Indian Journal of Critical Care Medicine

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 19 , ISSUE 8 ( 2015 ) > List of Articles


A case of misplaced permacath dialysis catheter

Asha Kishore, Mohammed Arshad Ali, Kishore Raikar

Keywords : Accessory hemiazygos vein, hemothorax, permacath, ultrasound

Citation Information : Kishore A, Ali MA, Raikar K. A case of misplaced permacath dialysis catheter. Indian J Crit Care Med 2015; 19 (8):490-492.

DOI: 10.4103/0972-5229.162473

License: CC BY-ND 3.0

Published Online: 01-08-2016

Copyright Statement:  Copyright © 2015; The Author(s).


Central venous placement using ultrasound has significantly reduced the complications associated with blind puncture. The central venous catheter can still get misplaced if it follows an anomalous route after appropriate puncture of desired vessel. We report a case of misplaced dialysis catheter into the accessory hemiazygos vein which resulted in a large hemothorax, and we recommend the routine use of a fluoroscope for placement of dialysis catheters so as to avoid serious complications.

PDF Share
  1. Padovan RS, Paar MH, Aurer I. (Mis) placed central venous catheter in the left superior intercostal vein. Radiol Oncol 2011;45:27-30.
  2. Smith DC, Pop PM. Malposition of a total parenteral nutrition catheter in the accessory hemiazygos vein. JPEN J Parenter Enteral Nutr 1983;7:289-92.
  3. Moeinipour AA, Amouzeshi A, Joudi M, Fathi M, Jahanbakhsh S, Hafez S, et al. A rare central venous catheter malposition: A case report. Anesth Pain Med 2014;4:e16049.
  4. Damon I, Masaki MD, Jeffrey S, Grenspoon MD. Cardiac tamponade from central venous line placement. Arch Intern Med 1989;149:972.
  5. Sarnak MJ, Levey AS. Placement of an internal jugular dialysis catheter into the superior intercostal vein. Nephrol Dial Transplant 1999;14:2028-9.
  6. Ghafoor H, Fatimi Sh, Ali M. Unusual malposition of dialysis catheter in the left internal mammary vein - A case report. Middle East J Anaesthesiol 2011;21:139-41.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.