venous catheters.

              We analyzed 385 consecutive central venous catheter (CVC) attempts over a 6-month period. All critically ill patients 18 years of age or older requiring a CVC were included. The rate of mechanical complications not including failure to place was 14%. Complications included failure to place the CVC (n = 86), arterial puncture (n = 18), improper position (n = 14), pneumothorax (n = 5 in 258 subclavian and internal jugular attempts), hematoma (n = 3), hemothorax (n = 1), and asystolic cardiac arrest of unknown etiology (n = 1). Male patients had a significantly higher complication rate than female patients (37% vs 27%, P = .04). The subclavian approach had a higher complication rate than the internal jugular or the femoral approach (39% vs 33% vs. 24%, P = .02). The complication rate increased with the number of percutaneous punctures, with a rate of 54% when more than 2 punctures were required.
                Bookmark

                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                4 July 2024
                July 2024
                : 16
                : 7
                : e63872
                Affiliations
                [1 ] Anesthesiology and Reanimation, Kastamonu Education and Research Hospital, Kastamonu, TUR
                Author notes
                Büşra Tanyıldızı btanyldz@ 123456gmail.com
                Article
                10.7759/cureus.63872
                11224647
                8680c513-2d0f-4a99-a2e3-f77e7b0d952a
                Copyright © 2024, Tanyıldızı et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 4 July 2024
                Categories
                Anesthesiology
                Medical Education
                Radiology

                central venous catheter,chest x ray,ultrasound-guided,intensive care,malposition

                Comments

                Comment on this article