Life-threatening vascular complications after central venous catheter placement View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-08-28

AUTHORS

S. Wicky, J.-Y. Meuwly, F. Doenz, A. Uské, P. Schnyder, A. Denys

ABSTRACT

. The purpose of this retrospective study was to report 11 cases of severe vascular complications after central venous catheter misplacement. For each patient, data collection included body mass index, the diagnosis at admission, the site of the procedure, the type of catheter, coagulation parameters, the imaging modalities performed and the applied treatment. Eight patients had a lesion of the subclavian artery. Brachiocephalic vein perforations were assessed in three more patients. All patients had a chest roentgenogram after the procedure, six a CT examination, and four an angiographic procedure. Seven patients had a body mass index above 30, and 5 patients had coagulation disorders prior to the procedure. Seven patients were conservatively managed, 2 patients died despite resuscitation, 1 patient was treated with a stent graft, and one by superselective embolization. Subclavian or jugular vein temporary catheter positioning is a practical approach. Identification of any iatrogenic perforation of the subclavian artery or central veins urges obtainment a chest roentgenogram and, when required, a chest CT, selective angiograms or venograms. Body mass index superior to 30, previous unsuccessful catheterization attempts, and coagulation factor depletion seemed to account for risk factors. Recognition of clinical and radiological complications is mandatory. More... »

PAGES

901-907

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s003300101018

DOI

http://dx.doi.org/10.1007/s003300101018

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1003534504

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11960245


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218 schema:name Department of Radiology, University Hospital, CHUV, 1011 Lausanne, Switzerland, Switzerland
219 rdf:type schema:Organization
 




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