Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 11 ( 2017 ) > List of Articles

CASE REPORT

Malpositioning of central venous catheter from right to left subclavian vein: A rare complication

P Takhar, Bunkar Motilal, Arya Savita

Keywords : Central venous catheter, complication, malpositioning, subclavian vein

Citation Information : Takhar P, Motilal B, Savita A. Malpositioning of central venous catheter from right to left subclavian vein: A rare complication. Indian J Crit Care Med 2017; 21 (11):799-801.

DOI: 10.4103/0972-5229.218155

License: CC BY-ND 3.0

Published Online: 00-11-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Invasive monitoring with central venous catheter (CVC) is a valuable tool now a day in Intensive Care Units and in postoperative hemodynamically unstable patients. It is often employed for administering medications and parenteral nutrition. In most of the instances, these catheters are inserted using proper topographical landmarks and ultrasonography-guided methods. Central venous cannulation is associated now and then with unexpected complications despite the use of all precautions and help of imaging techniques. There is a wide variety of complications related to the central venous cannulation including malpositioning. Malpositioning of the catheter into contralateral subclavian is an extremely unusual event. Here, we report a rare case of malpositioning of CVC from the right to the left subclavian vein also we outline how the misplacement was identified and effectively managed.


PDF Share
  1. Ghatak T, Azim A, Baronia AK, Muzaffar SN. Malposition of central venous catheter in a small tributary of left brachiocephalic vein. J Emerg Trauma Shock 2011;4:523-5.
  2. de Jonge RC, Polderman KH, Gemke RJ. Central venous catheter use in the pediatric patient: Mechanical and infectious complications. Pediatr Crit Care Med 2005;6:329-39.
  3. Karnawat R, Mohammed S, Biyani G. A Rare malposition of central venous catheter inserted through internal jugular vein. Int J Life Sci Res 2014;2:27-9.
  4. Agrawal P, Gupta B, D'souza N. Coiled central venous catheter in superior vena cava. Indian J Anaesth 2010;54:351-2.
  5. Coskun D, Mahli A, Oncul S, Ilvan G, Dalgic A. Malposition of subclavian vein catheter inserted through indirect technique in a pediatric liver transplantation: A case report. Cases J 2009;2:7998.
  6. Prabaharan B, Thomas S. Spontaneous migration of central venous catheter tip following extubation. Saudi J Anaesth 2014;8:131-3.
  7. Ruesch S, Walder B, Tramèr MR. Complications of central venous catheters: Internal jugular versus subclavian access – A systematic review. Crit Care Med 2002;30:454-60.
  8. Hohlrieder M, Schubert HM, Biebl M, Kolbitsch C, Moser PL, Lorenz IH. Successful aspiration of blood does not exclude malposition of a large-bore central venous catheter. Can J Anaesth 2004;51:89-90.
  9. Fragou M, Gravvanis A, Dimitriou V, Papalois A, Kouraklis G, Karabinis A, et al. Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: A prospective randomized study. Crit Care Med 2011;39:1607-12.
  10. Longo JM, Bilbao JI, Barettino MD, Larrea JA, Pueyo J, Idoate F, et al. Percutaneous vascular and nonvascular puncture under US guidance: Role of color Doppler imaging. Radiographics 1994;14:959-72.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.