scholarly journals Inadvertent Insertion of Hemodialysis Catheter into Brachiocephalic Trunk During Cannulation of Internal Jugular Vein: Management Strategies

2022 ◽  
Author(s):  
Chinmaya Nanda ◽  
Vinit Garg ◽  
Ajmer Singh ◽  
Yatin Mehta
Keyword(s):  
Intensive Care Unit ◽  
Jugular Vein ◽  
Management Strategies ◽  
Venous Catheter ◽  
Central Venous Catheter Insertion ◽  
Endovascular Technique ◽  
Central Venous ◽  
Hemodialysis Catheter ◽  
Brachiocephalic Trunk ◽  
Life Threatening

AbstractCentral venous catheter insertion is a commonly performed procedure in the operating room and intensive care unit. It is associated with many complications, some of which may be life-threatening. We report here an accidental insertion of a hemodialysis catheter into the brachiocephalic trunk, which was successfully removed by an endovascular technique.

Unexpected Internal Jugular Vein Obstruction Revealed by Ultrasound Surface Scan Before Central Venous Catheter Insertion

2008 ◽  
Vol 107 (1) ◽  
pp. 347-348 ◽  
Author(s):  
Akihiro Suzuki ◽  
Takayuki Kunisawa ◽  
Tomoki Sasakawa ◽  
Norifumi Katsumi ◽  
Kimimoto Nagashima ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Catheter ◽  
Catheter Insertion ◽  
Central Venous Catheter Insertion ◽  
Central Venous ◽  
Surface Scan

(F)utility of “routine” postprocedural chest radiograph after hemodialysis catheter (central venous catheter) insertion

2020 ◽  
pp. 112972982090725 ◽  
Author(s):  
Malvinder S Parmar
Keyword(s):  
Central Venous Catheter ◽  
Chest Radiograph ◽  
Venous Catheter ◽  
Catheter Insertion ◽  
Central Venous Catheter Insertion ◽  
Central Venous ◽  
Hemodialysis Catheter ◽  
Asymptomatic Patients ◽  
Catheter Tip ◽  
Rule Out

A routine postprocedural chest radiograph had been a safe, checklist-based final step of the procedure, since the start of central venous catheter insertion for hemodialysis to check the position of the catheter tip and to rule out complications. However, the chest radiograph is a suboptimal method to rule out complications like pneumothorax and is not a reliable test to confirm its position. Although it is relatively inexpensive, it is labor-intensive and exposes patient to unnecessary radiation exposure, cost, and often results in delayed use of the catheter. Various studies question the value of a routine chest radiograph as a screening test to rule out the mechanical complications of catheter insertion. We, in this brief viewpoint, present evidence to support the futility of a routine postprocedural chest radiograph in majority of asymptomatic patients and support Choosing Wisely Initiative to avoid low-value studies. However, it should be considered under specific indications, as discussed.

Appropriate length and position of the central venous catheter insertion via right internal jugular vein in children

2013 ◽  
Vol 50 (8) ◽  
pp. 749-752 ◽  
Author(s):  
L. Witthayapraphakorn ◽  
A. Khositseth ◽  
T. Jiraviwatana ◽  
S. Siripornpitak ◽  
R. Pornkul ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Catheter ◽  
Catheter Insertion ◽  
Central Venous Catheter Insertion ◽  
Central Venous

Multiple complications of a 14-year-old hemodialysis catheter

2019 ◽  
Vol 20 (5) ◽  
pp. 567-569
Author(s):  
Filipe Santos Mira ◽  
João Pina Cabral ◽  
Luís Rodrigues ◽  
Nuno Oliveira ◽  
Gil Agostinho ◽  
...  
Keyword(s):  
Dwell Time ◽  
Jugular Vein ◽  
Case Reports ◽  
Venous Catheter ◽  
Good Choice ◽  
Bilateral Nephrectomy ◽  
Central Venous ◽  
Hemodialysis Catheter ◽  
Key Factor ◽  
The Right

Introduction: Vascular access for hemodialysis is a key factor in every patient dependent on this treatment. Maintaining a central venous catheter can be a good choice when all the other options have been exhausted, but unwanted and rare complications may arise from longer catheter dwell time. Case report: We describe a case of a 65-year-old woman undergoing hemodialysis treatment since 1986 after a bilateral nephrectomy due to complicated nephrolithiasis. Her last access, two Tesio® tunneled cuffed catheters implanted via the right internal jugular vein functioned correctly for 14 years without complications, and so, was not replaced in the meantime. She was referred to our hospital due to a rupture in a catheter lumen, which was corrected conservatively by creating a more proximal tunnel and excising the affected area. A few weeks later, a new rupture in the same lumen was identified, so the catheter was replaced with angiographic control. The catheter was frail, so upon its removal, the tip fractured and remained in the right ventricle, being swiftly removed by an endovascular snare without complications. Discussion: This case reports two rare complications associated with catheter handling and identifies a possible technique for conservative resolution of a lumen rupture.

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