Unusual right internal jugular vein catheter malposition into the right axillary vein: A rare case report

Authors

Department of Anesthesia, Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

One of disastrous complications of central venous cannulation (CVC) is malposition of central venous catheter. In this case report, we present an adult patient with history of multiple trauma and intracranial hemorrhage in whom the right axillary vein was accidentally cannulated during CVC insertion.

Keywords

1. Gladwin MT, Slonim A, Landucci DL, Gutierrez DC, Cunnion RE. Cannulation of the internal jugular vein: Is postprocedural chest radiography always necessary? Crit Care Med 1999;27:1819-23.  Back to cited text no. 1
    
2. Malatinský J, Kadlic T, Májek M, Sámel M. Misplacement and loop formation of central venous catheters. Acta Anaesthesiol Scand 1976;20:237-47.  Back to cited text no. 2
    
3. Paw HG. Bilateral pleural effusions: Unexpected complication after left internal jugular venous catheterization. Br J Anaesth 2002;89:647-50.  Back to cited text no. 3
    
4. Muhm M, Sunder-Plassmann G, Apsner R, Pernerstorfer T, Rajek A, Lassnigg A, et al. Malposition of central venous catheters. Wien Klin Wochenschr 1997;109:400-5.  Back to cited text no. 4
    
5. Pikwer A, Bååth L, Davidson B, Perstoft I, Akeson J. The incidence and risk of central venous catheter malpositioning: A prospective cohort study in 1619 patients. Anaesth Intensive Care 2008;36:30-7.  Back to cited text no. 5
    
6. Ruesch S, Walder B, Tramer MR. Complications of central venous catheters: Internal jugular versus subclavian access-a systematic review. Crit Care Med 2002;30:454-60.  Back to cited text no. 6
    
7. Burbridge SJ, Finlay DE, Letourneau JG, Longley DG. Effects of central venous catheter placement on upper extremity duplex US findings. J Vasc Interv Radiol 1993;4:399-404.  Back to cited text no. 7
    
8. Falk, RL, Smith DF. Thrombosis of upper extremity thoracic inlet veins: Diagnosis with duplex Doppler sonography. AJR Am J Roentgenol 1987;149:677-82.  Back to cited text no. 8
    
9. Baarslag HJ, van Beek EJ, Koopman MM, Reekers JA. Prospective study of color duplex ultrasonography compared with contrast venography in patients suspected of having deep venous thrombosis of the upper extremities. Ann Intern Med 2002;136:865-72.  Back to cited text no. 9
    
10. Randolph AG, Cook DJ, Gonzales CA, Pribble CG. Ultrasound guidance for placement of central venous catheters: A meta-analysis of literature. Crit Care Med 1996;24:2053-8.  Back to cited text no. 10
    
11. Mansfield PF, Hohn DC, Fornage BD, Gregurich MA, Ota DM. Complications and failures of subclavian-vein catheterization. N Engl J Med 1994;331:1735-8.  Back to cited text no. 11