Port malposition in the azygos vein resulting in a veno-broncho and broncho-esophageal fistula: A case report

2021 ◽  
pp. 112972982110025
Author(s):  
Patrick F Frias ◽  
Chloe G Cross ◽  
Claire S Kaufman ◽  
Keith B Quencer
Keyword(s):  
Case Report ◽  
Central Venous Catheter ◽  
State Of The Art ◽  
Venous Catheter ◽  
Azygos Vein ◽  
Esophageal Fistula ◽  
Central Venous ◽  
Bronchial Fistula ◽  
Catheter Malposition

We present a case of a port malposition into the azygos vein resulting in both a broncho-esophageal and veno-bronchial fistula. While complications of central venous catheter malposition into the azygos vein are well documented in literature, these unique complications have not yet been described. This case underscores how utilizing state of the art technology like intra-cavity electrocardiography rather that reliance on fluoroscopy can help eliminate catheter malposition and its potential catastrophic consequences.

scholarly journals Rare central venous catheter malposition – an ultrasound-guided approach would be helpful: a case report

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Keisuke Kumada ◽  
Nobuo Murakami ◽  
Hideshi Okada ◽  
Izumi Toyoda ◽  
Shinji Ogura ◽  
...  
Keyword(s):  
Case Report ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Catheter Malposition

Unusual central venous catheter malposition into the left internal mammary vein: a case report

2003 ◽  
Vol 29 (12) ◽  
pp. 2338-2339 ◽  
Author(s):  
Claudio Sandroni ◽  
Tommaso Pirronti ◽  
Francesca Tortora ◽  
Susanna Santangelo ◽  
Pierluigi Rinaldi ◽  
...  
Keyword(s):  
Case Report ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous ◽  
Internal Mammary ◽  
Catheter Malposition

scholarly journals A Rare Central Venous Catheter Malposition: A Case Report

2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Ali Asghar Moeinipour ◽  
Ahmad Amouzeshi ◽  
Marjan Joudi ◽  
Mehdi Fathi ◽  
Saeed Jahanbakhsh ◽  
...  
Keyword(s):  
Case Report ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous ◽  
Catheter Malposition

Supradiaphragmatic central venous catheter malposition detection using the parasternal long-axis echocardiographic view and dextrose 50% contrast solution: A pilot study

Ultrasound ◽  
2021 ◽  
pp. 1742271X2110517
Author(s):  
Mohd Jazman Che Rahim ◽  
Shaik Farid Abdull Wahab ◽  
Mohd Hashairi Fauzi ◽  
Chandran Nadarajan ◽  
Siti Azrin Ab Hamid
Keyword(s):  
Pilot Study ◽  
Central Venous Catheter ◽  
Blood Sugar ◽  
Venous Catheter ◽  
Capillary Blood ◽  
Brachiocephalic Vein ◽  
Central Venous ◽  
Perfect Agreement ◽  
Catheter Malposition ◽  
Contrast Solution

Background Contrast-enhanced ultrasonography (CEUS) using saline was studied to detect supradiaphragmatic central venous catheter malposition. Commonly used echocardiographic views are apical 4-chamber (A4c) and subcostal views. However, this standard method is not feasible in certain situations. We explored the feasibility of the right ventricle inflow parasternal long axis (RVI-PLAX) echocardiographic view and dextrose 50% (D50%) contrast solution for detecting supradiaphragmatic central venous catheter malposition. Method This pilot study screened 60 patients who underwent ultrasound-guided supradiaphragmatic central venous catheter insertion. We compared the investigators' guidewire's J-tip detection, D50% rapid atrial swirl sign (RASS) findings on the RVI-PLAX view and the central venous catheter tip on chest radiograph. We also compared the mean capillary blood sugar level before and after the 5 ml D50% flush. Results No guidewire J-tips were detected from the RVI-PLAX view. The first and second investigators’ diagnosis of central venous catheter malposition detected on RVI-PLAX CEUS achieved an almost perfect agreement (κ = 1.0 (95% confidence interval (CI): 0.90 to 1.0), p < .0001). The RVI-PLAX CEUS was not able to detect two central venous catheter malpositions (one atrial malposition and one left brachiocephalic vein venous catheter malposition). The capillary blood sugar was significantly elevated (8.96 mmol/L vs. 9.75 mmol/L) after D50% flush ( p < 0.005) with no complications reported within 30 minutes after the D50% flush. Conclusion RVI-PLAX view should not be used for guidewire detection. CEUS using D50% and RVI-PLAX view are potentially useful tools in detecting central venous catheter malposition. Further studies comparing them with conventional methods are needed.

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

2015 ◽  
Vol 68 (2) ◽  
pp. 175
Author(s):  
SoWoon Ahn ◽  
Ju Ho Lee ◽  
Chunghyun Park ◽  
Yong-woo Hong ◽  
Duk-Hee Chun
Keyword(s):  
Case Report ◽  
Central Venous Catheter ◽  
Jugular Vein ◽  
Venous Catheter ◽  
External Jugular Vein ◽  
Central Venous
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