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Rodriguez L, Pydi R, Choi PJK, Pradhan J, Thite S, Satoskar S, Parikh HR, Shah A, Girishkumar H. Two Cases of Malpositioning of Internal Jugular Central Venous Catheters: A Review of Literature and Current Treatment Recommendations. Cureus 2024; 16:e59814. [PMID: 38846204 PMCID: PMC11156211 DOI: 10.7759/cureus.59814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/06/2024] [Indexed: 06/09/2024] Open
Abstract
Percutaneous central venous catheterization, despite ultrasound guidance, is known to carry significant risks. While central venous catheters are widely used in clinical practice, they are also associated with various complications, including incorrect positioning during insertion. Arterial puncture is a well-recognized complication, and although unintended subclavian or carotid artery cannulation is rare, it can lead to serious consequences. We present two cases, in which a dual-lumen, non-tunneled temporary hemodialysis catheter was inadvertently inserted into the left common carotid artery and in the left innominate vein.
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Affiliation(s)
| | - Reshma Pydi
- Surgery, BronxCare Health System, New York, USA
| | | | | | - Sania Thite
- Surgery, BronxCare Health System, New York, USA
| | | | | | - Ajay Shah
- Surgery, BronxCare Health System, New York, USA
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Yao MQ, Jiang YY. Catheter misplacement from an implantable central venous access port into the internal thoracic vein: a case description. Quant Imaging Med Surg 2023; 13:6338-6342. [PMID: 37711839 PMCID: PMC10498269 DOI: 10.21037/qims-23-338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 06/26/2023] [Indexed: 09/16/2023]
Affiliation(s)
- Min-Quan Yao
- Department of Gastrointestinal Surgery, Tongxiang First People’s Hospital, Jiaxing, China
| | - Yan-Yan Jiang
- Department of Clinical Laboratory, Tongxiang First People’s Hospital, Jiaxing, China
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Alomari MH, Amarneh MA, Shahin MM, Kerr CL, Variyam D, Chewning R, Chaudry G, Padua H, Shaikh R, Fishman SJ, Alomari AI. The use of the internal mammary vein for central venous access. J Pediatr Surg 2021; 56:816-820. [PMID: 33422328 DOI: 10.1016/j.jpedsurg.2020.12.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 12/03/2020] [Accepted: 12/15/2020] [Indexed: 11/24/2022]
Abstract
PURPOSE To describe the use of the internal mammary vein as an alternative access for central venous catheters. METHODS We performed a retrospective review of patients who underwent placement of central venous catheters via the internal mammary vein. Patient demographics, indication for venous access, technical success, catheter type, dwell time and indication for exchange or removal were recorded. RESULTS Placement of central venous catheters via the internal mammary vein was attempted in 11 patients including 8 children (4 males, mean age 5.7 years) and 3 adults. The most common indication was parenteral nutrition in patients with intestinal failure (7/11). Initial needle access of the vein was successful in all patients. Catheter placement was successful in 9 and unsuccessful in 2 patients due to occlusion of the superior vena cava. There were no immediate complications. A total of 20 catheters of various sizes (3-14.5 French) and lengths (8-23 cm) were either placed (n = 12) or exchanged (n = 8). The most common indications for catheter exchange were poor function and malposition (7/8). Four catheters were removed for infection and 4 were accidentally removed. The mean dwell time was 141 days (range 0-963 days) per catheter for a total of 2829 catheter days. The total mean dwell time per patient, including primarily placed and exchanged catheters, was 314 days (range 5-963 days). CONCLUSIONS The internal mammary vein may provide a safe alternative route for patients who have lost their traditional access veins.
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Affiliation(s)
- Mohammed H Alomari
- Division of Vascular and Interventional Radiology, Boston Children's Hospital, and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Mohammad A Amarneh
- Division of Vascular and Interventional Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - Mohamed M Shahin
- Division of Vascular and Interventional Radiology, Boston Children's Hospital, and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Cindy L Kerr
- Division of Vascular and Interventional Radiology, Boston Children's Hospital, and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Darshan Variyam
- Division of Vascular and Interventional Radiology, Boston Children's Hospital, and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Rush Chewning
- Division of Vascular and Interventional Radiology, Boston Children's Hospital, and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Gulraiz Chaudry
- Division of Vascular and Interventional Radiology, Boston Children's Hospital, and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Horacio Padua
- Division of Vascular and Interventional Radiology, Boston Children's Hospital, and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Raja Shaikh
- Division of Vascular and Interventional Radiology, Boston Children's Hospital, and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Steven J Fishman
- Department of Surgery, Boston Children's Hospital, and Harvard Medical School, Boston, MA, USA
| | - Ahmad I Alomari
- Division of Vascular and Interventional Radiology, Boston Children's Hospital, and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
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Moon SB. Predicting the Optimal Depth of Ultrasound-Guided Right Internal Jugular Vein Central Venous Catheters in Neonates. J Pediatr Surg 2021; 56:638. [PMID: 33256971 DOI: 10.1016/j.jpedsurg.2020.09.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 09/18/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Suk Bae Moon
- Department of Surgery, Kangwon National University School of Medicine, Chuncheon, South Korea.
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Reply to Letter to the Editor Regarding Predicting the Optimal Depth of Ultrasound-Guided Right Internal Jugular Vein Central Venous Catheters in Neonates. J Pediatr Surg 2021; 56:639. [PMID: 33199057 DOI: 10.1016/j.jpedsurg.2020.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 10/08/2020] [Indexed: 11/20/2022]
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