The accidental loss of guidewire during emergency femoral central venous cannulation: A case report

Mapping Intimacies ◽

10.25259/aujmsr_13_2020 ◽

2020 ◽

Vol 2 ◽

pp. 61-63

Author(s):

Sham Sunder Goyal ◽

Mridul Madhav Panditrao ◽

Asha Garg

Keyword(s):

Case Report ◽

Central Venous Catheter ◽

Venous Catheter ◽

Venous Cannulation ◽

Central Venous Cannulation ◽

Central Venous ◽

Experienced Operator

Many complications are reported with placement of the central venous catheter. They can be varied and graded as minor/insignificant, self-limiting, and not requiring any intervention to major/serious and requiring urgent intervention to save the life of the patient. Most of them can be minimized with certain precautions, use of aids and improved skill and experience of the operator. We are presenting a case report with such a complication, which is much rarer, happened, even in the hands of a very senior and experienced operator, requiring urgent intervention.

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Dilated internal mammary veins in liver disease – A potential pitfall in central venous cannulation

Journal of Anaesthesia and Critical Care Reports ◽

10.13107/jaccr.2021.v07i02.178 ◽

2021 ◽

Vol 7 (2) ◽

Keyword(s):

Portal Hypertension ◽

Liver Disease ◽

Central Venous Catheter ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Venous Catheter ◽

Venous Cannulation ◽

Central Venous Cannulation ◽

Central Venous ◽

Internal Mammary

Introduction: Portal hypertension leads to dilation of internal mammary veins. Among the various sites of misplacement of a catheter inserted via the internal jugular vein, misplacement in the internal mammary vein is relatively rare in the general population, when compared to liver disease patients. Catheter misplacement during central venous cannulation can be associated with thrombosis, wedging, erosion, and perforation. The option of replacing or removing the catheter is not always risk-free, particularly with associated coagulopathy. We describe the management of a misplaced CVC which was accessed through the left internal jugular vein and repositioned under fluoroscopic guidance. Keywords: Central venous catheter, Repositioning of central venous catheter, central venous catheter in left internal mammary vein, portal hypertension, fluoroscopy

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Malpositioned Central Venous Catheters: A Diagnostic Dilemma

Journal of the Association for Vascular Access ◽

10.1016/j.java.2015.11.002 ◽

2016 ◽

Vol 21 (1) ◽

pp. 35-38 ◽

Cited By ~ 2

Author(s):

U.S. Dinesh Kumar ◽

S. Shivananda ◽

Murugesh Wali

Keyword(s):

Central Venous Catheter ◽

Rare Complication ◽

Venous Pressure ◽

Left Lung ◽

Venous Catheter ◽

Venous Drainage ◽

Venous Cannulation ◽

Central Venous Cannulation ◽

Central Venous ◽

Diagnostic Dilemma

Abstract Central venous cannulation is routinely done to infuse inotropes, for measuring central venous pressure, for total parenteral infusion, for large-bore venous access, and for infusing chemotherapeutic drugs. Various complications like pneumothorax, hemothorax, chylothorax, malposition, and fracture of catheters are described after central venous cannulation. Malpostioning of a central venous catheter into an anomalously draining left-sided pulmonary vein is a rare complication. We report a case of a patient presenting for carotid body tumor excision in whom the central venous catheter was malpositioned who was found to have a partial anomalous pulmonary venous drainage of the left lung.

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