Inadvertent insertion of a venous catheter into the internal thoracic vein: a word of caution
| Autor: | Giana Caroline Strack Neves, Flavia Ramos Tristão, Carlos Eduardo Del Valle, Ricardo César Rocha Moreira |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
RD1-811 Central catheter Radiography Case Report 030204 cardiovascular system & hematology cateteres catheters 03 medical and health sciences quimioterapia adjuvante 0302 clinical medicine procedimentos cirúrgicos vasculares Superior vena cava medicine Diseases of the circulatory (Cardiovascular) system Internal Thoracic Vein Right internal thoracic vein business.industry Anteroposterior radiograph Surgery adjuvant chemotherapy Catheter 030228 respiratory system RC666-701 cardiovascular system vascular surgical procedures Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Jornal Vascular Brasileiro, Vol 18 (2019) Jornal Vascular Brasileiro |
| ISSN: | 1677-7301 1677-5449 |
| DOI: | 10.1590/1677-5449.190097 |
| Popis: | Central venous catheters are widely used in clinical practice and are linked to many types of complications, including incorrect positioning at the time the catheter is fitted. Here, the authors describe a case in which a fully implantable catheter was inadvertently positioned in the right internal thoracic vein. The complication was identified when the nursing team attempted to use the catheter. The right internal thoracic vein is within the radiographic projection of the right brachiocephalic vein and the superior vena cava, simulating correct catheter placement on an anteroposterior radiograph. In cases of central catheter malfunction during the immediate postoperative period, work-up should include oblique and lateral views, to rule out the complication described here without a need for computed tomography. |
| Databáze: | OpenAIRE |
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